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Table 3 Interpretation, posttest disease probability estimates and management after receiving abnormal laboratory results.

From: Pretest expectations strongly influence interpretation of abnormal laboratory results and further management

 

Test interpretation

Posttest probability

Management

 

= normal

= no disease

= no action

Reason for ordering lab tests

   

   reassure patient

75 (65.8%)*

90 (76.9%)*

85 (75.2%)*

   exclude disease

220 (50.9%)

224 (51.1%)

214 (49.4%)

   confirm diagnosis

41 (27.7%)

34 (23.0%)

43 (28.9%)

Pretest probability estimate

   

   definitely no disease

37 (66.1%)*

48 (84.2%)*

42 (76.4%)*

   probably no disease

139 (67.1%)

150 (71.8%)

137 (66.8%)

   maybe

95 (45.2%)

101 (47.6%)

91 (43.1%)

   probably disease

55 (31.4%)

43 (24.0%)

58 (32.8%)

   definitely disease

9 (19.6%)

6 (13.0%)

14 (29.8%)

  1. *Chi-square test, p < 0.001