Initial-Impression Diagnosis Using Low-Back Pain Patient Pain Drawings
| Autor: | Isadore Enger, David Bendel Hertz, N. Horace Mann, Mark D. Brown, Janet S. Tompkins |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Observer Variation
medicine.medical_specialty Pain drawing business.industry Reproducibility of Results Linear discriminant analysis Low back pain Pain patterns Clinical investigation medicine Physical therapy Humans Spinal Diseases Orthopedics and Sports Medicine Lumbar spine Diagnosis Computer-Assisted Neurology (clinical) medicine.symptom business Low Back Pain Pain Measurement |
| Zdroj: | Spine. 18:41-53 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/00007632-199301000-00008 |
| Popis: | Patient pain drawings were blindly selected from five lumbar spine disorder categories. The drawings were classified by low-back physicians, discriminant analysis, and several computerized artificial neural network configurations. The purpose was to determine the reliability of the patient pain drawing when diagnosing low-back disorders and to delineate the pain mark patterns particular to each disorder by comparing physicians with computerized methods. The physicians averaged 51% accuracy with individual preferences for certain disorder groups. The computerized methods demonstrated comparable accuracy (48%) and more agreement in classification. Associations were found between the predicted pain patterns for each diagnostic group made by an expert and the patterns generated by computerized methods. Variances in these associations are instructive to clinicians for making accurate predictions of diagnosis from pain drawings. |
| Databáze: | OpenAIRE |
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