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Richtlijn Diagnostiek en behandeling Acute Diverticulitis van het Colon

Richtlijn Diagnostiek en behandeling Acute Diverticulitis van het Colon

Richtlijn Diagnostiek en behandeling Acute Diverticulitis van het Colon

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Refer<strong>en</strong>tie<br />

Mate<br />

Studie type n Patiënt<strong>en</strong><br />

Inclusie criteria<br />

Diagnostische<br />

Controle (refer<strong>en</strong>tietest/<br />

Uitkomst<br />

Resultat<strong>en</strong><br />

Overige<br />

<strong>van</strong><br />

bewijs<br />

k<strong>en</strong>merk<strong>en</strong><br />

test (Indextest)<br />

goud<strong>en</strong> standaard)<br />

mat<strong>en</strong><br />

opmerking<strong>en</strong><br />

6) Tack 2005<br />

- prospectief vergelijk<strong>en</strong>de studie (twee<br />

verschill<strong>en</strong>de CT regimes) in <strong>het</strong> diagnosticer<strong>en</strong> <strong>van</strong><br />

diverticulitis, n=110<br />

- refer<strong>en</strong>tietest operatie <strong>en</strong> histologie n=19,<br />

colonoscopie <strong>en</strong> histologie n=55, verhoogd CRP<br />

n=89<br />

- definitieve diagnose diverticulitis n=29, 34%<br />

- CT: S<strong>en</strong>s: (36/39) 0.92, Spec: (70/71) 0.99<br />

TP: 36, FP:1, TN:70, FN: 3, NPV: (70/73) 0.96,<br />

PPV: (36/37) 0.97<br />

US vs CT<br />

1) Pradel 1990<br />

- prospectief vergelijk<strong>en</strong>de studie, n= 64<br />

- refer<strong>en</strong>tietest operatie <strong>en</strong> histologie n= 18, klinisch<br />

beeld <strong>en</strong>/of colonoscopie <strong>en</strong>/of coloninloop n=15<br />

- definitieve diagnose diverticulitis n=33, 52%<br />

- US: S<strong>en</strong>s: (28/33) 0.85, Spec: (26/31) 0.84, TP: 28,<br />

FP: 5, TN: 26, FN: 5, NPV: (26/31) 0.84, PPV:<br />

(28/33) 0.85<br />

- CT: S<strong>en</strong>s: (30/33) 0.91, Spec: (21/31) 0.77<br />

TP: 30, FP:7, TN: 24, FN: 3, NPV: (24/27) 0.88<br />

PPV: (30/37) 0.81

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