Clinical agreement in pulmonary nontuberculous mycobacterial disease

Nolan, Peter J. (2013) Clinical agreement in pulmonary nontuberculous mycobacterial disease. Clinical Audit, 2013 5: 95-98. doi:10.2147/CA.S49476

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Author Nolan, Peter J.
Title Clinical agreement in pulmonary nontuberculous mycobacterial disease
Journal name Clinical Audit   Check publisher's open access policy
ISSN 1179-2760
Publication date 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.2147/CA.S49476
Open Access Status DOI
Volume 2013
Issue 5
Start page 95
End page 98
Total pages 4
Place of publication Macclesfield, United Kingdom
Publisher Dove Medical Press
Collection year 2014
Language eng
Formatted abstract
Purpose: To consider the clinical agreement among respiratory and infectious disease physicians, working in a tertiary chest diseases center serving a population with a low incidence of pulmonary tuberculosis (<3/100,000/year), in the assessment of cases of pulmonary nontuberculous mycobacterial (NTM) lung disease.

Method: A series of previously notified cases of NTM disease was abstracted and anonymously presented to a cohort of seven respiratory and infectious disease physicians. Their individual decisions to notify, treat, and follow the cases was evaluated and compared using the intraclass correlation coefficient.

Results: A wide range was demonstrated in the diagnostic and management decision triage of each case by the physicians participating in the study. Clinical agreement on the likelihood of disease was limited, with an intraclass correlation coefficient of 0.394. Indication to notify the case to the state registry was linked to the clinical intent to initiate a treatment program.

Conclusion: There appears to be limited agreement on the clinical significance of NTM isolates from pulmonary specimens among this cohort of experienced clinicians. If this trend is generalizable to a wider population of respiratory and infectious disease physicians, the number of notified and treated cases of disease is likely to be an underestimate of the true burden of disease in the general population.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Medicine Publications
 
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Created: Tue, 29 Apr 2014, 10:57:16 EST by Anthony Yeates on behalf of Rural Clinical School