The Diagnostic Accuracy of the Clinical Examination in Common Musculoskeletal Pathologies
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Area under the curve
研究概览
简要总结
This study examines the diagnostic accuracy of the clinical examination as compared to MRI findings
详细描述
When patients get musculoskeletal pain and seek care, the healthcare professional performs a detailed clinical examination to determine a diagnosis and determine a plan of care which often includes imaging. There are only a few studies that have looked at the accuracy of the clinical examination in a primary care setting, most studies having been performed in a specialty practice treating Orthopedic or Sports injuries. In these practices, surgery has become and remains the gold standard. However, in primary care, often imaging like Magnetic Resonance Imaging (MRI) has become the the criterion standard. This double blind study will compare the diagnosis reached by clinical exam to the results found on MRI. In addition, the examining clinician will report their recommended plan of care after the examination.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects 18-80 years old with musculoskeletal pain/dysfunction
排除标准
- •Outside the inclusion age range, pain/dysfunction of other than musculoskeletal origin, those in whom MRI is contraindicated for example, with shrapnel in the body
结局指标
主要结局
Area under the curve
时间窗: 5 years
measure of accuracy of the clinical exam
likelihood ratios
时间窗: 5 years
combination of sensitivity
次要结局
未报告次要终点
