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[关于体格检查价值的系列报道]

[A series about the value of physical examination].

作者信息

de Jongh T O H, Zaat J O M

机构信息

Leids Universitair Medisch Centrum, afd Public Health en Eerstelijnsgeneeskunde, Leiden, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2010;154:A2650.

PMID:21176253
Abstract

This article is the introduction to a new series in the Nederlands Tijdschrift voor Geneeskunde about the value of physical examination. Associated with this series, on the website (www.ntvg.nl) there are chapters of the new textbook on physical examination and films about carrying out physical examinations. Although physical examination is an essential part of the diagnostic process, often little attention is paid to the correct execution of the examination and there is insufficient knowledge of the value of the findings. The diagnostic process usually involves analysing all the information from the patient's history and a physical examination. However, research has only been done on the value of specific tests and even that is very limited. The most important measure we use for the results of a physical examination is the likelihood ratio, which shows how the likelihood of presence or absence of a disease changes depending on the examination results.

摘要

本文是《荷兰医学杂志》关于体格检查价值的新系列文章的引言。与该系列相关的是,在网站(www.ntvg.nl)上有新的体格检查教科书章节以及关于进行体格检查的影片。尽管体格检查是诊断过程的重要组成部分,但人们通常很少关注检查的正确实施,并且对检查结果的价值了解不足。诊断过程通常涉及分析来自患者病史和体格检查的所有信息。然而,仅对特定检查的价值进行了研究,而且即便如此研究也非常有限。我们用于评估体格检查结果的最重要指标是似然比,它表明疾病存在或不存在的可能性如何根据检查结果而变化。

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