Evidence map›Paper›PMID 30730311›Full record

ReviewCurrent opinion in pulmonary medicine2019

Computed tomography scan contribution to the diagnosis of community-acquired pneumonia.

Nicolas Garin, Christophe Marti, Max Scheffler, Jérôme Stirnemann, Virginie Prendki

Abstract readReview
In one paragraph

Review in Current opinion in pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Can clinicians identify community-acquired pneumonia on ultralow-dose CT? A diagnostic accuracy study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Developing a diagnosis calculator to estimate the probability of bacterial pneumonia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nicolas GarinDepartment of Internal Medicine, Rehabilitation and Geriatrics, Internal Medicine Unit, Geneva University Hospitals and University of Geneva.
Christophe MartiDepartment of Internal Medicine, Rehabilitation and Geriatrics, Internal Medicine Unit, Geneva University Hospitals and University of Geneva.
Max SchefflerDepartment of Radiology, Geneva University Hospitals.
Jérôme StirnemannDepartment of Internal Medicine, Rehabilitation and Geriatrics, Internal Medicine Unit, Geneva University Hospitals and University of Geneva.
Virginie PrendkiDepartment of Internal Medicine, Rehabilitation and Geriatrics, Internal Medicine and Rehabilitation Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewPneumonia is a frequent disease mainly affecting older and multimorbid patients. Symptoms and signs lack sensitivity and specificity, and chest X-ray has poor accuracy. Hence, an initial diagnosis of pneumonia has limited predictive value for the presence of pneumonia. Overdiagnosis of pneumonia leads to inappropriate antibiotic use and may delay the appropriate management of mimicking diseases. Alternative imaging strategies including computed tomography (CT)-scan or lung ultrasonography may improve the diagnosis of pneumonia. We review the recent evidence and perspectives regarding their contribution to the diagnosis and management of patients with suspected pneumonia. RECENT

findingsTwo studies assessed the diagnostic accuracy of CT-scan in emergency department or hospitalized patients suspected of pneumonia. CT-scan led to a net reclassification improvement of 8 and 18% of patients, and was particularly helpful to rule out the diagnosis, allowing a lowering of the number of inappropriate antibiotic prescriptions. SUMMARY: CT-scan reduces overdiagnosis of pneumonia and allows a better identification of alternative diagnoses. The impact on clinical outcomes of a strategy incorporating CT-scan for patients suspected of pneumonia should be evaluated, along with its cost-effectiveness.

Indexed as

Tomography, X-Ray ComputedAnti-Bacterial AgentsCommunity-Acquired InfectionsHumansInappropriate PrescribingMedical OverusePneumoniaAnti-Bacterial Agents

Identifiers

PMID30730311
PMCPMC6455090

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.