Extent of diagnostic agreement among medical referrals

2017 ◽  
Vol 23 (4) ◽  
pp. 870-874 ◽  
Author(s):  
Monica Van Such ◽  
Robert Lohr ◽  
Thomas Beckman ◽  
James M. Naessens
Keyword(s):  
Diagnostic Agreement ◽  
Medical Referrals

Discrepancy of left and right hip bone mineral density (BMD) in Thai women: diagnostic agreement and misclassification

2012 ◽  
Vol 26 (10) ◽  
pp. 787-793 ◽  
Author(s):  
Sirianong Namwongprom ◽  
Sattaya Rojnastein ◽  
Ampica Mangklabruks ◽  
Suppasin Soontrapa ◽  
Potjaman Taya ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Mineral Density ◽  
Diagnostic Agreement ◽  
Thai Women ◽  
Left And Right

scholarly journals Lack of Concordance between the 75-g and 100-g Glucose Load Tests for the Diagnosis of Gestational Diabetes Mellitus

2006 ◽  
Vol 52 (9) ◽  
pp. 1679-1684 ◽  
Author(s):  
Giorgio Mello ◽  
Parretti Elena ◽  
Agostino Ognibene ◽  
Riccardo Cioni ◽  
Filippo Tondi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Obstet Gynecol ◽  
American Diabetes Association ◽  
Glucose Load ◽  
Diagnostic Agreement ◽  
Substantial Impact ◽  
Maternal Fetal Medicine ◽  
Load Tests

Abstract Background: Gestational diabetes mellitus (GDM) is common and can have a substantial impact on fetal growth, birth weight, and morbidity. The American Diabetes Association recommends GDM testing with either a 3-h, 100-g glucose load (100g) (criteria according to Am J Obstet Gynecol 1982;144:768–73) or a 2-h, 75-g glucose load (75g). We investigated the comparability of the 75g and the 100g tests in the diagnosis of GDM. Methods: From January 1997 to December 1999, in 1061 consecutive Caucasian nonobese and nondiabetic pregnant women who attended the Maternal-Fetal Medicine Unit, we performed GDM testing with a 75-g load during 2 periods of pregnancy: early (16–20 weeks) and late (26–30 weeks). Because we assumed there would be few GBM cases in women with a 1-h plasma glucose <1300 mg/L in the 75g test, we did not retest these women. We retested the remaining women with possible or diagnosed GDM with a 100-g load within a week. Results: GDM was diagnosed in 41 of 227 women with the 100-g load and 15 of 227 with the 75-g load (11 concordant); the κ index was 0.21. At 26–31 weeks of pregnancy, 484 of 976 women (49.9%) underwent both tests. GDM was diagnosed in 60 of 484 woman with the 100-g load and in 26 of 484 with the 75-g load (13 concordant); the κ index was 0.18. Conclusions: Among women with possible GDM in both early and late periods of pregnancy, there was only weak diagnostic agreement between results determined with 75-g and 100-g glucose loads.

Optimization of T2-weighted imaging for shoulder magnetic resonance arthrography by synthetic magnetic resonance imaging

2017 ◽  
Vol 59 (8) ◽  
pp. 959-965
Author(s):  
Seung Hyun Lee ◽  
Young Han Lee ◽  
Seok Hahn ◽  
Jaemoon Yang ◽  
Ho-Taek Song ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Supraspinatus Tendon ◽  
Joint Fluid ◽  
Resonance Imaging ◽  
Mr Images ◽  
Diagnostic Agreement ◽  
Tissue Contrast ◽  
Synthetic Images ◽  
Synthetic Mri

Background Synthetic magnetic resonance imaging (MRI) allows reformatting of various synthetic images by adjustment of scanning parameters such as repetition time (TR) and echo time (TE). Optimized MR images can be reformatted from T1, T2, and proton density (PD) values to achieve maximum tissue contrast between joint fluid and adjacent soft tissue. Purpose To demonstrate the method for optimization of TR and TE by synthetic MRI and to validate the optimized images by comparison with conventional shoulder MR arthrography (MRA) images. Material and Methods Thirty-seven shoulder MRA images acquired by synthetic MRI were retrospectively evaluated for PD, T1, and T2 values at the joint fluid and glenoid labrum. Differences in signal intensity between the fluid and labrum were observed between TR of 500–6000 ms and TE of 80–300 ms in T2-weighted (T2W) images. Conventional T2W and synthetic images were analyzed for diagnostic agreement of supraspinatus tendon abnormalities (kappa statistics) and image quality scores (one-way analysis of variance with post-hoc analysis). Results Optimized mean values of TR and TE were 2724.7 ± 1634.7 and 80.1 ± 0.4, respectively. Diagnostic agreement for supraspinatus tendon abnormalities between conventional and synthetic MR images was excellent (κ = 0.882). The mean image quality score of the joint space in optimized synthetic images was significantly higher compared with those in conventional and synthetic images (2.861 ± 0.351 vs. 2.556 ± 0.607 vs. 2.750 ± 0.439; P < 0.05). Conclusion Synthetic MRI with optimized TR and TE for shoulder MRA enables optimization of soft-tissue contrast.

scholarly journals Diagnostic agreement between a primary care physician and a teledermatologist for common dermatological conditions in North India

2015 ◽  
Vol 6 (1) ◽  
pp. 21 ◽  
Author(s):  
BinodKumar Patro ◽  
JayaPrasad Tripathy ◽  
Smita Sinha ◽  
Amarjeet Singh ◽  
Dipankar De ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Care Physician ◽  
North India ◽  
Diagnostic Agreement

scholarly journals Occupational asthma: an assessment of diagnostic agreement between physicians

2007 ◽  
Vol 64 (3) ◽  
pp. 185-190 ◽  
Author(s):  
D. Fishwick ◽  
L. Bradshaw ◽  
M. Henson ◽  
C. Stenton ◽  
D. Hendrick ◽  
...  
Keyword(s):  
Occupational Asthma ◽  
Diagnostic Agreement

Cervical Cytologic Smears in Pap Solution vs ThinPrep: Smear Characteristics and Diagnostic Agreement

2011 ◽  
Vol 45 (6) ◽  
pp. 621 ◽  
Author(s):  
Eunah Shin ◽  
Jin Kyu Park ◽  
No Won Park ◽  
Sang Bong Kim ◽  
Kyung Jong You ◽  
...  
Keyword(s):  
Diagnostic Agreement

A Comparative Study of Pse/Catego and Diasika: Two Psychiatric Computer Diagnostic Systems

1982 ◽  
Vol 141 (3) ◽  
pp. 292-295 ◽  
Author(s):  
W. Schmid ◽  
T. Bronisch ◽  
D. Von Zerssen
Keyword(s):  
Comparative Study ◽  
Computer Programs ◽  
Diagnostic Systems ◽  
Diagnostic Agreement ◽  
Clinical Diagnoses

SummaryAn unselected series of 100 psychiatric in-patients was independently diagnosed by two clinicians using the PSE and by two computer diagnostic systems: CATEGO based on PSE items and DiaSiKa based on AMDP items. The computer programs are compared with respect to their diagnostic agreement with the clinical diagnoses.

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