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Titolo:
The accuracy of physical diagnostic tests for assessing meniscal lesions of the knee - A meta-analysis
Autore:
Scholten, RJPM; Deville, WLJM; Opstelten, W; Bijl, D; van der Plas, CG; Bouter, LM;
Indirizzi:
Vrije Univ Amsterdam, Med Ctr, Inst Extramural Med, Amsterdam, NetherlandsVrije Univ Amsterdam Amsterdam Netherlands Med, Amsterdam, Netherlands Univ Utrecht, Med Ctr, Julius Ctr Gen Practice & Patient Oriented Res, Utrecht, Netherlands Univ Utrecht Utrecht Netherlands ent Oriented Res, Utrecht, Netherlands
Titolo Testata:
JOURNAL OF FAMILY PRACTICE
fascicolo: 11, volume: 50, anno: 2001,
pagine: 938 - 944
SICI:
0094-3509(200111)50:11<938:TAOPDT>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
MCMURRAY TEST; TEARS;
Keywords:
meta-analysis; diagnosis; physical examination; predictive value of tests; sensitivity and specificity; knee joint; knee injuries; menisci, tibial;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Scholten, RJPM Acad Med Ctr, Dutch Cochrane Ctr, J2-229,POB 22700, NL-1100DE Amsterdam, Netherlands Acad Med Ctr J2-229,POB 22700 Amsterdam Netherlands NL-1100 DE
Citazione:
R.J.P.M. Scholten et al., "The accuracy of physical diagnostic tests for assessing meniscal lesions of the knee - A meta-analysis", J FAM PRACT, 50(11), 2001, pp. 938-944

Abstract

OBJECTIVE Our systematic review summarizes die evidence about the accuracyof physical diagnostic tests for assessing meniscal lesions of the knee. SEARCH STRATEGY We performed a literature search of MEDLINE (1966-1999) and EMBASE (1988-1999) with additional reference tracking. SELECTION CRITERIA Articles written in English, French, German, or Dutch that addressed the accuracy of at least one physical diagnostic test for meniscus injury with arthrotomy, arthroscopy, or magnetic resonance imaging asthe gold standard were included. DATA COLLECTION AND ANALYSIS Two reviewers independently selected studies,assessed the methodologic quality, and abstracted data using a standardized protocol. MAIN RESULTS Thirteen studies (of 402) met the inclusion criteria. The results of the index and reference tests, were assessed independently (blindly) of each other in only 2 studies, and in all studies verification bias seemed to be present. The study results were highly heterogeneous. The summaryreceiver operating characteristic curves of the assessment of joint effusion, the McMurray test, and joint line tenderness indicated little discriminative power for these tests. Only the predictive Value of a positive McMurray test was favorable. CONCLUSIONS The methodologic quality of studies addressing the diagnostic accuracy of meniscal tests was poor, and the results were highly heterogeneous. The poor characteristics indicate that these tests are of little valuefor clinical practice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 12:52:02