| A prospective evaluation of the medical consultation system CADIAG-II/RHEUMA in a rheumatological outpatient clinic. | |
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MedLine Citation:
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PMID: 11501634 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To evaluate the performance of CADIAG-II/RHEUMA as consultant in the primary evaluation of patients visiting a rheumatological outpatient clinic, a CADIAG-II/RHEUMA consultation was done for 54 patients and the list of generated diagnostic hypotheses was compared to each clinical discharge diagnosis. For 26 of a total of 126 rheumatological discharge diagnoses, no matching CADIAG-II/RHEUMA diagnosis was available. 94% of all other discharge diagnoses were found in the list of CADIAG-II/RHEUMA hypotheses, 82% among the first third of the list of hypotheses and 48% among the first five hypotheses. We identified the following factors limiting the ability of CADIAG-II/RHEUMA to generate a comprehensive and correctly ranked list of diagnostic hypotheses: (1) a large percentage of patients with early stages of not clearly identified rheumatological conditions; (2) the limited number of CADIAG-II/RHEUMA diagnoses compared to the large number of known rheumatological conditions; (3) the fact that rheumatological diseases are rarely characterized by a single pathognomonic feature but are usually diagnosed by combinations of rather unspecific findings. |
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Authors:
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H Leitich; H P Kiener; G Kolarz; C Schuh; W Graninger; K P Adlassnig |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Methods of information in medicine Volume: 40 ISSN: 0026-1270 ISO Abbreviation: Methods Inf Med Publication Date: 2001 Jul |
Date Detail:
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Created Date: 2001-08-14 Completed Date: 2001-10-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0210453 Medline TA: Methods Inf Med Country: Germany |
Other Details:
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Languages: eng Pagination: 213-20 Citation Subset: IM |
Affiliation:
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Department of Medical Computer Sciences, Setion of Medical Expert and Knowledge-Based Systems University of Vienna Medical School, Austria. harald.leitich@univie.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Austria Diagnosis, Computer-Assisted* Expert Systems* Fuzzy Logic Humans Rheumatic Diseases / diagnosis* Sensitivity and Specificity |
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