A Primer on Rheumatologic Laboratory Tests What They Mean and When to Order Them

被引：6
|
作者：
Patel, Leeza [1 ]
Gizinski, Alison M. [2 ]
机构：
[1] Univ Arkansas Med Sci, Div Rheumatol, 4301 West Markham St 509, Little Rock, AR 72205 USA
[2] Emory Univ, Sch Med, Div Rheumatol, 49 Jesse Hill Jr Dr Southeast, Atlanta, GA 30303 USA
来源：
PRIMARY CARE | 2018年 / 45卷 / 02期
关键词：
ANA; ANCA; CCP; CRP; ESR; RF; CITRULLINATED PEPTIDE ANTIBODY; EVIDENCE-BASED GUIDELINES; ANTINUCLEAR ANTIBODIES; IMMUNOLOGICAL TESTS; RHEUMATIC-DISEASES; ARTHRITIS; AUTOANTIBODIES; ANTIGENS; UTILITY; ASSAYS;
D O I：
10.1016/j.pop.2018.02.002
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Rheumatologic laboratory tests are frequently ordered by primary care physicians in patients who complain of joint pain. Clinicians should keep in mind the pretest probability of a rheumatologic disorder before ordering any test because laboratory tests in rheumatology are not diagnostic of any particular disease. Any rheumatologic laboratory test result should be used only to further refine the diagnosis, and it should not replace a thorough history and physical examination. In this article, the authors discuss the diagnostic utility of the commonly ordered rheumatologic laboratory tests based on their sensitivity, specificity, and likelihood ratios.
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页码：181 / +
页数：12
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