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Rheumatic Disease

Clinical utility of diagnostic tests reviewed

Published in Health and Medicine Week, September 19th, 2005

The clinical utility of diagnotic tests for rheumatic disease has been reviewed.

"Establishing a diagnosis of systemic rheumatic disease requires an integration of a patient's symptoms, physical examination findings, and the results of diagnostic testing," physicians in Boston explained. "There is often a temptation by clinicians to rely heavily on objective measures such as the presence or absence of an autoantibody."

However, "medical textbooks and the medical literature may overestimate the diagnostic utility of many commonly ordered tests for rheumatic disease, because the tests are usually analyzed among patients with established rheumatic...

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