类风湿关节炎的临床判断。IV. 长期以来，风湿病学家对疾病的评估保持稳定。
Clinical judgment in rheumatoid arthritis. IV. Rheumatologists' assessments of disease remain stable over long periods.
作者信息
Kirwan J R, Currey H L
出版信息
Ann Rheum Dis. 1984 Oct;43(5):695-7. doi: 10.1136/ard.43.5.695.
Abstract
Seven rheumatologists made judgments about the improvement or deterioration of identical sets of 50 'paper' patients on two occasions one year apart. The stability of their judgments over one year (rs = 0.70) compared favourably with the reliability of duplicate judgments on each occasion (rs = 0.76). Multiple regression analysis of the patient data in relation to the disease assessments provided a model of each clinician's underlying judgment policy. The stability of judgments predicted by these policy models was even higher (rs = 0.83).
摘要
七名风湿病专家在相隔一年的两个时间点，对50名“纸质”患者的同一组病例的病情改善或恶化情况进行了判断。他们的判断在一年时间内的稳定性（rs = 0.70）与每次重复判断的可靠性（rs = 0.76）相比，结果不错。对患者数据与疾病评估进行的多元回归分析，得出了每位临床医生潜在判断策略的模型。这些策略模型所预测的判断稳定性甚至更高（rs = 0.83）。
相似文献
1
Clinical judgment in rheumatoid arthritis. IV. Rheumatologists' assessments of disease remain stable over long periods.类风湿关节炎的临床判断。IV. 长期以来，风湿病学家对疾病的评估保持稳定。
Ann Rheum Dis. 1984 Oct;43(5):695-7. doi: 10.1136/ard.43.5.695.
2
Clinical judgment in rheumatoid arthritis. III. British rheumatologists' judgments of 'change in response to therapy'.类风湿关节炎的临床判断。III. 英国风湿病学家对“治疗反应变化”的判断
Ann Rheum Dis. 1984 Oct;43(5):686-94. doi: 10.1136/ard.43.5.686.
3
Clinical judgment in rheumatoid arthritis. II. Judging 'current disease activity' in clinical practice.类风湿关节炎的临床判断。II. 临床实践中对“当前疾病活动度”的判断
Ann Rheum Dis. 1983 Dec;42(6):648-51. doi: 10.1136/ard.42.6.648.
4
Measuring physicians' judgment--the use of clinical data by Australian rheumatologists.衡量医生的判断力——澳大利亚风湿病学家对临床数据的运用
Aust N Z J Med. 1985 Dec;15(6):738-44.
5
Inability of rheumatologists to describe their true policies for assessing rheumatoid arthritis.风湿病专家无法描述他们评估类风湿性关节炎的真实政策。
Ann Rheum Dis. 1986 Feb;45(2):156-61. doi: 10.1136/ard.45.2.156.
6
Clinical judgment in rheumatoid arthritis. I. Rheumatologists' opinions and the development of 'paper patients'.类风湿关节炎的临床判断。I. 风湿病学家的观点与 “虚拟患者” 的形成。
Ann Rheum Dis. 1983 Dec;42(6):644-7. doi: 10.1136/ard.42.6.644.
7
Clinical judgement analysis--practical application in rheumatoid arthritis.临床判断分析——在类风湿关节炎中的实际应用
Br J Rheumatol. 1983 Aug;22(3 Suppl):18-23. doi: 10.1093/rheumatology/xxii.suppl_1.18.
8
A maximum difference scaling survey of barriers to intensive combination treatment strategies with glucocorticoids in early rheumatoid arthritis.早期类风湿关节炎中糖皮质激素强化联合治疗策略障碍的最大差异标度调查。
Clin Rheumatol. 2015 May;34(5):861-9. doi: 10.1007/s10067-015-2876-3. Epub 2015 Feb 26.
9
Factors that influence rheumatologists' decisions to escalate care in rheumatoid arthritis: results from a choice-based conjoint analysis.影响风湿科医生在类风湿关节炎中升级治疗决策的因素：基于选择的联合分析结果。
Arthritis Care Res (Hoboken). 2010 Jun;62(6):842-7. doi: 10.1002/acr.20123.
10
Evaluation of Social Security disability in claimants with rheumatic disease.对患有风湿性疾病的索赔人的社会保障残疾评估。
Ann Intern Med. 1991 Jul 1;115(1):26-31. doi: 10.7326/0003-4819-115-1-26.
引用本文的文献
1
Inability of rheumatologists to describe their true policies for assessing rheumatoid arthritis.风湿病专家无法描述他们评估类风湿性关节炎的真实政策。
Ann Rheum Dis. 1986 Feb;45(2):156-61. doi: 10.1136/ard.45.2.156.
2
How can we design trials to detect clinically important changes in disease severity?我们如何设计试验来检测疾病严重程度在临床上的重要变化？
Br J Clin Pharmacol. 1988 Oct;26(4):355-62. doi: 10.1111/j.1365-2125.1988.tb03392.x.
本文引用的文献
1
Judging "current disease activity" in rheumatoid arthritis--an international comparison.类风湿关节炎中“当前疾病活动度”的判定——一项国际比较
J Rheumatol. 1983 Dec;10(6):901-5.
2
Clinical judgment in rheumatoid arthritis. I. Rheumatologists' opinions and the development of 'paper patients'.类风湿关节炎的临床判断。I. 风湿病学家的观点与 “虚拟患者” 的形成。
Ann Rheum Dis. 1983 Dec;42(6):644-7. doi: 10.1136/ard.42.6.644.
3
Clinical judgement analysis--practical application in rheumatoid arthritis.临床判断分析——在类风湿关节炎中的实际应用
Br J Rheumatol. 1983 Aug;22(3 Suppl):18-23. doi: 10.1093/rheumatology/xxii.suppl_1.18.
4
Improving clinical judgement.提高临床判断力。
Br J Rheumatol. 1983 Aug;22(3 Suppl):14-7.
Zotero 插件