{"id":264,"date":"2021-12-16T08:00:35","date_gmt":"2021-12-16T08:00:35","guid":{"rendered":"https:\/\/vinuni.edu.vn\/research\/?p=264"},"modified":"2022-09-05T08:40:00","modified_gmt":"2022-09-05T08:40:00","slug":"a-study-on-diagnosis-value-of-clinical-composite-tests-to-reduce-the-financial-burdens-for-patients-in-need","status":"publish","type":"post","link":"https:\/\/vinuni.edu.vn\/research\/a-study-on-diagnosis-value-of-clinical-composite-tests-to-reduce-the-financial-burdens-for-patients-in-need\/","title":{"rendered":"A Study on Diagnosis Value Of Clinical Composite Tests to Reduce the Financial Burdens for Patients in Need"},"content":{"rendered":"

Magnetic resonance imaging (MRI) has proven to be a highly reliable diagnostic technique for meniscal injuries. MRIs are expensive and can be cost prohibitive for many patients.\u00a0Now\u00a0\u00a0Dr.\u00a0Tran Trung Dung\u00a0of\u00a0VinUniversity\u00a0and his\u00a0colleagues at Viet Duc Hospital (Hanoi)\u00a0conducted a case series report\u00a0to prove that\u00a0that combining\u00a0separate\u00a0clinical tests into a single composite one can\u00a0have a\u00a0diagnostic value\u00a0that\u00a0is comparable\u00a0to MRI scans. This\u00a0could mean that\u00a0surgeons\u00a0could choose\u00a0between ordering\u00a0an\u00a0MRI scan or a composite test in meniscal tear diagnosis and surgery\u00a0procedures thereby\u00a0making a diagnostic technique affordable to those with budgetary\u00a0constraints..\u00a0<\/span>\u00a0<\/span><\/p>\n

\"\"<\/span><\/p>\n

Picture 1: Tear of meniscus\u00a0<\/span>(Source: Getty Image\/iStockphoto)<\/span><\/i>\u00a0<\/span><\/p>\n

Diagnosis plays a role in assisting surgeons in providing suitable and prompt treatment options for meniscal tears in knee injuries and knee surgery procedures. Consequently, a combination of clinical examinations and MRI scans have been frequently used to detect torn meniscus with different levels of reliability.\u00a0Studies have shown that\u00a0separate clinical tests\u00a0are typically unreliable and show a lot of variability, therefore have\u00a0have\u00a0limited diagnosis value.\u00a0Therefore, MRI\u00a0scans, with an accuracy rate of more than 85%,\u00a0have\u00a0come to be widely regarded as the major approach for identifying meniscus\u00a0tears,\u00a0 according\u00a0to numerous\u00a0researchers (J.C Nguyen et al, 2014 & R. Crawford et al, 2007).\u00a0However, P.\u00a0Antinolfi\u00a0et al. demonstrated in 2017 that doing a \u201ccomposite test\u201d (combining at least two tests) can considerably improve the sensitivity and specificity compared to each clinical test alone, potentially\u00a0competing with\u00a0the MRI\u2019s\u00a0current\u00a0role.\u00a0<\/span>\u00a0<\/span><\/p>\n

The team at\u00a0VinUniversity\u00a0and\u00a0Viet Duc\u00a0University Hospital (Hanoi)\u00a0put this theory to the test.\u00a0From April\u00a02017 to June 2018\u00a0at\u00a0,\u00a0Dr. Dung and his colleagues conducted a case series with 50 patients\u00a0diagnosed with an ACL injury\u00a0who potentially suffered from meniscal tears.\u00a0<\/span>\u00a0<\/span><\/p>\n

For each patient, the\u00a0clinical\u00a0team examined their\u00a0meniscal injury with four clinical tests both individually and in combination,\u00a0in addition to conducting\u00a0the MRI\u00a0scans alone.\u00a0As expected,\u00a0doctors\u00a0found\u00a0that the\u00a0MRI results outperformed all the\u00a0individual\u00a0tests in terms of sensitivity, specificity, and accuracy.\u00a0However, they found\u00a0no statistically\u00a0significant difference between MRI and the composite test.\u00a0As such, this result potentially helps\u00a0surgeons\u00a0to\u00a0decide on performing MRI scans or a composite test to release financial burdens for patients.\u00a0<\/span>\u00a0<\/span><\/p>\n

\"\"<\/span><\/p>\n

\"\"<\/span><\/p>\n

Picture 2&3: Test Results of individual test, composite test and MRI scans in Dr. Dung\u2019s series case report<\/span>\u00a0<\/span><\/p>\n

(Source:\u00a0International Journal of Surgery Case Report\u00a088 (2021) 106492)<\/span><\/i>\u00a0<\/span><\/p>\n

Dr. Dung said: \u201cTo obtain more\u00a0thorough results, we plan to perform such individual and in-combination tests ion\u00a0a larger scale\u00a0with more\u00a0patients who are at risk of meniscal tear.\u00a0Although MRI image is still a standard for diagnosis, this research\u00a0gives us hope that combining traditional clinical tests\u00a0can be a\u00a0reliable\u00a0diagnosis\u00a0tool\u00a0before\u00a0resorting\u00a0to\u00a0more expensive techniques.\u201d\u00a0<\/span>\u00a0<\/span><\/p>\n

It is believed that\u00a0if further research\u00a0involving a\u00a0larger\u00a0number of patients\u00a0yields\u00a0a\u00a0similar\u00a0outcome,\u00a0accurate diagnosis of injuries can be made more readily accessible to all\u00a0patients and\u00a0will help to improve the treatment and medical outcomes for a larger population.\u00a0<\/span>\u00a0<\/span><\/p>\n

You can read the whole\u00a0study\u00a0at this\u00a0<\/span>LINK.<\/span><\/a>\u00a0<\/span><\/p>\n

 <\/p>\n

By Nguyen Minh Phuong<\/p>\n

\u00a0__________________________<\/span><\/p>\n

References:<\/span><\/b>\u00a0<\/span><\/p>\n

    \n
  1. J.C Nguyen, A.A. De Smet,\u00a0B.K.Graf,\u00a0H.G.Rosas\u00a0(2014), MR Imaging-based diagnosis and classification of meniscal tears,\u00a0<\/span>RadioGraphics<\/span><\/i>,\u00a0<\/span>34 (4),<\/span><\/i>\u00a0981-999.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
      \n
    1. R.Crawford, G. Walley, S. Bridgman, N.\u00a0Maffulli\u00a0(2007), Magenic\u00a0resonance imaging versus\u00a0arthoscopy\u00a0in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review,\u00a0<\/span>Br. Med. Bull.<\/span><\/i>\u00a084 (1),\u00a05-23.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      Magnetic resonance imaging (MRI) has proven to be a highly reliable diagnostic technique for meniscal injuries. MRIs are expensive and can be cost prohibitive for many patients.\u00a0Now\u00a0\u00a0Dr.\u00a0Tran Trung Dung\u00a0of\u00a0VinUniversity\u00a0and his\u00a0colleagues at Viet Duc Hospital (Hanoi)\u00a0conducted a case series report\u00a0to prove that\u00a0that combining\u00a0separate\u00a0clinical tests into a single composite one can\u00a0have a\u00a0diagnostic value\u00a0that\u00a0is comparable\u00a0to MRI scans. This\u00a0could […]<\/p>\n","protected":false},"author":2,"featured_media":265,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[38],"acf":[],"yoast_head":"\nA Study on Diagnosis Value Of Clinical Composite Tests to Reduce the Financial Burdens for Patients in Need - Vinuni Research Website<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vinuni.edu.vn\/research\/a-study-on-diagnosis-value-of-clinical-composite-tests-to-reduce-the-financial-burdens-for-patients-in-need\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Study on Diagnosis Value Of Clinical Composite Tests to Reduce the Financial Burdens for Patients in Need - Vinuni Research Website\" \/>\n<meta property=\"og:description\" content=\"Magnetic resonance imaging (MRI) has proven to be a highly reliable diagnostic technique for meniscal injuries. MRIs are expensive and can be cost prohibitive for many patients.\u00a0Now\u00a0\u00a0Dr.\u00a0Tran Trung Dung\u00a0of\u00a0VinUniversity\u00a0and his\u00a0colleagues at Viet Duc Hospital (Hanoi)\u00a0conducted a case series report\u00a0to prove that\u00a0that combining\u00a0separate\u00a0clinical tests into a single composite one can\u00a0have a\u00a0diagnostic value\u00a0that\u00a0is comparable\u00a0to MRI scans. 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