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重新审视诊断测试:穿越不确定性的路径。

Diagnostic testing revisited: pathways through uncertainty.

作者信息

Schechter M T, Sheps S B

出版信息

Can Med Assoc J. 1985 Apr 1;132(7):755-60.

PMID:3884119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1345864/
Abstract

To aid physicians who may be having difficulty applying the principles of decision analysis to diagnostic data according to the methods published in the past several years, the authors of this paper set out a few principles and schemes for using and interpreting diagnostic data obtained from dichotomous tests. They also present a simple BASIC program for calculating post-test probabilities from likelihood ratios and pretest probabilities that a particular disease is present in a particular patient; the program can be adapted for use on microcomputers.

摘要

为了帮助那些可能在按照过去几年发表的方法将决策分析原理应用于诊断数据时遇到困难的医生,本文作者提出了一些使用和解释从二分法检验获得的诊断数据的原则和方案。他们还给出了一个简单的BASIC程序,用于根据似然比和特定患者患有特定疾病的验前概率计算验后概率;该程序可改编用于微型计算机。

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本文引用的文献

1
Why rule out unlikely diagnoses?为什么要排除不太可能的诊断?
Can Med Assoc J. 1984 Jun 1;130(11):1424.
2
Prospective evaluation of radionuclide angiocardiography for the diagnosis of coronary artery disease.
Am J Cardiol. 1982 Dec;50(6):1212-6. doi: 10.1016/0002-9149(82)90451-9.
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Sounding boards. Misuse of laboratory tests and diagnostic procedures.
N Engl J Med. 1982 Nov 18;307(21):1336-9. doi: 10.1056/NEJM198211183072109.
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Perseverance of laboratory test ordering: a syndrome affecting clinicians.
JAMA. 1983 Feb 4;249(5):639.
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Learning diagnostic restraint.
N Engl J Med. 1984 Mar 1;310(9):591-3. doi: 10.1056/NEJM198403013100911.
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Ready! Fire! . . . Aim! An inquiry into laboratory test ordering.准备!开火!……瞄准!一项关于实验室检查医嘱的调查。
JAMA. 1983 Nov 11;250(18):2510-3. doi: 10.1001/jama.250.18.2510.
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Selection and interpretation of diagnostic tests and procedures. Principles and applications.诊断检查和程序的选择与解读。原理及应用。
Ann Intern Med. 1981 Apr;94(4 Pt 2):557-92.
8
Predictive value of a single diagnostic test in unselected populations.未经过筛选的人群中单一诊断测试的预测价值。
N Engl J Med. 1966 May 26;274(21):1171-3. doi: 10.1056/NEJM196605262742104.
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Letter: Nomogram for Bayes's theorem.信件:贝叶斯定理的列线图。
N Engl J Med. 1975 Jul 31;293(5):257. doi: 10.1056/NEJM197507312930513.
10
Primer on certain elements of medical decision making.医学决策某些要素入门
N Engl J Med. 1975 Jul 31;293(5):211-5. doi: 10.1056/NEJM197507312930501.