Skip to main content
Top
Gepubliceerd in: Huisarts en wetenschap 6/2014

01-06-2014 | Beschouwing

Huisarts en glazen bol: voorspellen op het spreekuur

Auteur: dr. Geert-Jan Geersing

Gepubliceerd in: Huisarts en wetenschap | Uitgave 6/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Geersing GJ. Huisarts en glazen bol: voorspellen op het spreekuur. Huisarts Wet 2014;57(6):298-301.
Een belangrijk deel van het werk van de huisarts op het spreekuur bestaat uit het maken van schattingen: hoe groot is de kans op (ernstige) ziekte? Predictieonderzoek – meer bepaald: diagnostisch predictieonderzoek – biedt de huisarts de mogelijkheid die kans zo nauwkeurig mogelijk te bepalen. Niet ieder predictieonderzoek is echter geschikt voor gebruik in de huisartsenpraktijk. Van belang zijn de populatie waarin het is uitgevoerd (homogeen of heterogeen?), het aantal diagnostische variabelen dat wordt meegewogen (èèn enkele testuitslag of een beslisregel?) en de referentietest (hebben alle onderzochte patiënten er een gehad?).
Literatuur
1.
go back to reference Grobbee DE, Hoes A. Clinical epidemiology: Principles, methods and applications for clinical research. London: Jones & Bartlett, 2009. Grobbee DE, Hoes A. Clinical epidemiology: Principles, methods and applications for clinical research. London: Jones & Bartlett, 2009.
2.
go back to reference Hendriksen JM, Geersing GJ, Moons KG, De Groot JA. Diagnostic and prognostic prediction models. J Thromb Haemost 2013;11 Suppl 1:129–41. Hendriksen JM, Geersing GJ, Moons KG, De Groot JA. Diagnostic and prognostic prediction models. J Thromb Haemost 2013;11 Suppl 1:129–41.
3.
go back to reference Geersing GJ, Erkens PM, Lucassen WA, Büller HR, Cate HT, Hoes AW, et al. Safe exclusion of pulmonary embolism using the Wells rule and qualitative D-dimer testing in primary care: prospective cohort study. BMJ 2012;345:e656–4.CrossRef Geersing GJ, Erkens PM, Lucassen WA, Büller HR, Cate HT, Hoes AW, et al. Safe exclusion of pulmonary embolism using the Wells rule and qualitative D-dimer testing in primary care: prospective cohort study. BMJ 2012;345:e656–4.CrossRef
4.
go back to reference Naaktgeboren CA, Bertens LC, van Smeden M, de Groot JA, Moons KG, Reitsma JB. Value of composite reference standards in diagnostic research. BMJ 2013;347:f5605. Naaktgeboren CA, Bertens LC, van Smeden M, de Groot JA, Moons KG, Reitsma JB. Value of composite reference standards in diagnostic research. BMJ 2013;347:f5605.
5.
go back to reference Lijmer JG, Mol BW, Heisterkamp S, Bonsel GJ, Prins MH, van der Meulen JH, et al. Empirical evidence of design-related bias in studies of diagnostic tests. JAMA 1999;282:1061–6.CrossRefPubMed Lijmer JG, Mol BW, Heisterkamp S, Bonsel GJ, Prins MH, van der Meulen JH, et al. Empirical evidence of design-related bias in studies of diagnostic tests. JAMA 1999;282:1061–6.CrossRefPubMed
6.
go back to reference Oudega R, Moons KG, Hoes AW. Ruling out deep venous thrombosis in primary care: A simple diagnostic algorithm including D-dimer testing. Thromb Haemost 2005;94:200–5.PubMed Oudega R, Moons KG, Hoes AW. Ruling out deep venous thrombosis in primary care: A simple diagnostic algorithm including D-dimer testing. Thromb Haemost 2005;94:200–5.PubMed
7.
go back to reference Moons KG, Biesheuvel CJ, Grobbee DE. Test research versus diagnostic research. Clin Chem 2004;50:473–6.CrossRefPubMed Moons KG, Biesheuvel CJ, Grobbee DE. Test research versus diagnostic research. Clin Chem 2004;50:473–6.CrossRefPubMed
9.
go back to reference Knottnerus JA. Between iatrotropic stimulus and interiatric referral: the domain of primary care research. J Clin Epidemiol, 2002;55:1201–6.CrossRefPubMed Knottnerus JA. Between iatrotropic stimulus and interiatric referral: the domain of primary care research. J Clin Epidemiol, 2002;55:1201–6.CrossRefPubMed
10.
go back to reference Kelder JC, Cowie MR, McDonagh TA, Hardman SM, Grobbee DE, Cost B, et al. Quantifying the added value of BNP in suspected heart failure in gener al practice: an individual patient data meta-analysis. Heart 2011;97:959–63.CrossRefPubMed Kelder JC, Cowie MR, McDonagh TA, Hardman SM, Grobbee DE, Cost B, et al. Quantifying the added value of BNP in suspected heart failure in gener al practice: an individual patient data meta-analysis. Heart 2011;97:959–63.CrossRefPubMed
11.
12.
go back to reference Starfield B, Lemke KW, Herbert R, Pavlovich WD, Anderson G. Comorbidity and the use of primary care and specialist care in the elderly. Ann Fam Med 2005;3:215–22.PubMedCentralCrossRefPubMed Starfield B, Lemke KW, Herbert R, Pavlovich WD, Anderson G. Comorbidity and the use of primary care and specialist care in the elderly. Ann Fam Med 2005;3:215–22.PubMedCentralCrossRefPubMed
13.
go back to reference Van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 1998;51:367–75.CrossRefPubMed Van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 1998;51:367–75.CrossRefPubMed
14.
go back to reference Rovers MM, Glasziou P, Appelman CL, Burke P, McCormick DP, Damoiseaux RA, et al. Antibiotics for acute otitis media: a meta-analysis with individual patient data. Lancet 2006;368:1429–35.CrossRefPubMed Rovers MM, Glasziou P, Appelman CL, Burke P, McCormick DP, Damoiseaux RA, et al. Antibiotics for acute otitis media: a meta-analysis with individual patient data. Lancet 2006;368:1429–35.CrossRefPubMed
15.
go back to reference Geersing GJ, Zuithoff NP, Kearon C, Anderson DR, Ten Cate-Hoek AJ, Elf JL, et al. Exclusion of deep vein thrombosis using the Wells rule in clinically important subgroups: individual patient data meta-analysis. BMJ 2014;348:g1340. Geersing GJ, Zuithoff NP, Kearon C, Anderson DR, Ten Cate-Hoek AJ, Elf JL, et al. Exclusion of deep vein thrombosis using the Wells rule in clinically important subgroups: individual patient data meta-analysis. BMJ 2014;348:g1340.
16.
17.
go back to reference Rutten FH, Cramer MJ, Lammers JW, Grobbee DE, Hoes AW. Heart failure and chronic obstructive pulmonary disease: An ignored combination? Eur J Heart Fail 2006;8:706–11.CrossRefPubMed Rutten FH, Cramer MJ, Lammers JW, Grobbee DE, Hoes AW. Heart failure and chronic obstructive pulmonary disease: An ignored combination? Eur J Heart Fail 2006;8:706–11.CrossRefPubMed
18.
go back to reference Rutten FH, Moons KG, Cramer MJ, Grobbee DE, Zuithoff NP, Lammers JW, et al. Recognising heart failure in elderly patients with stable chronic obstructive pulmonary disease in primary care: cross sectional diagnostic study. BMJ 2005;331:137–9.CrossRef Rutten FH, Moons KG, Cramer MJ, Grobbee DE, Zuithoff NP, Lammers JW, et al. Recognising heart failure in elderly patients with stable chronic obstructive pulmonary disease in primary care: cross sectional diagnostic study. BMJ 2005;331:137–9.CrossRef
19.
go back to reference Biesheuvel CJ, Vergouwe Y, Steyerberg EW, Grobbee DE, Moons KG. Polytomous logistic regression analysis could be applied more often in diagnostic research. J Clin Epidemiol 2008;61:125–34.CrossRefPubMed Biesheuvel CJ, Vergouwe Y, Steyerberg EW, Grobbee DE, Moons KG. Polytomous logistic regression analysis could be applied more often in diagnostic research. J Clin Epidemiol 2008;61:125–34.CrossRefPubMed
20.
go back to reference Debray TP, Koffijberg H, Vergouwe Y, Moons KG, Steyerberg EW. Aggregating published prediction models with individual participant data: a comparison of different approaches. Stat Med 2012;31:2697–712.CrossRefPubMed Debray TP, Koffijberg H, Vergouwe Y, Moons KG, Steyerberg EW. Aggregating published prediction models with individual participant data: a comparison of different approaches. Stat Med 2012;31:2697–712.CrossRefPubMed
21.
go back to reference Riley RD, Lambert PC, Abo-Zaid G. Meta-analysis of individual participant data: rationale, conduct, and reporting. BMJ 2010;340:c221. Riley RD, Lambert PC, Abo-Zaid G. Meta-analysis of individual participant data: rationale, conduct, and reporting. BMJ 2010;340:c221.
22.
go back to reference Tugwell P, Knottnerus JA. Advantages of individual patient data analysis in systematic reviews. J Clin Epidemiol 2010;63:233–4.CrossRefPubMed Tugwell P, Knottnerus JA. Advantages of individual patient data analysis in systematic reviews. J Clin Epidemiol 2010;63:233–4.CrossRefPubMed
23.
go back to reference Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 2011;155:529–36.CrossRefPubMed Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 2011;155:529–36.CrossRefPubMed
Metagegevens
Titel
Huisarts en glazen bol: voorspellen op het spreekuur
Auteur
dr. Geert-Jan Geersing
Publicatiedatum
01-06-2014
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 6/2014
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/s12445-014-0153-3

Andere artikelen Uitgave 6/2014

Huisarts en wetenschap 6/2014 Naar de uitgave