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Evaluation of the Diagnostic Process

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Principles and Practice of Research

Abstract

Yerushalmy’s pioneering work1 on observer variability in the interpretation of chest roentgenograms initiated a still-expanding interest in the evaluation of the diagnostic process. He introduced the terms sensitivity and specificity as measures of the validity of diagnostic tests, and an entire methodology, including the concept of predictive value, has developed in response to the geometric growth in and reliance on diagnostic testing in clinical practice.

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References

  1. Yerushalmy J. Statistical problems in assessing methods of medical diagnosis with special reference to xray techniques. Public Health Rep 1947; 62: 1432 – 49.

    Article  PubMed  CAS  Google Scholar 

  2. Foti AG, Cooper JF, Hershman H, Malvaez RR. Detection of prostatic cancer by solid-shape radio-immunoassay of serum prostatic acid phosphatase. N Engl J Med 1977; 297: 1357 – 61.

    Article  PubMed  CAS  Google Scholar 

  3. Gittes R. Acid phosphatase reappraised. N Engl J Med 1977; 297: 1398 – 99.

    Article  PubMed  CAS  Google Scholar 

  4. Watson RA, Tang DB. The predictive value of prostatic acid phosphatase as a screening test for prostatic cancer. N Engl J Med 1980; 303: 497 – 99.

    Article  PubMed  CAS  Google Scholar 

  5. Bayes T. An essay toward solving a problem in the doctrine of chance. Philos Trans R Soc London 1763; 53: 370 – 418.

    Article  Google Scholar 

Additional Reading

  1. Department of Clinical Epidemiology and Biostatistics, McMaster University. How to read a clinical journal: II. To learn about a diagnostic test. Can Med Assoc J 1981; 124: 703 – 10.

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  2. Department of Clinical Epidemiology and Biostatistics, McMaster University. Interpretation of diagnostic data (six parts). Can Med Assoc J 1983;129: 429-32, 559-64, 587, 705-10, 832-35, 947-54, 1093 – 9.

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  3. Diagnostic tests. In: Clinical Epidemiology and Bio-statistics. Kramer MS, ed. Berlin: Springer-Verlag, 1988: 201 – 19.

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  4. Feinstein AR. On the Sensitivity, Specificity and Discrimination of Diagnostic Tests, in Clinical Bio-statistics. St. Louis: CV Mosby, 1977; 214 – 26.

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  5. Galen RS, Gambino SR. Beyond Normality: The Predictive Value and Efficiency of Medical Diagnoses. New York: Wiley, 1975.

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  6. Griner PF, Mayewski RJ, Mushlin AL, et al. Selection and interpretation of tests and procedures: principles and application. Ann Intern Med 1982; 94: 557 – 600.

    Google Scholar 

  7. McNeil BJ, Keeler E, Adelstein SJ. Primer on certain elements of medical decision making. N Engl J Med 1975; 293: 211 – 15.

    Article  PubMed  CAS  Google Scholar 

  8. Schechter MT, Sheps SB. Diagnostic testing revisited: pathways through uncertainty. Can Med Assoc J 1985; 132: 755 – 60.

    PubMed  CAS  Google Scholar 

  9. Sheps SB, Schechter MT. The assessment of diagnostic tests. A survey of current medical research. JAMA 1984; 252: 2418 – 22.

    Article  PubMed  CAS  Google Scholar 

  10. Sox HC Jr. Probability theory in the use of diagnostic tests. Ann Intern Med 1986; 104: 60 – 66.

    PubMed  Google Scholar 

  11. Vecchio TJ. Predictive value of a single diagnostic test in unselected populations. N Engl J Med 1966; 274: 1171 – 73.

    Article  PubMed  CAS  Google Scholar 

  12. Weinstein MC, Fineberg HV. Clinical Decision Analysis. Philadelphia: Saunders, 1980.

    Google Scholar 

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© 1991 Springer-Verlag New York Inc.

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Schechter, M.T. (1991). Evaluation of the Diagnostic Process. In: Troidl, H., et al. Principles and Practice of Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0371-8_19

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  • DOI: https://doi.org/10.1007/978-1-4684-0371-8_19

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-0373-2

  • Online ISBN: 978-1-4684-0371-8

  • eBook Packages: Springer Book Archive

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