Point-of-care tests in general practice: Hope or hype?

被引：19

作者：

Cals, Jochen ^{[1
]}

van Weert, Henk ^{[2
]}

机构：

[1] Maastricht Univ, Dept Gen Practice, CAPHRI Sch Publ Hlth & Primary Care, NL-6200 MD Maastricht, Netherlands

[2] Acad Med Ctr Amsterdam, Dept Gen Practice, Div Clin Methods & Publ Hlth, Amsterdam, Netherlands

来源：

EUROPEAN JOURNAL OF GENERAL PRACTICE | 2013年 / 19卷 / 04期

关键词：

point-of care tests; general practice setting; implementation criteria; C-REACTIVE PROTEIN; RESPIRATORY-TRACT INFECTIONS; EXCLUDING PULMONARY-EMBOLISM; ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED-TRIAL; ACID-BINDING PROTEIN; WELLS-RULE; METAANALYSIS; ADHERENCE; DIAGNOSIS;

D O I：

10.3109/13814788.2013.800041

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Point-of-care tests are biomedical tests on patients' specimens like blood, saliva, urine or faeces, which can be used near the patient, without interference of a laboratory. The use of these tests, many of which have been recently developed, is increasing in general practice, where they add to the GP's set of diagnostic instruments. The question is, however, whether they always contribute to an effective and high-quality diagnostic process by GPs. We present a set of criteria that can be used by guideline developers, regional primary care organizations and individual GPs to evaluate a new point-of-care test in a practice setting. These criteria do not relate only to their use and quality. A point-of-care test needs to be evaluated in the right population and for the right indications, and GPs then need to use them for the indications for which they were evaluated. Expanding the range of indications can lead to an increase in false-positive and false-negative test results.

引用

收藏

页码：251 / 256

页数：6

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