| An investigation of dentists' and dental students' estimates of diagnostic probabilities. | |
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MedLine Citation:
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PMID: 20516095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Research in medicine has shown that physicians have difficulty estimating the probability that a patient has a condition on the basis of available diagnostic evidence. They consistently undervalue baseline information about the patient relative to test information and are poor intuitive calculators of probability. The authors could not locate in the literature any studies of diagnostic probability estimates from baseline information and test data for dentists. METHODS: Using two vignettes that contained different baseline information, dental students and clinical faculty members estimated the probability that the described hypothetical patient had the condition in question. Respondents also commented on the project. CONCLUSIONS: Both groups of respondents overemphasized the importance of test evidence relative to baseline information, although experienced practitioners did so to a lesser extent than did students. Respondents, especially practitioners, expressed resistance to performing a diagnostic task that required precise estimates of probability. CLINICAL IMPLICATIONS: Dentists appear to estimate diagnostic probabilities in an intuitive fashion, but they do so imprecisely. Clinical experience provides some protection against the bias of overestimating test evidence compared with baseline information. These findings raise questions about how practitioners use probability estimates and whether other models also may play a role. The incorporation of information from evidence-based dentistry into practice requires better understanding. |
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Authors:
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David W Chambers; Ryan Mirchel; William Lundergan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Dental Association (1939) Volume: 141 ISSN: 1943-4723 ISO Abbreviation: J Am Dent Assoc Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-02 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 656-66 Citation Subset: D; IM |
Affiliation:
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Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, USA. dchambers@pacific.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bayes Theorem Decision Making Dentists* Diagnosis, Oral / statistics & numerical data* Faculty, Dental False Positive Reactions Humans Likelihood Functions Periodontal Diseases / diagnosis Predictive Value of Tests Probability* Sensitivity and Specificity Students, Dental* |
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