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
Clinical judgment in rheumatoid arthritis. II. Judging 'current disease activity' in clinical practice.
作者信息
Kirwan J R, Chaput de Saintonge D M, Joyce C R, Currey H L
出版信息
Ann Rheum Dis. 1983 Dec;42(6):648-51. doi: 10.1136/ard.42.6.648.
Abstract
Two rheumatologists made judgments about 'current disease activity' in real patients and 'paper patients' with rheumatoid arthritis. Analysis of each set of judgments provides a model of judgment policy which contains only 3 clinical variables but explains over 94% of the variance in judgments. The judgment policy models differ markedly from each other and from the clinicians' own perceptions of their behaviour. Judgment policy modelling offers a means of improving co-ordination between clinical investigators within and between centres.
摘要
两位风湿病专家对类风湿性关节炎的真实患者和“书面患者”的“当前疾病活动度”进行了判断。对每组判断的分析提供了一个判断策略模型，该模型仅包含3个临床变量，但能解释超过94%的判断差异。这些判断策略模型彼此之间以及与临床医生对自身行为的认知存在显著差异。判断策略建模提供了一种改善中心内部和中心之间临床研究人员协调的方法。
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