参考标准对手腕道综合征诊断测试特征的影响:系统性审查
Olivia M Bennett1, Erika D Sears1,2,3
1From the University of Michigan Medical School, Ann Arbor, Mich.
Plastic and reconstructive surgery. Global open
|July 5, 2023
概括
参考标准的选择显著影响了手腕道综合征 (CTS) 诊断测试的准确性. 当电诊断研究 (EDS) 是参考标准时,磁共振成像 (MRI) 和超声波 (美国) 的特异性较低.
科学领域:
- 神经学 神经学
- 诊断成像 诊断成像 诊断成像
- 医学诊断 医学诊断 医学诊断
背景情况:
- 精确诊断手腕道综合征 (CTS) 对于有效治疗至关重要.
- 缺乏标准化的参考标准可能会影响CTS诊断测试的可靠性.
- 参考标准的变化可能会影响诊断模式的报告准确性.
研究的目的:
- 系统地审查和评估不同的参考标准如何影响手腕道综合征 (CTS) 测试的诊断准确性.
- 根据使用的参考标准,比较CTS各种诊断方式的性能特征.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 文献搜索包括Embase,PubMed和Cochrane评论 (2010-2021),确定了113项研究.
- 研究按参考标准 (临床诊断与电诊断研究 (EDS)) 和诊断模式分层; 计算了灵敏度和特异性.
主要成果:
- 35项研究使用临床诊断,78项使用EDS作为参考标准.
- 当EDS是参考标准时,磁共振成像 (MRI) 和超声波 (US) 的特异性明显较低.
- 当使用EDS与临床诊断作为参考时,MRI灵敏度增加 (60.9%至77.1%),特异性降低 (99.2%至87.6%).
结论:
- 对CTS的诊断测试特征因所选择的参考标准而异,特别影响MRI灵敏度.
- 电子诊断研究 (EDS),超声波 (美国) 和MRI显示了不可接受的错误阳性/负率查,无论使用的参考标准.
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