腰痛的临床决策支持系统有助于找到诊断：一项前瞻性相关性研究。
A clinical decision support system in back pain helps to find the diagnosis: a prospective correlation 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 Digital Health GmbH, Willy-Brandt-Platz 3, 81829, München, Germany.
出版信息
Arch Orthop Trauma Surg. 2023 Feb;143(2):621-625. doi: 10.1007/s00402-021-04080-y. Epub 2021 Aug 4.
The aim of this study is to show the concordance of an app-based decision support system and the diagnosis given by spinal surgeons in cases of back pain. 86 patients took part within 2 months. They were seen by spine surgeons in the daily routine and then completed an app-based questionnaire that also led to a diagnosis independently. The results showed a Cramer's V = .711 (p < .001), which can be taken as a strong relation between the tool and the diagnosis of the medical doctor. Besides, in 67.4% of the cases, the diagnosis was concordant. An overestimation of the severity of the diagnosis occurred more often than underestimation (15.1% vs. 7%). The app-based tool is a safe tool to support healthcare professionals in back pain diagnosis.
本研究旨在展示基于应用程序的决策支持系统与脊柱外科医生在背痛病例诊断中的一致性。86 名患者在 2 个月内参与了研究。他们在日常工作中由脊柱外科医生进行检查，然后完成基于应用程序的问卷，该问卷也能独立做出诊断。结果显示 Cramer's V 值为 0.711（p<0.001），这表明该工具与医生的诊断之间存在较强的关系。此外，在 67.4%的病例中，诊断结果是一致的。诊断的高估比低估更常见（15.1%比 7%）。基于应用程序的工具是一种安全的工具，可以支持医疗保健专业人员进行背痛诊断。
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