Respiratory Epidemiology and Clinical Research Unit, McGill University Health Centre Research Institute.
Respiratory Division, Department of Medicine, McGill University Health Centre, Montréal, Québec, Canada.
J Bronchology Interv Pulmonol. 2022 Oct 1;29(4):290-299. doi: 10.1097/LBR.0000000000000892. Epub 2022 Aug 31.
The field of diagnostic bronchoscopy has developed at an accelerated pace. Certain limitations have plagued the evaluation of advanced bronchoscopy techniques, including the use of inconsistently defined measures of diagnostic accuracy, and confusion around the definition of "diagnostic yield." This methodological review outlines standard measures of diagnostic accuracy and highlights how these differ from "diagnostic yield." We draw examples from the interventional bronchoscopy literature to illustrate key concepts and potential pitfalls.
诊断性支气管镜检查领域发展迅速。某些局限性一直困扰着对先进支气管镜技术的评估,包括使用不一致定义的诊断准确性衡量标准,以及对“诊断产量”定义的混淆。本方法学综述概述了诊断准确性的标准衡量标准,并强调了这些标准与“诊断产量”的不同之处。我们从介入性支气管镜检查文献中举例说明了关键概念和潜在的陷阱。