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Attributs	Valeurs
type	Concept
rdfs:label	Diagnosis DIAGNOSIS
skos:inScheme	http://hub.abes.fr/referentiel/bmjarticlecategories
is Subject of	Meta-analysis: Many factors affect mortality from community-acquired pneumonia Review: Noninvasive tests are useful only for symptomatic deep venous thrombosis Review: C-reactive protein has moderate diagnostic accuracy for serious bacterial infection in children with fever Confirming the value of pulse oximetry screening for diagnosing critical congenital heart disease Smoking, age, and laryngeal height predicted obstructive airway disease in adults Review: CT angiography and magnetic resonance imaging are the best less invasive tests for renal artery stenosis The Alcohol Use Disorders Identification Test was not affected by ethnic and sex bias The Severity of Dependence Scale had high sensitivity and specificity for detecting benzodiazepine dependence The Quick PsychoDiagnostics Panel was accurate for identifying psychiatric disorders in primary care Middelheim Frontality Score may be useful for differentiating between Alzheimer’s disease and frontotemporal dementia The 3 item anxiety subscale of the Edinburgh Postpartum Depression Scale may detect postnatal depression as well as the 10 item full scale 14C-urea breath test and Giemsa stain were sensitive for detecting Helicobacter pylori D-dimer levels detected DVT in patients hospitalized for stroke rehabilitation Review: non-psychiatric physicians have low accuracy for recognising depression in their patients Specific clinical findings, including coma, neck stiffness and seizures, increase the likelihood of haemorrhagic stroke, but no combination of features is definitively diagnostic Review: the physical examination can exclude the diagnosis of meningitis in low-risk adults Abdominal palpation had moderate sensitivity and specificity for detecting abdominal aortic aneurysm The Hopkins Verbal Learning Test had high sensitivity and good specificity for detecting mild dementia in older adults The WHO-5 Wellbeing index performed the best in screening for depression in primary care Review: a low clinical probability plus a normal D-dimer test result excludes a diagnosis of deep venous thrombosis Review: tissue transglutaminase test is almost as accurate as endomysial antibody test for diagnosis of coeliac disease The Even Briefer Assessment Scale for Depression in German was accurate for identifying depression in elderly patients RBANS has reasonable test-retest reliability in schizophrenia The Anxiety Change Expectancy Scale score shows high internal validity and correlation with validated measures of anxiety, self-esteem, and hopelessness in varied settings Can we predict vesicoureteric reflux? Review: Chest radiography lacks utility for detecting left ventricular dysfunction Accuracy of ECG interpretation in primary care was limited for detecting atrial fibrillation Prospective studies show that magnetic resonance angiography has high sensitivity and specificity for clinically relevant arterial steno-occlusions in adults with peripheral arterial disease symptoms High-sensitivity troponin useful for diagnosis and prognosis in patients with acute coronary syndrome Review: screening tests are not as accurate as overnight polysomnography for the diagnosis of adult sleep apnoea A normal alveolar dead space fraction plus d-dimer assay ruled out suspected pulmonary embolism in the emergency department Review: questionnaires for detecting clinical depression in primary care have similar diagnostic accuracy Children’s drawings of headache pain were accurate for diagnosing migraine The Ottawa ankle rules have a high sensitivity for excluding fractures of the ankle and midfoot in acute ankle sprain A 3 item screening instrument had moderate sensitivity and specificity for detecting migraine headaches Neurological examination identified 61% of patients with focal cerebral hemisphere lesions but without obvious focal signs Review: history and physical examination can accurately identify migraine and the need for neuroimaging in patients with headache 2 of 3 dimensional rating scales were useful for discriminating anxiety and depression in adolescents The Patient Health Questionnaire 2-item is a rapid, sensitive and specific screening tool for identifying adolescents with major depression D-dimer testing and impedance plethysmography were effective for the exclusion of deep venous thrombosis Review: Subtle clinical findings can detect left-sided heart failure in adults Review: Clinical assessment is inaccurate for diagnosing community-acquired pneumonia Review: Clinical features and electrocardiographic changes predict myocardial infarction in adults with chest pain Meta-analysis finds screening for prostate cancer with PSA does not reduce prostate cancer-related or all-cause mortality but results likely due to heterogeneity - the two highest quality studies identified do find prostate cancer-related mortality reductions A negative d-dimer test result alone or combined with low risk clinical status effectively ruled out symptomatic DVT Review: newer technologies improve sensitivity in detecting uterine cervical lesions but at a substantially increased cost The Mini Cog had high sensitivity and specificity for diagnosing dementia in community dwelling older adults Combining fasting plasma glucose and glycosylated haemoglobin improved the accuracy for detecting patients with diabetes Review: transvaginal ultrasonography, sonohysterography, and hysteroscopy have moderate accuracy in abnormal uterine bleeding Chest radiographs and BNP levels provided complementary information beyond clinical findings for diagnosing heart failure Review: point of care dipstick urinalysis has low accuracy for detecting proteinuria in pregnancy Third and fourth heart sounds had low sensitivity but moderate to high specificity for predicting left ventricular dysfunction. Chinese version of the Edinburgh Postnatal Depression Scale was useful for detecting postnatal depression Review: strong evidence recommends genetic and metabolic testing in subgroups of children with autism The Screening Tool for Autism in Two Year Olds can identify children at risk of autism Conners’ Teacher Rating Scale has limited ability to predict DSM-IV ADHD in referred schoolchildren Paediatric clinical decision support systems Clinical assessment plus ultrasonography accurately predicted deep venous thrombosis Pulse oximetry and the WHO algorithm were appropriate for identifying acute lower respiratory tract infection in Peruvian children Mammography reduces breast cancer mortality in women aged 39-69 years; but harms may outweigh benefits in women under 50 Computed tomography pneumocolon had a low sensitivity for detecting colorectal neoplasms Review: ELISA D-dimer is sensitive but not specific in diagnosing pulmonary embolism in an ambulatory clinical setting Conventional cervical smears were better than monolayer cytology or human papillomavirus testing for detecting cervical intraepithelial neoplasia Review: important bedside predictors are patient’s description of chest pain for CAD and electrocardiography for MI Review: no single physical examination sign rules in or out osteoporosis or spinal fracture Review: IgA endomyseal and transglutaminase antibodies had high specificity for diagnosis of coeliac disease Review: self report of hearing loss and the whispered voice test are useful for screening for hearing impairment Meta-analysis: Pursuing compensation after closed-head injury slows recovery Mini-Mental State Examination and the Informant Questionnaire on Cognitive Decline were efficient screening tests for dementia Review: Positive test results identify early colorectal cancer and save lives Skin examinations by primary care clinicians were highly specific but had low sensitivity for the detection of skin cancer Serial ECGs were more sensitive than an initial ECG for diagnosing chest pain The office-based blood agar plate culture was more sensitive than the rapid antigen detection test for detecting pharyngitis Hammering the point home: serologic testing costs more and harms more patients than other strategies for the diagnosis of active tuberculosis in India Number needed to screen to detect adenomas, advanced adenomas and colorectal cancer is higher in women than in similarly aged men Review: mydriatic retinal photography is the most effective test for detecting diabetic retinopathy Magnetic resonance direct thrombus imaging was accurate in suspected deep venous thrombosis Review: the Ottawa knee rule accurately rules out knee fractures and can substantially reduce the need for x rays in patients with acute knee injuries Clinical examination had poor sensitivity for detecting non-cephalic presentation in late pregnancy Adding a question that asks whether help is wanted improves sensitivity of a depression screening tool Fits, faints, or fatal fantasy? Fabricated seizures and child abuse Meta-analysis: Duplex ultrasonography is accurate for most peripheral arterial occlusive disease in legs 2 questions were as good as more questions for detecting depression Genotype testing improved the clinical diagnosis of Alzheimer disease Short scales were as effective as long scales in screening for depression in older patients B-natriuretic peptide concentrations had high sensitivity and specificity for detecting abnormal ventricular function Review: computed tomographic colonography is accurate for medium and large colorectal polyps and cancer Review: clinical examination is often as accurate as magnetic resonance imaging for diagnosing meniscus tears Inclusion of informant ratings of cognitive difficulties improves the accuracy of the MMSE in predicting Alzheimer’s disease Albumin measurements in a random urine sample accurately screened microalbuminuria and macroalbuminuria in NIDDM Review: A prediction guide that includes clinical assessment and noninvasive tests is accurate for diagnosing deep venous thrombosis Ottawa ankle rules identified fractures of the ankle and midfoot and could reduce the use of radiography by one third Review: anti-cyclic citrullinated peptide antibody is a more specific test for rheumatoid arthritis than rheumatoid factor Point-of-care D-dimer tests can contribute to patient management in outpatients with suspected venous thromboembolism, particularly those at low risk Serious pathology in people presenting to primary care with acute low back pain is rare (0.9%), but high false-positive rates for some ‘red flags’ may limit their diagnostic value Ultrasound scan for suspected appendicitis in children: risk of diagnostic inaccuracy increases with BMI at or above 85th percentile and clinical probability of appendicitis of 50% or lower

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