When is a test positive? The use of decision analysis to optimize test interpretation.

Abstract:

:Clinical laboratory are often provided as numerical values that are then interpreted as being positive or negative. While this approach might simplify interpretation, it also makes interpretation contingent on a standard test cutoff point. Alternatively, test results can be interpreted for a specific patient with reference to the particular patient's probability of disease, the benefit of detecting disease when it is present, and the cost of mistakenly making the diagnosis when the disease is a absent. This paper explains the analysis of laboratory test results using techniques from decision analysis and receiver operator characteristic (ROC) curve analysis to define a positive result. The relationship between the ROC curve and likelihood ratios is illustrated using the diagnosis of urinary tract infection (UTI) to illustrate these concepts.

journal_name

Fam Med

journal_title

Family medicine

authors

Bergus GR

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

656-60

issue

10

eissn

0742-3225

issn

1938-3800

journal_volume

25

pub_type

杂志文章
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  • Strengthening the Community College Pathway to Medical School: A Study of Latino Students in California.

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  • Teaching Primary Care Genetics: A Randomized Controlled Trial Comparison.

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    更新日期:2017-06-01 00:00:00

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  • Health career orientation of Oregon high school students.

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    authors: Elder N,Taylor A,Anderson CE,Virgin R

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  • Teaching family-centered perinatal care in family medicine, Part I.

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    pub_type: 杂志文章,评审

    doi:

    authors: Scherger JE,Levitt C,Acheson LS,Nesbitt TS,Johnson CA,Reilly KE,Ratcliffe S,Marquardt D,Pfenninger JL,Rodney WM

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    journal_title:Family medicine

    pub_type: 杂志文章

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  • Training Future Clinician-Educators: A Track for Family Medicine Residents.

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    journal_title:Family medicine

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    doi:

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  • Premedical Student Exposure to Pharmaceutical Marketing: Too Much, Too Soon?

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  • Interest in Family Medicine Among US Medical Students and Its Association With a Community College Academic Pathway.

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  • Quality of student learning and preceptor productivity in urban community health centers.

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    更新日期:1993-07-01 00:00:00

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    journal_title:Family medicine

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  • Establishing a linkage between a family practice residency and a local health department.

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  • Personality profiles of rural longitudinal integrated clerkship students who choose family medicine.

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    更新日期:2015-03-01 00:00:00

  • Accounting for graduate medical education funding in family practice training.

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    更新日期:2002-10-01 00:00:00

  • Epidemiologic inquiry: observational studies.

    abstract::A major objective of epidemiologic investigation is to determine whether or not an association between an exposure and a condition exists in a human population. The presence of such an association cna be explored using three distinct strategies, the cohort, the case-control, and the cross-sectional approaches. This pa...

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    abstract:BACKGROUND:Many military physicians interrupt their training to serve in the position of general medical officer (GMO) after completing their first year of postgraduate medical education. This study compares American Board of Family Practice In-training Examination (ITE) scores of military family practice residents who...

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  • Teaching by example: educating medical students through a weight management experience.

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    更新日期:2013-09-01 00:00:00

  • The families of patients with somatization disorder.

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  • Preparing Family Physicians to Care for Underserved Populations: A Historical Perspective.

    abstract:BACKGROUND:Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key ...

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  • The BELIEF Instrument: a preclinical teaching tool to elicit patients' health beliefs.

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    更新日期:2003-05-01 00:00:00

  • A maternal and child health curriculum for family practice residents: results of an intervention at the University of North Carolina.

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    更新日期:1992-09-01 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Lawhorne LW,Wright H,Cragen D

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  • Improvement in rural neonatal mortality: a case study of medical community intervention.

    abstract::Previous studies have demonstrated that maternity care by family physicians can produce statistically similar outcomes to obstetric management in some communities. Obstetrical and perinatal literature suggest that those specialties may be able to decrease rural neonatal mortality. However, family practice literature h...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Marquardt DN

    更新日期:1990-07-01 00:00:00

  • Screening for mental health using adolescent-reported parenting.

    abstract:BACKGROUND AND OBJECTIVES:Little is known in primary care practices about the relationship between parenting and adolescent mental health. In addition, current parenting measures have a narrow focus or do not lend themselves to clinical intervention. This study examined the clinical utility of a new instrument measurin...

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    pub_type: 杂志文章

    doi:

    authors: Godkin MA,Baker S,Paradise JE,Domal L,Grant L

    更新日期:1994-09-01 00:00:00