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Ohmann, C. ; Thon, K. ; Stöltzing, H. ; Yang, Q. ; Lorenz, Wilfried

Upper gastrointestinal tract bleeding: assessing the diagnostic contributions of the history and clinical findings

Ohmann, C., Thon, K., Stöltzing, H., Yang, Q. und Lorenz, Wilfried (1986) Upper gastrointestinal tract bleeding: assessing the diagnostic contributions of the history and clinical findings. Medical decision making 6 (4), S. 208-215.

Veröffentlichungsdatum dieses Volltextes: 18 Aug 2011 13:07
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.21796


Zusammenfassung

Various strategies can be used in the diagnosis of upper gastrointestinal tract bleeding. This study investigates the relevance of anamnestic and clinical findings for the diagnosis of the bleeding source. The authors introduced a computer-aided diagnostic system using Bayes' theorem and compared it with clinicians' predictions using anamnestic and clinical findings only. There was no difference ...

Various strategies can be used in the diagnosis of upper gastrointestinal tract bleeding. This study investigates the relevance of anamnestic and clinical findings for the diagnosis of the bleeding source. The authors introduced a computer-aided diagnostic system using Bayes' theorem and compared it with clinicians' predictions using anamnestic and clinical findings only. There was no difference in the overall accuracy rates, but a difference was observed in the diagnostic behaviors of the two "systems." In addition, the discriminatory ability of the computer-aided system, the sharpness of the predictions obtained, and the reliability of the posterior probabilities were analyzed. It is concluded that the clinician and the computer-aided system are not able to discriminate well between the disease categories. Derived classification matrices and probability-based measures show the reasons for the inadequacy of diagnostic information obtainable from the clinical history and physical findings.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftMedical decision making
Verlag:Sage
Band:6
Nummer des Zeitschriftenheftes oder des Kapitels:4
Seitenbereich:S. 208-215
Datum1986
InstitutionenMedizin > Zentren des Universitätsklinikums Regensburg > Tumorzentrum e.V.
Medizin > Institut für Epidemiologie und Präventivmedizin > Tumorzentrum e.V.
Identifikationsnummer
WertTyp
3534503PubMed-ID
Klassifikation
NotationArt
Bayes TheoremMESH
Diagnosis, Computer-AssistedMESH
Gastrointestinal Hemorrhage/diagnosisMESH
HumansMESH
Medical History TakingMESH
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenUnbekannt / Keine Angabe
URN der UB Regensburgurn:nbn:de:bvb:355-epub-217964
Dokumenten-ID21796

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