Cerda L Jaime, Cifuentes A Lorena
Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile.
Rev Chilena Infectol. 2010 Jun;27(3):205-8. Epub 2010 Jul 29.
Diagnostic tests are widely used in clinical practice. Qualitative analysis of diagnostic test properties (validity, reproducibility and safety) has been systematized using clinical epidemiology tools that have introduced a series of concepts such as sensitivity, specificity and predictive values. Based on data reported by a clinical investigation, the present article illustrates the theoretical background underlying these concepts, explains the methodology for their calculation, and analyzes their main strengths and limitations. A second article (Part 2: Clinical application and usefulness of a diagnostic test), describes the manner in which information provided by a test should be applied in order to correctly resolve a clinical dilemma.
诊断测试在临床实践中被广泛应用。利用临床流行病学工具已将诊断测试属性(有效性、可重复性和安全性)的定性分析系统化,这些工具引入了一系列概念,如敏感性、特异性和预测值。基于一项临床研究报告的数据,本文阐述了这些概念背后的理论背景,解释了其计算方法,并分析了它们的主要优点和局限性。第二篇文章(第2部分:诊断测试的临床应用和效用)描述了应如何应用测试提供的信息以正确解决临床难题。