دورية أكاديمية

Diagnostic models of the pre-test probability of stable coronary artery disease: A systematic review

التفاصيل البيبلوغرافية
العنوان: Diagnostic models of the pre-test probability of stable coronary artery disease: A systematic review
المؤلفون: He,Ting, Liu,Xing, Xu,Nana, Li,Ying, Wu,Qiaoyu, Liu,Meilin, Yuan,Hong
المصدر: Clinics v.72 n.3 2017
بيانات النشر: Faculdade de Medicina / USP
سنة النشر: 2017
المجموعة: SciELO Brazil (Scientific Electronic Library Online)
مصطلحات موضوعية: Coronary Artery Disease, Risk Assessment, Pre-Test Probability, Systematic Review, Diagnosis
الوصف: A comprehensive search of PubMed and Embase was performed in January 2015 to examine the available literature on validated diagnostic models of the pre-test probability of stable coronary artery disease and to describe the characteristics of the models. Studies that were designed to develop and validate diagnostic models of pre-test probability for stable coronary artery disease were included. Data regarding baseline patient characteristics, procedural characteristics, modeling methods, metrics of model performance, risk of bias, and clinical usefulness were extracted. Ten studies involving the development of 12 models and two studies focusing on external validation were identified. Seven models were validated internally, and seven models were validated externally. Discrimination varied between studies that were validated internally (C statistic 0.66-0.81) and externally (0.49-0.87). Only one study presented reclassification indices. The majority of better performing models included sex, age, symptoms, diabetes, smoking, and hyperlipidemia as variables. Only two diagnostic models evaluated the effects on clinical decision making processes or patient outcomes. Most diagnostic models of the pre-test probability of stable coronary artery disease have had modest success, and very few present data regarding the effects of these models on clinical decision making processes or patient outcomes.
نوع الوثيقة: article in journal/newspaper
وصف الملف: text/html
اللغة: English
الإتاحة: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322017000300188Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.9D06D1C5
قاعدة البيانات: BASE