The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Ruling a diagnosis in or out with “SpPIn” and “SnNOut”: a note of caution
Open accessAbstract
Dr X is back from her annual leave.Dr Y, the locum doctor, reports on the patients he saw during her absence, including a 40 year old teacher who had sprained her right ankle.Returning from a conference, she had stumbled while walking down the stairs with a heavy bag.Examination revealed a moderately swollen lateral right ankle.The patient was able to walk but was clearly in pain.Her breath smelt of alcohol.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sensitivity and specificity provide limited information when making decisions about individual patients.
“However, sensitivity and specificity provide limited information when making decisions about individual patients11–13.”
From Diagnosis of Alzheimer's disease using plasma biomarkers adjusted to clinical probability (2024) · cites this paper as [13]
Citations
Cites
Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative
Bossuyt, P. M., Reitsma, J. B., Bruns, D. E., Gatsonis, C. A., Glasziou, P. P., Irwig, L. M., Lijmer, J. G., Moher, D., Rennie, D., & de Vet, H. C. W. (2003) · BMJ · doi:10.1136/bmj.326.7379.41 · Cited by 3,215
Flagged first, then by citations
Research works printed but not linked: 21
- 10.1016/S0196-0644(05)82656-3 · DOI
- Fagan, 1975, Nomogram for Bayes theorem., N Engl J Med, 293, 257, 10.1056/NEJM197507312930513 · DOI · Paper page
- 10.1016/S0889-8529(05)70233-4 · DOI
- 10.1136/bmj.326.7388.536 · DOI
- 10.1016/j.cccn.2003.12.015 · DOI
- 10.1016/S0196-0644(98)70093-9 · DOI
- Simel, 1988, Quantitating bedside diagnosis: clinical evaluation of ascites., J Gen Intern Med, 3, 423, 10.1007/BF02595917 · DOI
- 10.1001/archneur.1978.00500250041009 · DOI
- 10.1136/jnnp.66.2.184 · DOI · Paper page
- 10.2337/diacare.22.2.307 · DOI
- 10.1136/bmj.326.7386.417 · DOI
- 10.1212/WNL.34.7.939 · DOI · Paper page
- Guarino, 1994, Auscultatory percussion: a simple method to detect pleural effusion., J Gen Intern Med, 9, 71, 10.1007/BF02600204 · DOI
- 10.1016/0002-9343(87)90061-1 · DOI
- 10.1378/chest.97.4.776 · DOI
- 10.1093/qjmed/90.5.335 · DOI
- 10.1111/j.1530-0277.1995.tb01559.x · DOI
- 10.7326/0003-4819-140-3-200402030-00010 · DOI
- Centre for Evidence Based Medicine, University of Oxford. SpPins and SnNouts. www.cebm.net/sppins_snnouts.asp (accessed January 2003).
- 10.1001/jama.1992.03480190087038 · DOI
- 10.1136/bmj.326.7379.41/a · DOI
Cited by
Sorted by citations
STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration
Cohen, J. F., Korevaar, D. A., Altman, D. G., Bruns, D. E., Gatsonis, C. A., Hooft, L., Irwig, L., Levine, D., Reitsma, J. B., de Vet, H. C. W., et al. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012799 · Cited by 2,570
Diagnosis of Alzheimer's disease using plasma biomarkers adjusted to clinical probability
Therriault, J., Janelidze, S., Benedet, A. L., Ashton, N. J., Arranz Martínez, J., Gonzalez-Escalante, A., Bellaver, B., Alcolea, D., Vrillon, A., Karim, H., et al. (2024) · Nature Aging · doi:10.1038/s43587-024-00731-y · Cited by 131
“However, sensitivity and specificity provide limited information when making decisions about individual patients 11–13 .”
Hanif, S. N. M., Eldeen, H. S., Ahmad, S., & Mokaddas, E. (2011) · The International Journal of Tuberculosis and Lung Disease · doi:10.5588/ijtld.11.0394 · Cited by 29
Metadata
- Authors
- Pewsner, D., Battaglia, M., Minder, C., Marx, A., Bucher, H. C., & Egger, M.
- Affiliations
- University of Bern (CH)
- University Hospital of Basel (CH)
- University of Bristol (GB)
- Corresponding author
- Egger, Matthias
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2004-07-22
- Volume
- 329
- Issue
- 7459
- Pages
- 209-213
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC487735
- OpenAlex
- W1997194058
- Cited by
- 196
- References
- 1
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 15 · 2023: 16 · 2022: 15 · 2021: 9 · 2020: 15 · 2019: 6 · 2018: 7 · 2017: 7 · 2016: 5 · 2015: 8 · 2014: 12 · 2013: 5 · 2012: 9
- FWCI
- 6.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Keywords
- diagnostic accuracy, ankle sprain, lateral ankle sprain, diagnostic test interpretation
- MeSH terms
- Diagnosis, Evaluation Studies as Topic, Humans, Orthopedics, Probability, Sensitivity and Specificity, Bias, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review