Rational use of diagnostic and screening tests.
Journal
The Journal of small animal practice
ISSN: 1748-5827
Titre abrégé: J Small Anim Pract
Pays: England
ID NLM: 0165053
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
revised:
14
03
2021
received:
04
02
2021
accepted:
24
05
2021
pubmed:
2
7
2021
medline:
15
12
2021
entrez:
1
7
2021
Statut:
ppublish
Résumé
Veterinarians have a vast and ever-expanding array of diagnostic tests available to them. However, this abundance can be an embarrassment of riches that confounds diagnosis and undermines patient care if we do not make critical and informed decisions about the selection and interpretation of the tests we employ. Effective use of diagnostic tests requires a deliberate and informed approach. We must consider the strengths and weaknesses of the tests themselves and the clinical context, and we must be wary of the many biases that skew our use and interpretation of diagnostic tests. Understanding sensitivity and specificity, likelihood, prevalence and predictive value, the basic principles of Bayesian reasoning, and the cognitive biases that drive inappropriate testing are all critical to ensuring our use of imaging and laboratory testing improves patient outcomes.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1016-1021Informations de copyright
© 2021 British Small Animal Veterinary Association.
Références
Alef, M., von Praun, F. & Oechtering, G. (2008) Is routine pre-anaesthetic haematological and biochemical screening justified in dogs? Veterinary Anaesthesia and Analgesia 35, 132-140. https://doi.org/10.1111/j.1467-2995.2007.00364.x
American Animal Hospital Association (AAHA) and American veterinary Medical Association (AVMA) (2011a) AAHA-AVMA canine preventive healthcare guidelines. https://www.aaha.org/globalassets/02-guidelines/preventive-healthcare/caninepreventiveguidelines_ppph.pdf. Accessed November 25, 2020
American Animal Hospital Association (AAHA) and American Veterinary Medical Association (AVMA) (2011b) AAHA-AVMA feline preventive healthcare guidelines. https://www.aaha.org/globalassets/02-guidelines/preventive-healthcare/felinepreventiveguidelines_ppph.pdf. Accessed November 25, 2020
American Society of Anesthesiologists Task Force on Preanesthetic Evaluation (2012) Practice advisory for preanesthesia evaluation. Anesthesiology 116, 522-538. https://doi.org/10.1097/ALN.0b013e31823c1067
Baird, G. S. (2019) The choosing wisely initiative and laboratory test stewardship. Diagnosis 6, 15-23. https://doi.org/10.1515/dx-2018-0045
Bennaim, M., Shiel, R. E., Forde, C., et al. (2018) Evaluation of individual low-dose dexamethasone suppression test patterns in naturally occurring hyperadrenocorticism in dogs. Journal of Veterinary Internal Medicine 32, 967-977. https://doi.org/10.1111/jvim.15079
Berry, D. A. (2013) Breast cancer screening: controversy of impact. Breast 22(Suppl 2), S73-S76. https://doi.org/10.1016/j.breast.2013.07.013
Bishop, T. F., Federman, A. D. & Ross, J. S. (2010) Laboratory test ordering at physician offices with and without on-site laboratories. Journal of General Internal Medicine 25, 1057-1063. https://doi.org/10.1007/s11606-010-1409-7
Creevy, K. E., Grady, J., Little, S. E., et al. (2019) 2019 AAHA canine life stage guidelines. Journal of the American Animal Hospital Association 55, 267-290. https://doi.org/10.5326/JAAHA-MS-6999
Croskerry, P. (2000) The feedback sanction. Academic Emergency Medicine 7, 1232-1238. https://doi.org/10.1111/j.1553-2712.2000.tb00468.x
Davies, M. (2012) Geriatric screening in first opinion practice - results from 45 dogs. The Journal of Small Animal Practice 53, 507-513. https://doi.org/10.1111/j.1748-5827.2012.01247.x
Drobatz, K. J. (2009) Measures of accuracy and performance of diagnostic tests. Journal of Veterinary Cardiology 11(Suppl 1), S33-S40. https://doi.org/10.1016/j.jvc.2009.03.004
Gardner, I. A. (2002) ‘The utility of Bayes’ theorem and Bayesian inference in veterinary clinical practice and research. Australian Veterinary Journal 80, 758-761. https://doi.org/10.1111/j.1751-0813.2002.tb11347.x
Greenberg, J. & Green, J. B. (2014) Overtesting: why more is not better. American Journal of Medicine 127, 362-363. https://doi.org/10.1016/j.amjmed.2013.10.024
Hill, L. (2016) The Economics of the In-house Lab. Veterinary Advantage, Gainesville, FL
Homwong, N., Hunprasit, V., Marthaler, D., et al. (2015) A Bayesian approach for inductive reasoning to clinical veterinary medicine: the math of experience. Journal of Veterinary Medicine and Animal Health 7, 308-316. https://doi.org/10.5897/jvmah2015.0409
Hughes, D. R., Bhargavan, M. & Sunshine, J. H. (2010) Imaging self-referral associated with higher costs and limited impact on duration of illness. Health Affairs (Millwood) 29, 2244-2251. https://doi.org/10.1377/hlthaff.2010.0413
Hyltoft Petersen, P. & Henny, J. (2004) Special issue: reference intervals. Clinical Chemistry and Laboratory Medicine 42, 685-876
IDEXX Laboratories (2018) Preanesthetic testing: don't compromise-change happens fast
Irwin, J. (2003) Do tests first: pre-surgical blood work may eliminate variety of surprises, DVM360, October.
Itami, T., Aida, H., Asakawa, M., et al. (2017) Association between preoperative characteristics and risk of anaesthesia-related death in dogs in small-animal referral hospitals in Japan. Veterinary Anaesthesia and Analgesia 44, 461-472. https://doi.org/10.1016/j.vaa.2016.08.007
Joubert, K. E. (2007) Pre-anaesthetic screening of geriatric dogs. Journal of the South African Veterinary Association 78, 31-35. https://doi.org/10.4102/jsava.v78i1.283
Kipperman, B. S. (2014) The demise of the minimum database. Journal of the American Veterinary Medical Association 244, 1368-1370. https://doi.org/10.2460/javma.244.12.1368
Kipperman, B. S., Kass, P. H. & Rishniw, M. (2017) ‘Factors that influence small animal veterinarians’ opinions and actions regarding cost of care and effects of economic limitations on patient care and outcome and professional career satisfaction and burnout. Journal of the American Veterinary Medical Association 250, 785-794. https://doi.org/10.2460/javma.250.7.785
Kiss, C. M. & Pierce, B. J. (2010) The rational use of screening tests in senior wellness programs. Clinician's Brief, 13-16. http://carodog.eu/wp-content/uploads/2014/10/Diagnostics_Geriatrics.pdf. Accessed December 3, 2020
Lamb, C. R. (2007) Statistical briefing: likelihood ratios. Veterinary Radiology and Ultrasound 48, 394-395. https://doi.org/10.1111/j.1740-8261.2007.00263.x
Lamb, C. R. (2008) Statistical briefing: screening for disease. Veterinary Radiology and Ultrasound 49, 109-110. https://doi.org/10.1111/j.1740-8261.2007.00324.x
Lewis, H. B. (2006) Healthy pets benefit from blood work. Banfield Data Savant, 18-20. www.banfield.com/getmedia/1216c698-7da1-4899-81a3-24ab549b7a8c/2_1-Healthy-Pets-benefit-from-blood-work. Accessed November 25, 2020
Little, P., Dorward, M., Warner, G., et al. (2004) Importance of patient pressure and perceived pressure and perceived medical need for investigations, referral, and prescribing in primary care: nested observational study. BMJ 328, 444. https://doi.org/10.1136/bmj.38013.644086.7C
McKenzie, B. A. (2014) Veterinary clinical decision-making: cognitive biases, external constraints, and strategies for improvement. Journal of the American Veterinary Medical Association 244, 271-276. https://doi.org/10.2460/javma.244.3.271
McKenzie, B. A. (2016) Overdiagnosis. Journal of the American Veterinary Medical Association 249, 884-889. https://doi.org/10.2460/javma.249.8.884
Moynihan, R., Doust, J. & Henry, D. (2012) Preventing overdiagnosis: how to stop harming the healthy. BMJ 344, e3502-e3502. https://doi.org/10.1136/bmj.e3502
National Guideline Centre (UK) (2016) Preoperative Tests (Update), Preoperative Tests (Update): Routine Preoperative Tests for Elective Surgery. National Institute for Health and Care Excellence (UK). http://www.ncbi.nlm.nih.gov/pubmed/27077168. Accessed March 14, 2021
Noonan, S. (2002) Diagnostic testing and imaging - creating a profit centre: blueprints for your bottom line. Canadian Veterinary Journal 43, 609
Paepe, D., Verjans, G., Duchateau, L., et al. (2013) Routine health screening: findings in apparently healthy middle-aged and old cats. Journal of Feline Medicine and Surgery 15, 8-19. https://doi.org/10.1177/1098612X12464628
Rao, V. M. & Levin, D. C. (2012) The overuse of diagnostic imaging and the choosing wisely initiative. Annals of Internal Medicine 157, 574. https://doi.org/10.7326/0003-4819-157-8-201210160-00535
Schwartz, L. M., Woloshin, S., Fowler, F. J. Jr., et al. (2004) Enthusiasm for cancer screening in the United States. JAMA 291, 71. https://doi.org/10.1001/jama.291.1.71
Shaked, M., Levkovich, I., Adar, T., et al. (2019) Perspective of healthy asymptomatic patients requesting general blood tests from their physicians: a qualitative study. BMC Family Practice 20, 51. https://doi.org/10.1186/s12875-019-0940-9
Shreffler, J. & Huecker, M. R. (2021) Diagnostic testing accuracy: sensitivity, specificity, predictive values and likelihood ratios. StatPearls, Treasure Island, FL. https://www.ncbi.nlm.nih.gov/books/NBK557491/
Speechley, M., Kunnilathu, A., Aluckal, E., et al. (2017) Screening in public health and clinical care: similarities and differences in definitions, types, and aims - a systematic review. Journal of Cinical and Diagnostic Research 11, LE01-LE04. https://doi.org/10.7860/JCDR/2017/24811.9419
Tabayoyong, W. & Abouassaly, R. (2015) Prostate cancer screening and the associated controversy. Surgical Clinics of North America 95, 1023-1039. https://doi.org/10.1016/j.suc.2015.05.001
Veterinary Information Network Community Quick Poll (2015) An acceptable period of time between screening bloodwork and a general anesthetic procedure
Vogt, A. H. (2010) AAFP-AAHA feline life stage guidelines. Journal of the American Animal Hospital Association 46, 70-85
Welch, H. G., Schwartz, L. M. & Woloshin, S. (2011) Overdiagnosed: Making People Sick in Pursuit of Health. Beacon Press, Boston, MA, USA
Willems, A., Paepe, D., Marynissen, S., et al. (2017) Results of screening of apparently healthy senior and geriatric dogs. Journal of Veterinary Internal Medicine 31, 81-92. https://doi.org/10.1111/jvim.14587