Evidence-Based Medicine in Otolaryngology, Part 3: Everyday Probabilities: Diagnostic Tests with Binary Results

被引:16
作者
Shin, Jennifer J. [1 ]
Stinnett, Sandra [2 ]
Page, John [3 ]
Randolph, Gregory W. [4 ]
机构
[1] Harvard Univ, Massachusetts Eye & Ear Infirm, Sch Med, Div Otolaryngol, Boston, MA 02114 USA
[2] Duke Univ, Dept Biostat & Bioinformat, Durham, NC USA
[3] Brigham & Womens Hosp, Channing Lab, Boston, MA 02115 USA
[4] Massachusetts Eye & Ear Infirm, Div Gen Otolaryngol & Thyroid Parathyroid Surg, Boston, MA 02114 USA
关键词
evidence-based medicine; diagnostic tests; sensitivity; specificity; positive predictive value; negative predictive value; likelihood ratio; GENERAL-PRACTITIONERS;
D O I
10.1177/0194599812447750
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Recent studies have demonstrated that the majority of physicians cannot accurately determine the predictive values of diagnostic tests. Physicians must understand the predictive probabilities associated with diagnostic testing in order to convey accurate information to patients, a key aspect of evidence-based practice. While sensitivity and specificity are widely understood, predictive values require a further understanding of conditional probabilities, pretest probabilities, and the prevalence of disease. Therefore, this third installment of the series "Evidence-Based Medicine in Otolaryngology'' focuses on understanding the probabilities needed to accurately convey the results of dichotomous diagnostic tests in everyday practice.
引用
收藏
页码:185 / 192
页数:8
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