Details:

Alternative Title:
Emerg Infect Dis
Publisher's site:
http://dx.doi.org/10.3201/eid1001.030243
Personal Author:
Bravata, Dena M. ; Sundaram, Vandana ; McDonald, Kathryn M. ; Smith, Wendy M. ; Szeto, Herbert ; ... More +
Bravata, Dena M. ; Sundaram, Vandana ; McDonald, Kathryn M. ; Smith, Wendy M. ; Szeto, Herbert ; Schleinitz, Mark D. ; Owens, Douglas K. Less -
Description:
We evaluated the usefulness of detection systems and diagnostic decision support systems for bioterrorism response. We performed a systematic review by searching relevant databases (e.g., MEDLINE) and Web sites for reports of detection systems and diagnostic decision support systems that could be used during bioterrorism responses. We reviewed over 24,000 citations and identified 55 detection systems and 23 diagnostic decision support systems. Only 35 systems have been evaluated: 4 reported both sensitivity and specificity, 13 were compared to a reference standard, and 31 were evaluated for their timeliness. Most evaluations of detection systems and some evaluations of diagnostic systems for bioterrorism responses are critically deficient. Because false-positive and false-negative rates are unknown for most systems, decision making on the basis of these systems is seriously compromised. We describe a framework for the design of future evaluations of such systems.
Subjects:
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Bioterrorism Decision Support Techniques Detection Diagnosis Diagnostic Techniques And Procedures Expert Systems Humans Population Surveillance Public Health Research ROC Curve
Source:
Emerg Infect Dis. 10(1):100-108.
Document Type:
Journal Article
Funding:
290-97-0013/PHS HHS/United States
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:8bd339049d5ef3ed41351974bdcf7d580cccfc5604f8c61bbfdb5f4d47ad4604
Download URL:
https://stacks.cdc.gov/view/cdc/14311/cdc_14311_DS1.pdf
File Type:

Supporting Files

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