The role of diagnostic inconsistency in changing rates of occurrence for coronary heart disease.

Détails

ID Serval
serval:BIB_DBC0601C94A2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The role of diagnostic inconsistency in changing rates of occurrence for coronary heart disease.
Périodique
Journal of Clinical Epidemiology
Auteur(s)
Burnand Bernard, Feinstein Alvan R.
ISSN
0895-4356 (Print)
ISSN-L
0895-4356
Statut éditorial
Publié
Date de publication
1992
Peer-reviewed
Oui
Volume
45
Numéro
9
Pages
929-940
Langue
anglais
Résumé
The ante-mortem (in vivo) and post-mortem diagnoses of coronary heart disease (CHD) were compared in necropsies at a university hospital for 1965, 1975, and 1985. The secular trends showed gradually rising proportions in both true positive and false negative ante-mortem diagnoses. Both types of change in diagnostic error would progressively lower the counted numbers of CHD in official vital statistics. With suitable statistical corrections, the occurrence rates of CHD in Connecticut became much higher and showed less dramatic trends in secular decline. The results indicate that major improvements in accuracy are needed before vital statistics data are accepted at face value and analyzed for biologic explanations of the changing numbers.
Mots-clé
Adult, Age Factors, Aged, Autopsy, Connecticut/epidemiology, Coronary Disease/diagnosis, Coronary Disease/epidemiology, False Negative Reactions, False Positive Reactions, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Retrospective Studies, Selection Bias, Sex Factors
Pubmed
Web of science
Création de la notice
08/09/2011 15:55
Dernière modification de la notice
20/08/2019 16:00
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