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
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Additional Reading
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.
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.
Diagnostic tests. In: Clinical Epidemiology and Bio-statistics. Kramer MS, ed. Berlin: Springer-Verlag, 1988: 201 – 19.
Feinstein AR. On the Sensitivity, Specificity and Discrimination of Diagnostic Tests, in Clinical Bio-statistics. St. Louis: CV Mosby, 1977; 214 – 26.
Galen RS, Gambino SR. Beyond Normality: The Predictive Value and Efficiency of Medical Diagnoses. New York: Wiley, 1975.
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.
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Schechter MT, Sheps SB. Diagnostic testing revisited: pathways through uncertainty. Can Med Assoc J 1985; 132: 755 – 60.
Sheps SB, Schechter MT. The assessment of diagnostic tests. A survey of current medical research. JAMA 1984; 252: 2418 – 22.
Sox HC Jr. Probability theory in the use of diagnostic tests. Ann Intern Med 1986; 104: 60 – 66.
Vecchio TJ. Predictive value of a single diagnostic test in unselected populations. N Engl J Med 1966; 274: 1171 – 73.
Weinstein MC, Fineberg HV. Clinical Decision Analysis. Philadelphia: Saunders, 1980.
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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
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