Westerfield Katie L, Mounsey Anne, Nashelsky Joan
Martin Army Community Hospital Family Medicine Residency Program, Fort Benning, GA, USA.
Department of Family Medicine, University of North Carolina, Chapel Hill, USA.
J Fam Pract. 2016 Nov;65(11):835-847.
Clinical prediction rules effectively diagnose gout without joint fluid analysis. The American College of Rheumatology clinical prediction rules, the most accurate rules developed for research purposes, have a sensitivity of 92%, specificity of 89%, positive likelihood ratio of 8.36, and negative likelihood ratio of 0.09.
临床预测规则无需关节液分析就能有效诊断痛风。美国风湿病学会临床预测规则是为研究目的而制定的最准确规则，其敏感度为92%，特异度为89%，阳性似然比为8.36，阴性似然比为0.09。
