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Adverse Effects of Diagnostic Tests: A Study of the Quality of Reporting

Adverse Effects of Diagnostic Tests: A Study of the Quality of Reporting Abstract Information about the risks of diagnostic tests is incomplete, and its quality has not been studied. A set of criteria was devised and applied to 434 published reports to assess the quality of data about supposed adverse effects associated with 25 diagnostic procedures. Using these criteria, authors' conclusions concerning types of sequelae were supported by published findings in only 41% of reports. Information regarding frequency of these risks was upheld in 20%. Sound clinical judgment requires more dependable data than are presently available. Back to top Article Information Reprints not available. Loretta Marcon, fourth-year medical student, assisted with the literature search; Laurie Tesseris provided secretarial help; the heads of subdivisions of the Montreal General Hospital and Royal Victoria Hospital, Montreal, supplied expert advice; and colleagues critically reviewed this study. References 1. Tumulty PA: General considerations in clinical management , in The Effective Clinician.. Philadelphia, WB Saunders Co, 1973, p 104.Google Scholar 2. Pauker SG, Kassirer JF: The threshold approach to clinical decision making. N Engl J Med. 1980;302:1109-1117. PubMedGoogle ScholarCrossref 3. Clough C, Pearce JMS: Procedures in practice: Lumbar puncture. Br Med J. 1980;230:297.Google ScholarCrossref 4. Schroeder SA, Marton KI, Strom BL: Frequency and morbidity of invasive procedures. Arch Intern Med. 1978;138:1809-1811.Google ScholarCrossref 5. Allyn R: A library for internists. Ann Intern Med. 1979;90:446-477.Google ScholarCrossref 6. Rochmis P, Blackburn H: Exercise tests: A survey of procedures, safety, and litigation experience in approximately 170,000 tests. JAMA. 1971;217:1061-1066. PubMedGoogle ScholarCrossref 7. Adams DF, Fraser DB, Abrams HL: The complications of coronary arteriography. Circulation. 1973;48:609-618.Google ScholarCrossref 8. Credle WF, Smiddy JF, Elliott RC: Complications of fiberoptic bronchoscopy. Am Rev Respir Dis. 1974;109:67-72.Google Scholar 9. Suratt PM, Smiddy JF, Gruber B: Deaths and complications associated with fiberoptic bronchoscopy. Chest. 1976;69:747-751. PubMedGoogle ScholarCrossref 10. Herf SM, Suratt PM, Arora NS: Deaths and complications associated with transbronchial lung biopsy. Am Rev Respir Dis. 1977;115:708-711. PubMedGoogle Scholar 11. Bilbao MK, Dotter CT, Lee TG, et al: Complications of endoscopic retrograde cholangiopancreatography. Gastroenterology. 1975;70:314-320.Google ScholarCrossref 12. Berci G, Panish JF, Schapiro M, et al: Complications of colonoscopy and polypectomy. Gastroenterology. 1974;67:584-585.Google ScholarCrossref 13. Rogers BHG, Silvis SE, Nebel OT, et al: Complications of flexible fiberoptic colonoscopy and polypectomy. Gastrointest Endosc. 1975;22:73-77. PubMedGoogle ScholarCrossref 14. Geenen JE, Schmitt WG, Wu WC, et al: Major complications of coloscopy: Bleeding and perforation. Am J Dig Dis. 1975;20:231-235. PubMedGoogle ScholarCrossref 15. Kasugai T, Kuno N, Kobayashi S, et al: Endoscopic pancreatocholangiography. Gastroenterology. 1972;63:217-226.Google ScholarCrossref 16. Oi MI: Duodenoscopy during pancreatic diseases. Arch Fr Maladies Appareil Digestif. 1972;61:349-351.Google Scholar 17. Katon RM, Lee TG, Parent JA, et al: Endoscopic retrograde cholangiopancreatography. Am J Dig Dis. 1974;19:295-306.Google ScholarCrossref 18. Bonnabeau RC, Hunter SW: Fiberoptic bronchoscopy: A review of 70 consecutive cases treated. Am Surg. 1978;44:113-118.Google Scholar 19. Hildner FJ, Javier RP, Aswamy K, et al: Pseudo complications of cardiac catheterization. Chest. 1973;63:15-17.Google ScholarCrossref 20. Schroeder SA: The complications of coronary arteriography: A problem that won't go away. Am Heart J. 1980;99:139-141. PubMedGoogle ScholarCrossref 21. Ekelund L, Lindholm T: Arteriovenous fistulae following percutaneous renal biopsy. Acta Radiol Diagn. 1971;11:38-48. PubMedGoogle ScholarCrossref 22. Meng CH, Elkin M: Immediate angiographic manifestations of iatrogenic renal injury due to percutaneous needle biopsy. Radiology. 1971;100:335-341. PubMedGoogle ScholarCrossref 23. Rosenbaum R, Hoffsten PE, Stanley RJ, et al: Use of computerized tomography to diagnose complications of percutaneous renal biopsy. Kidney Int. 1978;14:87-92. PubMedGoogle ScholarCrossref 24. Wallace S, Medellin H, Nelson RS: Angiographic changes due to needle biopsy of the liver. Radiology. 1972;105:13-18. PubMedGoogle ScholarCrossref 25. Raines DR, Van Heertum RL, Johnson LF: Intrahepatic hematoma: A complication of percutaneous liver biopsy. Gastroenterology. 1974;67:284-289. PubMedGoogle ScholarCrossref 26. Hellekant C: Vascular complications following needle puncture of the liver. Acta Radiol Diagn. 1976;17:209-222. PubMedGoogle ScholarCrossref 27. Okuda K, Musha H, Nakajima Y, et al: Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture of the liver. Gastroenterology. 1978;74:1204-1207. PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Adverse Effects of Diagnostic Tests: A Study of the Quality of Reporting

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340180041009
Publisher site
See Article on Publisher Site

Abstract

Abstract Information about the risks of diagnostic tests is incomplete, and its quality has not been studied. A set of criteria was devised and applied to 434 published reports to assess the quality of data about supposed adverse effects associated with 25 diagnostic procedures. Using these criteria, authors' conclusions concerning types of sequelae were supported by published findings in only 41% of reports. Information regarding frequency of these risks was upheld in 20%. Sound clinical judgment requires more dependable data than are presently available. Back to top Article Information Reprints not available. Loretta Marcon, fourth-year medical student, assisted with the literature search; Laurie Tesseris provided secretarial help; the heads of subdivisions of the Montreal General Hospital and Royal Victoria Hospital, Montreal, supplied expert advice; and colleagues critically reviewed this study. References 1. Tumulty PA: General considerations in clinical management , in The Effective Clinician.. Philadelphia, WB Saunders Co, 1973, p 104.Google Scholar 2. Pauker SG, Kassirer JF: The threshold approach to clinical decision making. N Engl J Med. 1980;302:1109-1117. PubMedGoogle ScholarCrossref 3. Clough C, Pearce JMS: Procedures in practice: Lumbar puncture. Br Med J. 1980;230:297.Google ScholarCrossref 4. Schroeder SA, Marton KI, Strom BL: Frequency and morbidity of invasive procedures. Arch Intern Med. 1978;138:1809-1811.Google ScholarCrossref 5. Allyn R: A library for internists. Ann Intern Med. 1979;90:446-477.Google ScholarCrossref 6. Rochmis P, Blackburn H: Exercise tests: A survey of procedures, safety, and litigation experience in approximately 170,000 tests. JAMA. 1971;217:1061-1066. PubMedGoogle ScholarCrossref 7. Adams DF, Fraser DB, Abrams HL: The complications of coronary arteriography. Circulation. 1973;48:609-618.Google ScholarCrossref 8. Credle WF, Smiddy JF, Elliott RC: Complications of fiberoptic bronchoscopy. Am Rev Respir Dis. 1974;109:67-72.Google Scholar 9. Suratt PM, Smiddy JF, Gruber B: Deaths and complications associated with fiberoptic bronchoscopy. Chest. 1976;69:747-751. PubMedGoogle ScholarCrossref 10. Herf SM, Suratt PM, Arora NS: Deaths and complications associated with transbronchial lung biopsy. Am Rev Respir Dis. 1977;115:708-711. PubMedGoogle Scholar 11. Bilbao MK, Dotter CT, Lee TG, et al: Complications of endoscopic retrograde cholangiopancreatography. Gastroenterology. 1975;70:314-320.Google ScholarCrossref 12. Berci G, Panish JF, Schapiro M, et al: Complications of colonoscopy and polypectomy. Gastroenterology. 1974;67:584-585.Google ScholarCrossref 13. Rogers BHG, Silvis SE, Nebel OT, et al: Complications of flexible fiberoptic colonoscopy and polypectomy. Gastrointest Endosc. 1975;22:73-77. PubMedGoogle ScholarCrossref 14. Geenen JE, Schmitt WG, Wu WC, et al: Major complications of coloscopy: Bleeding and perforation. Am J Dig Dis. 1975;20:231-235. PubMedGoogle ScholarCrossref 15. Kasugai T, Kuno N, Kobayashi S, et al: Endoscopic pancreatocholangiography. Gastroenterology. 1972;63:217-226.Google ScholarCrossref 16. Oi MI: Duodenoscopy during pancreatic diseases. Arch Fr Maladies Appareil Digestif. 1972;61:349-351.Google Scholar 17. Katon RM, Lee TG, Parent JA, et al: Endoscopic retrograde cholangiopancreatography. Am J Dig Dis. 1974;19:295-306.Google ScholarCrossref 18. Bonnabeau RC, Hunter SW: Fiberoptic bronchoscopy: A review of 70 consecutive cases treated. Am Surg. 1978;44:113-118.Google Scholar 19. Hildner FJ, Javier RP, Aswamy K, et al: Pseudo complications of cardiac catheterization. Chest. 1973;63:15-17.Google ScholarCrossref 20. Schroeder SA: The complications of coronary arteriography: A problem that won't go away. Am Heart J. 1980;99:139-141. PubMedGoogle ScholarCrossref 21. Ekelund L, Lindholm T: Arteriovenous fistulae following percutaneous renal biopsy. Acta Radiol Diagn. 1971;11:38-48. PubMedGoogle ScholarCrossref 22. Meng CH, Elkin M: Immediate angiographic manifestations of iatrogenic renal injury due to percutaneous needle biopsy. Radiology. 1971;100:335-341. PubMedGoogle ScholarCrossref 23. Rosenbaum R, Hoffsten PE, Stanley RJ, et al: Use of computerized tomography to diagnose complications of percutaneous renal biopsy. Kidney Int. 1978;14:87-92. PubMedGoogle ScholarCrossref 24. Wallace S, Medellin H, Nelson RS: Angiographic changes due to needle biopsy of the liver. Radiology. 1972;105:13-18. PubMedGoogle ScholarCrossref 25. Raines DR, Van Heertum RL, Johnson LF: Intrahepatic hematoma: A complication of percutaneous liver biopsy. Gastroenterology. 1974;67:284-289. PubMedGoogle ScholarCrossref 26. Hellekant C: Vascular complications following needle puncture of the liver. Acta Radiol Diagn. 1976;17:209-222. PubMedGoogle ScholarCrossref 27. Okuda K, Musha H, Nakajima Y, et al: Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture of the liver. Gastroenterology. 1978;74:1204-1207. PubMedGoogle ScholarCrossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1982

Keywords: adverse effects,sound

References