Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-30T03:46:44.975Z Has data issue: false hasContentIssue false

How to appraise an article on diagnosis

Published online by Cambridge University Press:  02 January 2018

Hagen Rampes
Affiliation:
South Kensington and Chelsea Mental Health Centre, Chelsea and Westminster Hospital London
James P. Warner*
Affiliation:
University Department of Psychiatry, Royal Free Hospital School of Medicine, Rowland Hill Street London NW3 2QG
Robert Blizard
Affiliation:
University Department of Psychiatry, Royal Free Hospital School of Medicine, Rowland Hill Street London NW3 2QG
*
Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In our evidence-based journal club we appraised an article investigating the use of the CAGE questions in screening psychiatric populations for alcohol misuse. We calculated a likelihood ratio of four for a score of two or more positive CAGE questions, suggesting the CAGE is a moderately useful screening instrument.

Type
Evidence-based psychiatry
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Buchsbaum, D. G., Buchanan, R. G., Centor, R. M., et al (1991) Screening for alcohol abuse using CAGE scores and likelihood ratios. Annals of Internal Medicine, 115, 774777.Google Scholar
Bernadt, M. W., Mumford, J., Taylor, C., et al (1982) Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism. Lancet, i, 325328.Google Scholar
Bush, B., Shaw, S., Cleary, P., et al (1987) Screening for alcohol abuse using the CAGE questionnaire. American Journal of Medicine, 82, 231235.Google Scholar
Geddes, J. (1996) On the need for evidence-based psychiatry. Evidence-Based Medicine, 1, 199200.Google Scholar
Jaeschke, R., Guyatt, G. H. & Sackett, D. L. (1993) Users' guides to the medical literature, III. How to use an article about a diagnostic test A. Are the results of the study valid? Journal of the American Medical Association, 271, 389391.Google Scholar
Jaeschke, R., Guyatt, G. H. & Sackett, D. L. (1994) Users' guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? Journal of the American Medical Association, 271, 703707.Google Scholar
Mayfield, D., McLeod, G. & Hall, P. (1974) The CAGE questionnaire: validation of a new alcoholism screening instrument. American Journal of Psychiatry, 131, 11211123.Google Scholar
Moore, A., McQuay, H. & Muir Gray, J. A. (1997) Clinical scoring for alcohol abuse. Bandolier, 4, 56.Google Scholar
Murray, R. P. (1977) Screening and early detection instruments for disabilities related to alcohol consumption. In Alcohol-Related Disabilities (eds Edwards, G. et al). Geneva: World Health Organization.Google Scholar
Reich, T., Robins, L. N., Woodruff, R. A., et al (1975) Computer assisted derivation of a screening interview for alcoholism. Archives of General Psychiatry, 32, 847852.Google Scholar
Sackett, D. L., Haynes, R. B., Guyatt, G. H., et al (1991) The interpretation of diagnostic data. In Clinical Epidemiology: A Basic Science for Clinical Medicine (2nd edn). Boston, MA: Little Brown and Company.Google Scholar
Sackett, D. L., Richardson, W. S., Rosenberg, W., et al (1997) Evidence-Based Medicine: How to Practice and Teach EBM. New York: Churchill Livingstone.Google Scholar
Selzer, M. L. (1971) The Michigan Alcoholism Screening Test. American Journal of Psychiatry, 127, 16531658.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Endicott, J. (1978) Medical and mental disorder: proposed definition and criteria. In Critical Issues in Psychiatric Diasgnosis (eds Spitzer, R. L. & Klein, D. F.). New York: Raven Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.