Systematic review of the effects of care provided with and without diagnostic clinical prediction rules.

ABSTRACT:

Background

Diagnostic clinical prediction rules (CPRs) are worthwhile if they improve patient outcomes or provide benefits such as reduced resource use, without harming patients. We conducted a systematic review to assess the effects of diagnostic CPRs on patient and process of care outcomes.

Methods

We searched electronic databases and a trial registry and performed citation and reference checks, for randomised trials comparing a diagnostic strategy with and without a CPR. Included studies were assessed for risk of bias and similar studies meta-analysed.

Results

Twenty-seven studies evaluating diagnostic CPRs for 14 conditions were included. A clinical management decision was the primary outcome in the majority of studies. Most studies were judged to be at high or un

SUBMITTER: Sanders SL 

PROVIDER: S-EPMC6460683 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature