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使用特设委员会和国际头痛协会(IHS)标准对头痛进行分类的诊断一致性。

Diagnostic agreement in the classification of headache using Ad Hoc Committee and IHS criteria.

作者信息

Wynkoop T, McCoy K, Dean R S

机构信息

Johns Hopkins University, School of Medicine.

出版信息

Int J Neurosci. 1996 Apr;85(3-4):285-90. doi: 10.3109/00207459608986689.

Abstract

This study examined the level of agreement between raters in the diagnosis of headache using the Ad Hoc Committee (AHC) on the Classification of Headache and the Headache Classification Committee of the International Headache Society (IHS) classification criteria. In addition, differences in classification of headache between the AHC and IHS classification systems were considered. Analyses indicated that both the AHC and IHS classification systems were adequate in allowing clinicians to reach 100% agreement in diagnosis of headache cases (N = 36). Additionally, there was 91.7% diagnostic agreement between the two sets of criteria as applied by the raters. Differences in diagnostic classification between the two sets of criteria were believed to be the result of IHS exclusionary criteria in the classification of Tension-type headache.

摘要

本研究使用头痛分类特设委员会(AHC)和国际头痛协会(IHS)头痛分类委员会的分类标准,检验了评估者在头痛诊断中的一致性水平。此外,还考虑了AHC和IHS分类系统在头痛分类上的差异。分析表明,AHC和IHS分类系统都足以让临床医生在头痛病例(N = 36)的诊断中达成100%的一致。此外,评估者应用的两套标准之间的诊断一致性为91.7%。两组标准在诊断分类上的差异被认为是IHS在紧张型头痛分类中的排除标准所致。

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