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决策支持系统在腰痛诊断中的作用:一项试点研究。

The Role of a Decision Support System in Back Pain Diagnoses: A Pilot Study.

机构信息

Department of Orthopaedics, University Medical Centre Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V.-Allee 3, 93077 Bad Abbach, Germany.

Allianz Private Insurance AG, Königinstraße 28, 80802 Munich, Germany.

出版信息

Biomed Res Int. 2019 Mar 25;2019:1314028. doi: 10.1155/2019/1314028. eCollection 2019.

DOI:10.1155/2019/1314028
PMID:31019964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6452564/
Abstract

It is the main goal of this study to investigate the concordance of a decision support system and the recommendation of spinal surgeons regarding back pain. 111 patients had to complete the decision support system. Furthermore, their illness was diagnosed by a spinal surgeon. The results showed significant medium relation between the DSS and the diagnosis of the medical doctor. Besides, in almost 50% of the cases the recommendation for the treatment was concordant and overestimation occurred more often than underestimation. The results are discussed in relation to the "symptom checker" literature and the claim of further evaluations.

摘要

本研究的主要目的是调查决策支持系统与脊柱外科医生对背痛的建议的一致性。111 名患者必须完成决策支持系统。此外,他们的疾病由脊柱外科医生诊断。结果表明,DSS 与医生诊断之间存在显著的中等关系。此外,在近 50%的情况下,治疗建议是一致的,并且高估的情况多于低估的情况。结果与“症状检查器”文献和进一步评估的要求进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3372/6452564/969b9126729d/BMRI2019-1314028.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3372/6452564/969b9126729d/BMRI2019-1314028.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3372/6452564/969b9126729d/BMRI2019-1314028.001.jpg

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Arch Orthop Trauma Surg. 2018 Jul;138(7):901-909. doi: 10.1007/s00402-018-2916-y. Epub 2018 Mar 7.
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Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections.多模式疼痛管理方案对颈椎病患者的有效性,重点在于颈椎硬膜外注射。
Sci Rep. 2017 Aug 11;7(1):7866. doi: 10.1038/s41598-017-08350-x.
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Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015.
1990 - 2015年全球、区域和国家310种疾病和损伤的发病率、患病率及伤残调整生命年:全球疾病负担研究2015的系统分析
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How Accurate Are Patients at Diagnosing the Cause of Their Knee Pain With the Help of a Web-based Symptom Checker?患者借助基于网络的症状检查器诊断膝关节疼痛病因的准确率如何?
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