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How To Use Imperfect Tests For Covid-19 (Sars-Cov-2) To Make Clinical Decisions

The Medical Journal of Australia(2021)

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Medical Journal of AustraliaVolume 214, Issue 2 p. 69-73.e1 Medical education How to use imperfect tests for COVID-19 (SARS-CoV-2) to make clinical decisions Katy JL Bell, Corresponding Author Katy JL Bell [email protected] orcid.org/0000-0002-0137-3218 University of Sydney, Sydney, NSW Correspondence [email protected]Search for more papers by this authorFiona F Stanaway, Fiona F Stanaway orcid.org/0000-0003-2104-3010 University of Sydney, Sydney, NSWSearch for more papers by this authorLes M Irwig, Les M Irwig University of Sydney, Sydney, NSWSearch for more papers by this authorAndrea R Horvath, Andrea R Horvath Prince of Wales Hospital and Community Health Services, Sydney, NSWSearch for more papers by this authorArmando Teixeira-Pinto, Armando Teixeira-Pinto University of Sydney, Sydney, NSW Centre for Kidney Research, Westmead Millennium Institute for Medical Research, Sydney, NSWSearch for more papers by this authorClement Loy, Clement Loy University of Sydney, Sydney, NSW Westmead Hospital, Sydney, NSWSearch for more papers by this author Katy JL Bell, Corresponding Author Katy JL Bell [email protected] orcid.org/0000-0002-0137-3218 University of Sydney, Sydney, NSW Correspondence [email protected]Search for more papers by this authorFiona F Stanaway, Fiona F Stanaway orcid.org/0000-0003-2104-3010 University of Sydney, Sydney, NSWSearch for more papers by this authorLes M Irwig, Les M Irwig University of Sydney, Sydney, NSWSearch for more papers by this authorAndrea R Horvath, Andrea R Horvath Prince of Wales Hospital and Community Health Services, Sydney, NSWSearch for more papers by this authorArmando Teixeira-Pinto, Armando Teixeira-Pinto University of Sydney, Sydney, NSW Centre for Kidney Research, Westmead Millennium Institute for Medical Research, Sydney, NSWSearch for more papers by this authorClement Loy, Clement Loy University of Sydney, Sydney, NSW Westmead Hospital, Sydney, NSWSearch for more papers by this author First published: 07 January 2021 https://doi.org/10.5694/mja2.50907Citations: 3 The unedited version of this article was published as a preprint on mja.com.au on 2 October 2020. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat References 1 World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19— 16 March 2020 [press release]. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19–-16-march-2020 (viewed Aug 2020). Google Scholar 2Bell KJ, Macaskill P, Loy C. Test accuracy and potential sources of bias in diagnostic test evaluation. Med J Aust 2020; 212: 10–13. https://www.mja.com.au/journal/2020/212/1/test-accuracy-and-potential-sources-bias-diagnostic-test-evaluation 10.5694/mja2.50449 PubMedWeb of Science®Google Scholar 3Fagan T. Nomogram for Bayes theorem. N Engl J Med 1975; 293: 257. 10.1056/NEJM197507312930513 CASPubMedWeb of Science®Google Scholar 4Jaeschke R, Guyatt GH, Sackett DL. Users’ guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? The Evidence-Based Medicine Working Group. JAMA 1994; 271: 703–707. 10.1001/jama.1994.03510330081039 CASPubMedWeb of Science®Google Scholar 5Deeks JJ, Altman DG. Diagnostic tests 4: likelihood ratios. BMJ 2004; 329: 168–169. 10.1136/bmj.329.7458.168 PubMedWeb of Science®Google Scholar 6Watson J, Whiting PF, Brush JE. Interpreting a COVID-19 test result. BMJ 2020; 369: m1808. 10.1136/bmj.m1808 PubMedGoogle Scholar 7Arevalo-Rodriguez I, Buitrago-Garcia D, Simancas-Racines D, et al. False-negative results of initial RT-PCR assays for COVID-19: a systematic review [preprint]. medRxiv 2020.04.16.20066787. 13 Aug 2020; 2020, https://doi.org/10.1101/2020.04.16.20066787 (viewed Aug 2020). Google Scholar 8Bossuyt PM. Testing COVID-19 tests faces methodological challenges. J Clin Epidemiol 2020; 126: 172–176. 10.1016/j.jclinepi.2020.06.037 PubMedWeb of Science®Google Scholar 9Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing for coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020; 296: E32–E40. 10.1148/radiol.2020200642 PubMedWeb of Science®Google Scholar 10Woloshin S, Patel N, Kesselheim AS. False negative tests for SARS-CoV-2 infection — challenges and implications. N Engl J Med 2020; 383: e38. 10.1056/NEJMp2015897 CASPubMedWeb of Science®Google Scholar 11Kim D, Quinn J, Pinsky B, et al. Rates of co-infection between SARS-CoV-2 and other respiratory pathogens. JAMA 2020; 323: 2085–2086. 10.1001/jama.2020.6266 CASPubMedWeb of Science®Google Scholar Citing Literature Volume214, Issue2February 2021Pages 69-73.e1 ReferencesRelatedInformation
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关键词
Evidence-based medicine, Diagnostic tests and procedures, COVID-19, Infectious diseases, Respiratory tract infections
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