Screening for Early Disease Interpretation of Diagnostic Tests
Diagnostic tests play an important role in the clinical strategies of preventive medicine. Some aspects of disease prevention are applicable to all and can be recommended unselectively. Examples include wearing seat belts and avoiding excessive use of alcohol. Other aspects of prevention require the selection of certain higher-risk groups in whom intervention would be beneficial. This selection is often done clinically, as with the use of pneumococcal and influenza vaccines in the elderly or in patients with pulmonary disease. However, many areas of preventive medicine rely on diagnostic tests in the implementation of a clinical strategy. Diagnostic tests are used in prevention in three ways.
KeywordsPredictive Accuracy Coronary Disease Positive Prediction Negative Prediction False Positive Test
Unable to display preview. Download preview PDF.
- 7.Morrison, A. S.: Screening in Chronic Disease. Oxford University Press, New York, 1985, pp. 3–40.Google Scholar
- 8.Galen, R. S., and Gambino, S. R.: Beyond Normality: The Predictive Value and Efficiency of Medical Diagnosis. Wiley, New York, 1975, pp. 53–60.Google Scholar
- 12.Goldman, J. N.: FTA-ABS and VDRL slide test reactivity in a population of nuns. JAMA 217: 453–455, 1974.Google Scholar
- 14.Jatte, H. W.: The laboratory diagnosis of syphilis. Ann. Intern. Med. 83: 846–850, 1975.Google Scholar
- 15.Griner, P. F., Mayeski, R. J., Mushlin, A. I., et al.: Selection and interpretation of diagnostic tests and procedures: Principles and applications. Ann. Intern. Med. 94(4 pt 2): 553–600, 1981.Google Scholar
- 16.Facts and Figures. American Cancer Society, New York, 1984.Google Scholar
- 17.Health and Public Policy Committee, American College of Physicians: The use of diagnostic tests for screening and evaluating breast lesions. Ann. Intern. Med. 103: 143–146, 1985.Google Scholar