Probing the Validity of the Probe-to-Bone Test in the Diagnosis of Osteomyelitis of the Foot in Diabetes
| Autor: | Susan Chipchase, William Jeffcoate, Jaclyn Burnside, Alison Shone, Frances L. Game |
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| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Bone and Bones Predictive Value of Tests Internal medicine Diabetes mellitus Internal Medicine medicine Humans Prospective Studies Prospective cohort study Advanced and Specialized Nursing business.industry Osteomyelitis Reproducibility of Results medicine.disease Predictive value Diabetic Foot Surgery Test (assessment) Pre- and post-test probability Debridement Predictive value of tests business Foot (unit) |
| Zdroj: | Diabetes Care. 29:945-945 |
| ISSN: | 1935-5548 0149-5992 |
| DOI: | 10.2337/diacare.29.04.06.dc05-2450 |
| Popis: | The ability to probe the base of a wound to periosteum or bone (the “probe-to-bone” test) is increasingly used to indicate the likelihood of underlying osteomyelitis. The original study (1) reported sensitivity, specificity, and positive (PPV) and negative (NPV) predictive values of 66, 85, 89, and 56%, respectively. However, this work has been criticized on the grounds of the high pretest probability of the disease (2), since the prevalence of osteomyelitis in the chosen sample (in-patients with clinically overt infection) was 66%. It follows that the usefulness of the test may be very different in less-selected populations. We have therefore determined the validity of the probe-to-bone test in a consecutive series of outpatients attending our own multi |
| Databáze: | OpenAIRE |
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