Benevolenskaja L I, Andreev N A, Kurmaeva M E, Nadezdina E A, Brzezovskij M M, Cyganova G I, Feldmanis A E, Gargasas L V, Mal'cev P V, Orlov-Morozov A V
Bull World Health Organ. 1976;53(4):453-9.
With a view to establishing standardized criteria for the diagnosis of rheumatism suitable for widespread use in polyclinics and in large-scale epidemiological investigations, 3000 adults and children with rheumatism or one of seven similar diseases were subjected to multiple screening in eight centres in the USSR using a specially prepared standard card and standard methods. The information obtained was processed by cybernetic methods. Following determination of the sensitivity, specificity, and informational value of 486 signs of rheumatism, 68 of the most indicative signs were selected as criteria of rheumatism. These were included in the final table and weighted according to their indicational value both individually and in groups as syndromes. Using the table it is possible by simple calculation, without using a computer, to arrive at an objective evaluation of the reliability of the clinical diagnosis of rheumatism in patients with one of a group of eight similar diseases. The final diagnostic table was tested on 562 patients selected epidemiologically or from polyclinics or clinics and was shown to result in a high degree of diagnostic precision (higher than 95%).
为制定适用于在综合诊所广泛使用以及大规模流行病学调查的风湿病诊断标准化标准，在苏联的八个中心，使用特制的标准卡片和标准方法，对3000名患有风湿病或七种类似疾病之一的成人和儿童进行了多项筛查。所获信息采用控制论方法进行处理。在确定了486种风湿病体征的敏感性、特异性和信息价值之后，挑选出68种最具指示性的体征作为风湿病的标准。这些体征被列入最终表格，并根据其指示价值分别以及作为综合征分组进行加权。利用该表格，无需使用计算机，通过简单计算就能够对患有一组八种类似疾病之一的患者的风湿病临床诊断可靠性得出客观评估。最终诊断表在从流行病学研究中选取的、或来自综合诊所或专科医院的562名患者身上进行了测试，结果显示诊断精确度很高（高于95%）。
