By J. Andr? Knottnerus, Frank Buntinx
(BMJ Books) Univ. of Maastricht, The Netherlands. offers a framework for the tactic and technique of diagnostic examine, with regards to its relevance for perform. For clinicians and researchers. Covers issues equivalent to assessment of diagnostic tactics, structure of diagnostic study, instructions for undertaking systematic experiences, and extra. Softcover.
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Extra resources for Evidence Base of Clinical Diagnosis (Evidence Based)
Example text
90. 95 raised to the power of the number of independent diagnostic tests performed on them. * Other definitions of normal, in avoiding the foregoing pitfalls, present other problems. The risk factor definition is based on studies of precursors or statistical predictors of subsequent clinical events; by this definition, the normal range for BNP or serum cholesterol or blood pressure consists of those levels that carry no additional risk of morbidity or mortality. 2 mmol/L (200 mg%), and other institutions employ still other definitions.
Decision analysis as a basis for medical decision making: the tree of Hippokrates. J Med Philos 1984;9:181–213. 27 Schwartz WB, Wolfe HJ, Pauker SG. Pathology and probabilities, a new approach to interpreting and reporting biopsies. N Engl J Med 1981;305:917–23. 28 Liechtenstein JI, Feinstein AR, Suzio KD, DeLuca V, Spiro HM. The effectiveness of pandendoscopy on diagnostic and therapeutic decisions about chronic abdominal pain. J Clin Gastroenterol 1980;2:31–6. 29 Dronfield MW, Langman MJ, Atkinson M, et al.
Phase IV questions: Do patients who undergo this diagnostic test fare better (in their ultimate health outcomes) than similar patients who do not? ). At first glance the first three questions may appear indistinguishable or even identical. The fourth question gets at what we and our patients would most like to know: are they better off for having undergone it? The conclusions that can (and, more importantly, cannot) be drawn from the answers to these questions are crucially different, and there are plenty of examples of the price paid by patients and providers when the answers to Phase I or II questions are 24 ARCHITECTURE OF DIAGNOSTIC RESEARCH interpreted as if they were answering a Phase III (or even a Phase IV) question.
