| Chest radiographs and their reliability in the diagnosis of tuberculosis. | |
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MedLine Citation:
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PMID: 16751817 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Radiology plays an important role in the diagnosis of pulmonary tuberculosis. Many medical practitioners believe in and rely primarily on the chest x-ray for the diagnosis of pulmonary tuberculosis. This study attempts to evaluate the reliability and validity of chest radiographs. This study was carried out in the tuberculosis clinic of BPKIHS. 75 radiographs were chosen for the study and viewed by 25 physicians of varying qualifications. Their findings were compared with the gold standard. The overall sensitivity and specificity was 78% and 51% respectively. There was poor agreement between the best physician and the best radiologist. This study has demonstrated an unsatisfactory sensitivity and specificity of chest x-rays in the diagnosis of pulmonary tuberculosis. The over-diagnosis and over-treatment due to chest x-rays could lead to an unmanageable burden on the resources of a poor country like Nepal. Private practitioners should be made aware about the importance of bacteriological diagnosis of tuberculosis before initiating drug therapy. |
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Authors:
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N Kumar; S K Bhargava; C S Agrawal; K George; P Karki; D Baral |
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Publication Detail:
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Type: Journal Article; Validation Studies |
Journal Detail:
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Title: JNMA; journal of the Nepal Medical Association Volume: 44 ISSN: 0028-2715 ISO Abbreviation: JNMA J Nepal Med Assoc Publication Date: 2005 Oct-Dec |
Date Detail:
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Created Date: 2006-06-05 Completed Date: 2008-05-20 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0045233 Medline TA: JNMA J Nepal Med Assoc Country: Nepal |
Other Details:
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Languages: eng Pagination: 138-42 Citation Subset: IM |
Affiliation:
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BP Koirala Institute of Health Sciences, Dharan, Nepal. kumarnarain@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Male Middle Aged Mycobacterium tuberculosis / isolation & purification* Observer Variation Physicians Radiography, Thoracic / standards* Sensitivity and Specificity Sputum / microbiology Tuberculosis, Pulmonary / diagnosis*, radiography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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