The challenges involved in the becoming of a prognostic biomarker as an object for clinical practice in an emergency department in denmark

Abstract

In this article we show how a particular biomarker comes into being in an emergency department in a hospital in Copenhagen, Denmark. We explore the contextual becoming of this biomarker, suPAR, through interviews and relational ontology. We find that as a prognostic biomarker suPAR is challenged in its becoming as an object for clinical practice in the emergency department by the power of diagnostic practices that create a desire for experience-based scripts that quickly enable the clinician to reach the right diagnosis to form patient pathways. We discuss how the becoming of suPAR is strengthened through enactments of specificity and engagement in triage strategies and we reflect on its becoming through new diagnostic practices with the need to accommodate diagnostic ambiguity, which characterizes the majority of patients with complex health issues arriving at this emergency department.
Original languageEnglish
JournalBioSocieties
ISSN1745-8552
Publication statusE-pub ahead of print - 2022

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