Le pédiatre, son laboratoire et son incertitude [The pediatrician, his laboratory and its uncertainty]
Details
Serval ID
serval:BIB_322414CA41C2
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Le pédiatre, son laboratoire et son incertitude [The pediatrician, his laboratory and its uncertainty]
Journal
Revue Médicale de la Suisse romande
ISSN
0035-3655
Publication state
Published
Issued date
2002
Volume
122
Number
12
Pages
645-648
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Review
Abstract
Four aspects of uncertainty linked to the laboratory of medical analysis are discussed. 1) Uncertainty and the laboratory test: the post-test probability of a diagnostic is intimately linked to the ability to establish clinically the pre-test probability. 2) Uncertainty and the patient: reference values are most often chosen from the literature. The analytical methodology as well as the population of reference should be carefully checked. 3) Uncertainty and the laboratory result: this uncertainty will diminish if preanalytical conditions are standardized and if analytical imprecision is known. The analytical imprecision is given by the coefficient of variation (CV) of the internal quality control. The CV is used to calculate the critical difference. 4) Uncertainty and the practitioner: to efficiently diminish this uncertainty in the case of unusual questions of the medical practice, a network should be established between the practitioner, the medical specialists and the scientific specialists of the laboratory.
Keywords
Child, Child, Preschool, Cooperative Behavior, False Negative Reactions, False Positive Reactions, Humans, Infant, Interprofessional Relations, Laboratory Techniques and Procedures, Male, Pediatrics, Physician's Role, Quality Control, Reference Values, Reproducibility of Results, Sensitivity and Specificity
Pubmed
Create date
05/02/2008 11:24
Last modification date
20/08/2019 14:17