Annals of Emergency Medicine
Volume 33, Issue 5 , Pages 575-580 , May 1999

Likelihood Ratio: A Powerful Tool for Incorporating the Results of a Diagnostic Test Into Clinical Decisionmaking

  • Stephen R Hayden, MD

      Affiliations

    • Department of Emergency Medicine, University of California San Diego Medical Center, San Diego, CA
  • ,
  • Michael D Brown, MD

      Affiliations

    • Department of Emergency Medicine, Butterworth Hospital/Michigan State University, Grand Rapids, MI.

Received 2 February 1998 ,Revised 8 September 1998 ,Accepted 30 October 1998.

References 

  1. Jaeschke R, Guyatt GH, Sackett DL, et al.  User’s guides to the medical literature, III: How to use an article about a diagnostic test. JAMA. 1994;271:703–707
  2. Fagan TJ. Nomogram for Baye’s theorem (C). N Engl J Med. 1975;293:257
  3. Tandberg D, Deely JJ, O’Malley AJ. Generalized likelihood ratios for quantitative diagnostic test scores. Am J Emerg Med. 1997;15:694–699
  4. Wears RL, Li S, Hernandez JD, et al.  How many myocardial infarctions should we rule out?. Ann Emerg Med. 1989;18:953–963
  5. Poses RM, Cebul RD, Collins M, et al.  The accuracy of experienced physicians’ probability estimates for patients with sore throats. JAMA. 1985;254:925–929
  6. Putto A. Febrile exudative tonsillitis: Viral or streptococcal. Pediatrics. 1987;80:6–11
  7. Pichichero ME. Group A streptococcal tonsillopharyngitis: Cost-effective diagnosis and treatment. Ann Emerg Med. 1995;25:390–403
  8. Bisno AL, Gerber MA, Gwaitney JM, et al.  Diagnosis and management of group A streptococcal pharyngitis: A practice guideline. Clin Infect Dis. 1997;25:574–583
  9. Roe M, Kishiyama C, Davidson K, et al.  Comparison of BioStar Strep A OIA optical immune assay, Abbot TestPack Plus StrepA, and culture with selective media for diagnosis of group A streptococcal pharyngitis. J Clin Microbiol. 1995;33:1551–1553

 Address for reprints: Stephen R Hayden, MD, Department of Emergency Medicine, UCSD Medical Center, Mail Code 8676, 200 West Arbor Drive, San Diego, CA 92103.

☆☆ 0196-0644/99/$8.00 + 0

 47/1/97342

PII: S0196-0644(99)70346-X

Annals of Emergency Medicine
Volume 33, Issue 5 , Pages 575-580 , May 1999