New diagnostic tests: Breakthrough approaches or expensive add-ons?

被引：13

作者：

Deyo, RA ^{[1
]}

Jarvik, JJ ^{[1
]}

机构：

[1] Univ Washington, Seattle, WA 98103 USA

来源：

ANNALS OF INTERNAL MEDICINE | 2003年 / 139卷 / 11期

关键词：

D O I：

10.7326/0003-4819-139-11-200312020-00014

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Gould and colleagues' state-of-the-art meta-analysis on the accuracy of positron emission tomography (PET) scanning for mediastinal staging in patients with non-small-cell lung cancer supports its use. However, the effect of PET scanning on patient outcomes is unknown, which is a major shortcoming of the evidence needed to support its wider use. Improved test sensitivity and specificity alone are not enough.

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收藏

页码：950 / 951

页数：2

相关论文

共 12 条

[1] Cost-effectiveness of FDG-PET for the management of potentially operable non-small cell lung cancer: priority for a PET-based strategy after nodal-negative CT results [J].

Dietlein, M ;

Weber, K ;

Gandjour, A ;

Moka, D ;

Theissen, P ;

Lauterbach, KW ;

Schicha, H .

EUROPEAN JOURNAL OF NUCLEAR MEDICINE, 2000, 27 (11) :1598-1609

[2] COMPUTERIZED CRANIAL TOMOGRAPHY - EFFECT ON DIAGNOSTIC AND THERAPEUTIC PLANS [J].

FINEBERG, HV ;

BAUMAN, R ;

SOSMAN, M .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1977, 238 (03) :224-227

[3] THE EFFICACY OF DIAGNOSTIC-IMAGING [J].

FRYBACK, DG ;

THORNBURY, JR .

MEDICAL DECISION MAKING, 1991, 11 (02) :88-94

[4] Test performance of positron emission tomography and computed tomography for mediastinal staging in patients with non-small-cell lung cancer - A meta-analysis [J].

Gould, MK ;

Kuschner, WG ;

Rydzak, CE ;

Maclean, CC ;

Demas, AN ;

Shigemitsu, H ;

Chan, JK ;

Owens, DK .

ANNALS OF INTERNAL MEDICINE, 2003, 139 (11) :879-892

[5]

GUYATT GH, 1986, CAN MED ASSOC J, V134, P587

[6] DIAGNOSTIC EFFICACY OF IMPEDANCE PLETHYSMOGRAPHY FOR CLINICALLY SUSPECTED DEEP-VEIN THROMBOSIS - A RANDOMIZED TRIAL [J].

HULL, RD ;

HIRSH, J ;

CARTER, CJ ;

JAY, RM ;

OCKELFORD, PA ;

BULLER, HR ;

TURPIE, AG ;

POWERS, P ;

KINCH, D ;

DODD, PE ;

GILL, GJ ;

LECLERC, JR ;

GENT, M .

ANNALS OF INTERNAL MEDICINE, 1985, 102 (01) :21-28

[7] Rapid magnetic resonance imaging vs radiographs for patients with low back pain - A randomized controlled trial [J].

Jarvik, JG ;

Hollingworth, W ;

Martin, B ;

Emerson, SS ;

Gray, DT ;

Overman, S ;

Robinson, D ;

Staiger, T ;

Wessbecher, F ;

Sullivan, SD ;

Kreuter, W ;

Deyo, RA .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (21) :2810-2818

[8] Use of tissue-type plasminogen activator for acute ischemic stroke - The Cleveland area experience [J].

Katzan, IL ;

Furlan, AJ ;

Lloyd, LE ;

Frank, JI ;

Harper, DL ;

Hinchey, JA ;

Hammel, JP ;

Qu, A ;

Sila, CA .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (09) :1151-1158

[9] Revisions in the International System for Staging Lung Cancer [J].

Mountain, CF .

CHEST, 1997, 111 (06) :1710-1717

[10] Spectrum bias or spectrum effect? Subgroup variation in diagnostic test evaluation [J].

Mulherin, SA ;

Miller, WC .

ANNALS OF INTERNAL MEDICINE, 2002, 137 (07) :598-602