From: Diagnostic indicators of non-cardiovascular chest pain: a systematic review and meta-analysis
Criteria | Evaluated test | Reference standard | TP | FP | FN | TN | Sensitivity | Specificity | PPV | NPV | LR+ | LR- | Prevalence | Post-test + prevalence | Post-test - prevalence |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | |||||||||||||||
Kim et al. [24] | NCCP with atypical GERD symptoms | Endoscopy (LA classification) and/or 24Â h pH-metry (>4%, pH <4 | 3 | 20 | 5 | 6 | 0.38 | 0.23 | 0.13 | 0.55 | 0.49 | 2.71 | 24 | 13 | 45 |
Kim et al. [24] | NCCP with typical GERD symptoms | Endoscopy (LA classification) and/or 24Â h pH-metry (>4%, pH <4 | 11 | 2 | 5 | 6 | 0.69 | 0.75 | 0.85 | 0.55 | 2.75 | 0.42 | 67 | 85 | 45 |
Mousavi et al. [27] | NCCP with typical GERD symptoms | GERD if two tests positive: endoscopy (Hentzel-Dent), Bernstein test, omeprazole trial | 11 | 5 | 24 | 38 | 0.31 | 0.88 | 0.69 | 0.61 | 2.70 | 0.78 | 45 | 69 | 39 |
Mousavi et al. [27] | NCCP relieved by antacid | GERD if two tests positive: endoscopy (Hentzel-Dent), Bernstein test, omeprazole trial | 15 | 36 | 20 | 7 | 0.43 | 0.16 | 0.68 | 0.64 | 0.51 | 3.51 | 45 | 29 | 74 |
Mousavi et al. [27] | NCCP and heartburn in history | GERD if two tests positive: endoscopy (Hentzel-Dent), Bernstein test, omeprazole trial | 14 | 8 | 21 | 35 | 0.40 | 0.81 | 0.64 | 0.63 | 2.15 | 0.74 | 45 | 64 | 38 |
Mousavi et al. [27] | NCCP and regurgitation in history | GERD if two tests positive: endoscopy (Hentzel-Dent), Bernstein test, omeprazole trial | 17 | 7 | 18 | 36 | 0.49 | 0.84 | 0.71 | 0.67 | 2.98 | 0.61 | 45 | 71 | 33 |
Hong et al. [25] | NCCP | Manometry (Specler 2001 criteria) and/or 24Â h pH-metry (>4% pH <4) | 72 | 114 | 128 | 148 | 0.36 | 0.56 | 0.39 | 0.54 | 0.83 | 1.13 | 43 | 39 | 46 |
Hong et al. [25] | Control: dysphagia | Manometry (Specler 2001 criteria) and/or 24Â h pH-metry (>4% pH <4) | 27 | 26 | 181 | 228 | 0.13 | 0.90 | 0.51 | 0.56 | 1.27 | 0.97 | 45 | 51 | 44 |
Hong et al. [25] | Control: GERD-typical symptoms | Manometry (Specler 2001 criteria) and/or 24Â h pH-metry (>4% pH <4) | 53 | 53 | 151 | 205 | 0.26 | 0.79 | 0.50 | 0.58 | 1.26 | 0.93 | 44 | 50 | 42 |
Hong et al. [25] | Dysphagia | Manometry | 16 | 37 | 84 | 325 | 0.16 | 0.90 | 0.30 | 0.80 | 1.57 | 0.94 | 22 | 30 | 21 |
Hong et al. [25] | Dysphagia | 24Â h pH-metry | 4 | 49 | 63 | 346 | 0.06 | 0.88 | 0.08 | 0.85 | 0.48 | 1.07 | 15 | 8 | 15 |
Hong et al. [25] | Dysphagia | Manometry and 24Â h pH-metry | 7 | 46 | 23 | 386 | 0.23 | 0.89 | 0.13 | 0.94 | 2.19 | 0.86 | 7 | 13 | 6 |
Hong et al. [25] | NCCP | Manometry | 34 | 152 | 63 | 213 | 0.35 | 0.58 | 0.18 | 0.77 | 0.84 | 1.11 | 21 | 18 | 23 |
Hong et al. [25] | NCCP | 24Â h pH-metry | 29 | 157 | 43 | 233 | 0.40 | 0.60 | 0.16 | 0.60 | 1.00 | 1.00 | 16 | 16 | 16 |
Hong et al. [25] | NCCP | Manometry and 24Â h pH-metry | 9 | 177 | 22 | 254 | 0.29 | 0.59 | 0.05 | 0.92 | 0.71 | 1.20 | 7 | 5 | 8 |
Hong et al. [25] | GERD-typical symptoms | Manometry | 19 | 87 | 81 | 275 | 0.19 | 0.76 | 0.18 | 0.77 | 0.79 | 1.07 | 22 | 18 | 23 |
Hong et al. [25] | GERD-typical symptoms | 24Â h pH-metry | 23 | 83 | 49 | 307 | 0.32 | 0.79 | 0.22 | 0.86 | 1.50 | 0.86 | 16 | 22 | 14 |
Hong et al. [25] | GERD-typical symptoms | Manometry and 24Â h pH-metry | 11 | 95 | 20 | 336 | 0.35 | 0.78 | 0.10 | 0.94 | 1.61 | 0.83 | 7 | 10 | 6 |
Netzer et al. [26] | NCCP | Manometry and/or 24Â h pH-metry (>10.5% pH <4) | 31 | 14 | 223 | 35 | 0.12 | 0.71 | 0.69 | 0.14 | 0.43 | 1.23 | 84 | 69 | 86 |
Netzer et al. [26] | Control: GERD-typical symptoms | Manometry and/or 24Â h pH-metry (>10.5% pH <4) | 127 | 16 | 127 | 33 | 0.50 | 0.67 | 0.89 | 0.21 | 1.53 | 0.74 | 84 | 89 | 79 |
Netzer et al. [26] | Control: dysphagia | Manometry and/or 24Â h pH-metry (>10.5% pH <4) | 48 | 8 | 206 | 41 | 0.19 | 0.84 | 0.86 | 0.17 | 1.16 | 0.97 | 84 | 86 | 83 |
Netzer et al. [26] | GERD-typical symptoms | 24Â h pH-metry | 115 | 28 | 49 | 111 | 0.70 | 0.80 | 0.80 | 0.69 | 3.48 | 0.37 | 54 | 80 | 31 |
Netzer et al. [26] | Dysphagia | 24Â h pH-metry | 6 | 50 | 158 | 89 | 0.04 | 0.64 | 0.11 | 0.36 | 0.10 | 1.50 | 54 | 11 | 64 |
Netzer et al. [26] | NCCP | 24Â h pH-metry | 24 | 21 | 140 | 118 | 0.15 | 0.85 | 0.53 | 0.46 | 0.97 | 1.01 | 54 | 53 | 54 |
PPI trial | |||||||||||||||
Dickman et al. [31] | Rabeprazole 20 mg twice a day for 1 week SIS ≥50% | Endoscopy (Hentzel-Dent grades) and/or 24 h pH-metry (>4.2% pH <4) | 12 | 2 | 4 | 17 | 0.75 | 0.89 | 0.86 | 0.81 | 7.13 | 0.28 | 46 | 86 | 19 |
Dickman et al. [31] | Placebo for 1Â week | Endoscopy (Hentzel-Dent grades) and/or 24Â h pH-metry (>4.2% pH <4) | 3 | 4 | 13 | 15 | 0.19 | 0.79 | 0.43 | 0.54 | 0.89 | 1.03 | 46 | 43 | 46 |
Bautista et al. [32] | Lansoprazole 60 mg AM, 30 mg PM for 1 week SIS ≥50% | Endoscopy (Hentzel-Dent grades) and/or 24 h pH-metry (>4.2% pH <4) | 14 | 2 | 4 | 20 | 0.78 | 0.91 | 0.875 | 0.833 | 8.56 | 0.24 | 45 | 88 | 17 |
Bautista et al. [32] | Lansoprazole 60 mg AM, 30 mg PM for 1 week SIS ≥65% | Endoscopy (Hentzel-Dent grades) and/or 24 h pH-metry (>4.2% pH <4) | 15 | 1 | 3 | 21 | 0.83 | 0.95 | 0.93 | 0.88 | 18.33 | 0.17 | 45 | 94 | 13 |
Bautista et al. [32] | Placebo for 1Â week | Endoscopy (Hentzel-Dent grades) and/or 24Â h pH-metry (>4.2% pH <4) | 4 | 8 | 14 | 14 | 0.22 | 0.64 | 0.33 | 0.50 | 0.61 | 1.22 | 45 | 33 | 50 |
Fass et al. [33] | Omeprazole 40 mg AM, 20 mg PM for 1 week SIS ≥50% | Endoscopy (Hentzel-Dent grades) and/or 24 h pH-metry (>4.2% pH <4) | 18 | 2 | 5 | 12 | 0.78 | 0.86 | 0.90 | 0.71 | 5.48 | 0.25 | 62 | 90 | 29 |
Fass et al. [33] | Placebo for 1Â week | Endoscopy (Hentzel-Dent grades) and/or 24Â h pH-metry (>4.2% pH <4) | 5 | 1 | 18 | 13 | 0.22 | 0.93 | 0.83 | 0.42 | 3.04 | 0.84 | 62 | 83 | 58 |
Pandak et al. [34] | Omeprazole 40 mg twice a day for 2 weeks SIS ≥50% | Endoscopy and/or 24 h pH-metry (>4.2% pH <4) | 18 | 6 | 2 | 12 | 0.90 | 0.67 | 0.75 | 0.86 | 2.70 | 0.15 | 53 | 75 | 14 |
Pandak et al. [34] | Placebo for 2 weeks SIS ≥50% | Endoscopy and/or 24 h pH-metry (>4.2% pH <4) | 1 | 3 | 19 | 15 | 0.05 | 0.83 | 0.25 | 0.44 | 0.30 | 1.14 | 53 | 25 | 56 |
Kim et al. [35] | NCCP GERD-related (TP) vs NCCP non-GERD-related (TN): rabeprazole for 1 week SIS ≥50% | Endoscopy (LA classification) and/or 24 h pH-metry (>4.0 pH <4) | 8 | 6 | 8 | 20 | 0.50 | 0.77 | 0.57 | 0.71 | 2.17 | 0.65 | 38 | 57 | 29 |
Kim et al. [35] | NCCP GERD-related (TP) vs NCCP non-GERD-related (TN): rabeprazole for 2 weeks SIS ≥50% | Endoscopy (LA classification) and/or 24 h pH-metry (>4.0 pH <4) | 13 | 7 | 3 | 19 | 0.81 | 0.73 | 0.65 | 0.86 | 3.02 | 0.26 | 38 | 65 | 14 |
Xia et al. [36] | Lansoprazole 30 mg once a day for 4 weeks SIS ≥50% | 24 h pH-metry (De Meester pH <4, 7.5 s) | 11 | 8 | 1 | 16 | 0.92 | 0.67 | 0.58 | 0.94 | 2.75 | 0.13 | 33 | 58 | 6 |
Xia et al. [36] | Placebo for 4 weeks SIS ≥50% | 24 h pH-metry (De Meester pH <4, 7.5 s) | 4 | 7 | 8 | 13 | 0.33 | 0.65 | 0.36 | 0.62 | 0.95 | 1.03 | 38 | 36 | 38 |
Kushnir et al. [37] | High-degree response on PPI (not specified) | 24 pH-metry (≥4%, pH <4) | 40 | 18 | 12 | 28 | 0.77 | 0.61 | 0.69 | 0.70 | 1.97 | 0.38 | 53 | 69 | 30 |
Kushnir et al. [37] | High-degree response on PPI | Positive Ghillibert probability estimate (GPE) | 21 | 37 | 5 | 35 | 0.81 | 0.49 | 0.36 | 0.88 | 1.57 | 0.40 | 27 | 36 | 12 |
Kushnir et al. [37] | High-degree response on PPI | Association of chest pain with pH <4 in reference standard: SI ≥50% | 19 | 39 | 6 | 34 | 0.76 | 0.47 | 0.33 | 0.85 | 1.42 | 0.52 | 26 | 33 | 15 |
Kushnir et al. [37] | High-degree response on PPI | 24Â h pH-metry and positive GPE | 15 | 43 | 2 | 38 | 0.88 | 0.47 | 0.26 | 0.95 | 1.66 | 0.25 | 17 | 26 | 5 |
Kushnir et al. [37] | High-degree response on PPI | 24 h pH-metry and SI ≥50% | 16 | 42 | 2 | 38 | 0.89 | 0.48 | 0.28 | 0.95 | 1.69 | 0.23 | 18 | 28 | 5 |
Kushnir et al. [37] | High-degree response on PPI | 24 h pH-metry and SI ≥50% and positive GPE | 14 | 44 | 1 | 39 | 0.93 | 0.47 | 0.24 | 0.98 | 1.76 | 0.14 | 15 | 24 | 2 |
Symptom index | |||||||||||||||
Singh et al. [28] | Association of chest pain with pH <4 in reference standard: SI ≥50% | Endoscopy and/or 24 h pH-metry (De Meester >5.5% pH <4) | 19 | 38 | 15 | 81 | 0.56 | 0.68 | 0.33 | 0.84 | 1.75 | 0.65 | 22 | 33 | 16 |
Singh et al. [28] | Association of chest pain with pH <4 in reference standard: SI ≥25% | Endoscopy and/or 24 h pH-metry (De Meester >5.5% pH <4) | 23 | 59 | 11 | 60 | 0.68 | 0.50 | 0.28 | 0.85 | 1.36 | 0.64 | 22 | 28 | 15 |
Singh et al. [28] | Association of chest pain with pH <4 in reference standard: SI ≥75% | Endoscopy and/or 24 h pH-metry (De Meester >5.5% pH <4) | 8 | 5 | 26 | 114 | 0.24 | 0.96 | 0.62 | 0.81 | 5.60 | 0.80 | 22 | 62 | 19 |
Singh et al. [28] | Association of heartburn with pH <4 in reference standard: Symptom Index (SI) ≥50% | Endoscopy and/or 24 h pH-metry (De Meester >5.5% pH <4) | 40 | 32 | 3 | 78 | 0.93 | 0.71 | 0.56 | 0.96 | 3.20 | 0.10 | 28 | 56 | 4 |
Singh et al. [28] | Association of heartburn with pH <4 in reference standard: SI ≥25% | Endoscopy and/or 24 h pH-metry (De Meester >5.5% pH <4) | 41 | 40 | 2 | 70 | 0.95 | 0.64 | 0.51 | 0.97 | 2.62 | 0.07 | 28 | 51 | 3 |
Singh et al. [28] | Association of heartburn with pH <4 in reference standard: SI ≥75% | Endoscopy and/or 24 h pH-metry (De Meester >5.5% pH <4) | 25 | 25 | 9 | 94 | 0.74 | 0.79 | 0.50 | 0.91 | 3.50 | 0.34 | 28 | 58 | 12 |
Ho et al. [29] | Association of chest pain with pH <4 in reference standard: SI >50% | 24Â h pH-metry (>4% pH <4, 4Â s) | 3 | 9 | 11 | 38 | 0.21 | 0.81 | 0.25 | 0.78 | 1.12 | 0.97 | 23 | 25 | 22 |
Lam et al. [30] | Association of chest pain with pH <4 in reference standard: SI ≥75% | 24 h pH-metry (execution in acute stage) | 13 | 0 | 15 | 13 | 0.46 | 1.00 | 1.00 | 0.48 | 13.03 | 0.54 | 68 | 97 | 54 |
Others | |||||||||||||||
Lacima et al. [38] | 24Â h-manometry (pH <4) | Manometry during hospital stay | 18 | 24 | 18 | 30 | 0.50 | 0.56 | 0.43 | 0.56 | 1.13 | 0.90 | 40 | 43 | 38 |
Provocation test | |||||||||||||||
Cooke et al. [39] | NCCP during exertional pH-metry | 24Â h pH-metry (5.5% pH <4 for 10Â s) | 4 | 0 | 15 | 31 | 0.21 | 1.00 | 1.00 | 0.67 | 14.40 | 0.79 | 38 | 90 | 33 |
Cooke et al. [39] | Control group: CVD with angina: exertional pH-metry | 24Â h pH-metry (5.5% pH <4 for 10Â s) | 1 | 1 | 2 | 12 | 0.33 | 0.92 | 0.50 | 0.86 | 4.33 | 0.72 | 19 | 50 | 14 |
Bovero et al. [40] | NCCP with normal ECG during exertional pH-metry | 24Â h pH-metry (De Meester criteria: >4.5% pH <4)) | 17 | 1 | 29 | 20 | 0.37 | 0.95 | 0.94 | 0.41 | 7.76 | 0.66 | 69 | 94 | 59 |
Bovero et al. [40] | NCCP at rest: NCCP with normal ECG during exertional pH-metry | 24Â h pH-metry (De Meester criteria: >4.5% pH <4)) | 11 | 1 | 23 | 11 | 0.32 | 0.92 | 0.92 | 0.32 | 3.88 | 0.74 | 74 | 92 | 68 |
Bovero et al. [40] | NCCP exertion/mixed: NCCP with normal ECG during exertional pH-metry | 24Â h pH-metry (De Meester criteria: >4.5% pH <4)) | 6 | 0 | 6 | 9 | 0.50 | 1.00 | 1.00 | 0.60 | 10.00 | 0.50 | 57 | 93 | 40 |
Bovero et al. [40] | 24Â h pH-metry (De Meester criteria: >4.5% pH <4)) | NCCP with normal ECG during exertional pH-metry | 17 | 29 | 1 | 20 | 0.94 | 0.41 | 0.37 | 0.95 | 1.60 | 0.14 | 27 | 37 | 5 |
Bovero et al. [40] | 24Â h pH-metry (De Meester criteria: >4.5% pH <4)) | NCCP at rest: NCCP with normal ECG during exertional pH-metry | 11 | 23 | 1 | 11 | 0.92 | 0.32 | 0.32 | 0.92 | 1.36 | 0.26 | 26 | 32 | 8 |
Romand et al. [41] | NCCP: pH <4 for 10Â s during exertional pH-metry | 24Â h pH-metry (De Meester criteria: >4.5% pH <4)) | 7 | 14 | 3 | 19 | 0.70 | 0.58 | 0.33 | 0.86 | 1.65 | 0.52 | 23 | 33 | 14 |
Abrahao et al. [42] | NCCP reproducible during balloon distension | Endoscopy (Savary-Miller) and/or manometry and/or pH-metry (De Meester criteria: >4.5% pH <4 | 14 | 1 | 21 | 4 | 0.40 | 0.80 | 0.93 | 0.16 | 2.00 | 0.75 | 88 | 93 | 84 |
Abrahao et al. [42] | NCCP reproducible during Tensilon test | Endoscopy (Savary-Miller) and/or manometry and/or pH-metry (De Meester criteria: >4.5% pH <4 | 6 | 2 | 29 | 3 | 0.17 | 0.60 | 0.75 | 0.09 | 0.43 | 1.38 | 88 | 75 | 91 |
Abrahao et al. [42] | NCCP reproducible during Bernstein test | Endoscopy (Savary-Miller) and/or manometry and/or pH-metry (De Meester criteria: >4.5% pH <4 | 9 | 1 | 26 | 4 | 0.26 | 0.80 | 0.90 | 0.13 | 1.29 | 0.93 | 88 | 90 | 87 |
Abrahao et al. [42] | Tensilon and Bernstein Test and balloon distension (+ if 1 test +) | Endoscopy (Savary-Miller) and/or manometry and/or pH-metry (De Meester criteria: >4.5% pH <4 | 20 | 3 | 15 | 2 | 0.57 | 0.40 | 0.87 | 0.12 | 0.95 | 1.07 | 88 | 87 | 88 |
Abrahao et al. [42] | NCCP reproducible during Tensilon test | Endoscopy (Savary-Miller) and/or pH-metry (De Meester criteria: >4.5% pH <4 | 6 | 2 | 26 | 6 | 0.19 | 0.75 | 0.75 | 0.19 | 0.75 | 1.08 | 80 | 75 | 81 |
Abrahao et al. [42] | NCCP reproducible during Bernstein test | Endoscopy (Savary-Miller) and/or pH-metry (De Meester criteria: >4.5% pH <4 | 8 | 2 | 24 | 6 | 0.25 | 0.75 | 0.80 | 0.20 | 1.00 | 1.00 | 80 | 80 | 80 |
Abrahao et al. [42] | NCCP reproducible during balloon distension | Endoscopy (Savary-Miller) and/or pH-metry (De Meester criteria: >4.5% pH <4 | 13 | 2 | 19 | 6 | 0.41 | 0.75 | 0.87 | 0.24 | 1.63 | 0.79 | 80 | 87 | 76 |
Abrahao et al. [42] | Tensilon and Bernstein Test and balloon distension (+ if 1 test +) | Endoscopy (Savary-Miller) and/or pH-metry (De Meester criteria: >4.5% pH <4 | 18 | 5 | 14 | 3 | 0.56 | 0.38 | 0.78 | 0.18 | 0.90 | 1.17 | 80 | 78 | 82 |
Ho et al. [29] | NCCP reproducible during Bernstein test | Endoscopy | 4 | 7 | 3 | 56 | 0.57 | 0.89 | 0.36 | 0.95 | 5.14 | 0.48 | 10 | 36 | 5 |
Eosinophilia | |||||||||||||||
Achem et al. [43] | Current GERD symptoms | Esophageal biopsies | 10 | 26 | 14 | 121 | 0.42 | 0.82 | 0.28 | 0.90 | 2.36 | 0.71 | 14 | 28 | 10 |
Achem et al. [43] | Male gender or current GERD symptoms | Esophageal biopsies | 18 | 69 | 6 | 78 | 0.75 | 0.53 | 0.21 | 0.93 | 1.60 | 0.47 | 14 | 21 | 7 |
Achem et al. [43] | Male gender or any abnormal EoE endoscopic finding | Esophageal biopsies | 23 | 79 | 1 | 68 | 0.96 | 0.46 | 0.23 | 0.99 | 1.78 | 0.09 | 14 | 23 | 1 |
Achem et al. [43] | Current GERD symptoms or any abnormal EoE endoscopic finding | Esophageal biopsies | 20 | 63 | 4 | 84 | 0.83 | 0.57 | 0.24 | 0.96 | 1.94 | 0.29 | 14 | 24 | 5 |
Musculoskeletal | |||||||||||||||
Stochkendahl et al. [44] | Biomechanical dysfunction | Standardized examination protocol | 112 | 120 | 0 | 70 | 1.00 | 0.37 | 0.48 | 1.00 | 1.58 | 0.00 | 37 | 48 | 0 |
Stochkendahl et al. [44] | ≥3 of 5 overall palpation findings | Standardized examination protocol | 111 | 124 | 1 | 66 | 0.99 | 0.35 | 0.47 | 0.99 | 1.52 | 0.03 | 37 | 47 | 1 |
Bosner et al. [45] | Chest wall symptom (CWS) score: localized muscle tension, stinging pain, pain reproducible by palpation, absence of cough, cut-off test negative 0 to 1 points | Interdisciplinary consensus: cardiologist, GP, research associate (based on reviewed baseline, follow-up data) | 506 | 318 | 59 | 329 | 0.90 | 0.51 | 0.66 | 0.82 | 1.82 | 0.20 | 47 | 61 | 15 |
Bosner et al. [45] | CWS score: localized muscle tension, stinging pain, pain reproducible by palpation, absence of cough, cut-off test negative 0 to 2 points | Interdisciplinary consensus | 357 | 135 | 208 | 512 | 0.63 | 0.79 | 0.76 | 0.67 | 3.02 | 0.47 | 47 | 72 | 29 |
Stochkendahl et al. [44] | Anterior chest wall tenderness | Standardized examination protocol | 110 | 134 | 2 | 56 | 0.98 | 0.29 | 0.45 | 0.97 | 1.39 | 0.06 | 37 | 45 | 3 |
Stochkendahl et al. [44] | Angina pectoris (uncertain or negative) | Standardized examination protocol | 109 | 147 | 3 | 43 | 0.97 | 0.23 | 0.43 | 0.94 | 1.26 | 0.12 | 37 | 43 | 7 |
Stochkendahl et al. [44] | Pain worse on movement of torso | Standardized examination protocol | 32 | 16 | 80 | 174 | 0.29 | 0.92 | 0.67 | 0.69 | 3.39 | 0.78 | 37 | 67 | 32 |
Bosner et al. [45] | Pain worse with movement | Interdisciplinary consensus | 221 | 119 | 344 | 528 | 0.39 | 0.82 | 0.65 | 0.61 | 2.13 | 0.75 | 47 | 65 | 40 |
Stochkendahl et al. [44] | Positive/possible belief in pain origin from muscle/joints | Standardized examination protocol | 108 | 156 | 4 | 34 | 0.96 | 0.18 | 0.41 | 0.90 | 1.17 | 0.20 | 37 | 41 | 11 |
Stochkendahl et al. [44] | Pain relief on pain medication | Standardized examination protocol | 25 | 13 | 87 | 177 | 0.22 | 0.93 | 0.66 | 0.67 | 3.26 | 0.83 | 37 | 66 | 33 |
Bosner et al. [45] | Pain reproducible by palpation | Interdisciplinary consensus | 351 | 193 | 214 | 454 | 0.62 | 0.70 | 0.68 | 0.64 | 2.08 | 0.54 | 47 | 65 | 32 |
Stochkendahl et al. [44] | Paraspinal tenderness | Standardized examination protocol | 90 | 112 | 22 | 78 | 0.80 | 0.41 | 0.45 | 0.78 | 1.36 | 0.48 | 37 | 45 | 22 |
Bosner et al. [45] | Localized muscle tension | Interdisciplinary consensus | 346 | 164 | 219 | 483 | 0.61 | 0.75 | 0.71 | 0.66 | 2.41 | 0.52 | 47 | 68 | 32 |
Stochkendahl et al. [44] | Chest pain present now | Standardized examination protocol | 92 | 116 | 20 | 74 | 0.82 | 0.39 | 0.44 | 0.79 | 1.35 | 0.46 | 37 | 44 | 21 |
Bosner et al. [45] | Pain now | Interdisciplinary consensus | 328 | 327 | 237 | 320 | 0.58 | 0.49 | 0.50 | 0.57 | 1.15 | 0.85 | 47 | 50 | 43 |
Stochkendahl et al. [44] | Pain debut not during a meal | Standardized examination protocol | 109 | 168 | 3 | 22 | 0.97 | 0.12 | 0.39 | 0.88 | 1.10 | 0.23 | 37 | 39 | 12 |
Stochkendahl et al. [44] | Sharp pain | Standardized examination protocol | 39 | 35 | 73 | 155 | 0.35 | 0.82 | 0.53 | 0.68 | 1.89 | 0.80 | 37 | 53 | 32 |
Bosner et al. [45] | Stinging pain | Interdisciplinary consensus | 299 | 184 | 266 | 463 | 0.53 | 0.72 | 0.62 | 0.63 | 1.87 | 0.66 | 47 | 62 | 37 |
Stochkendahl et al. [44] | Hard physical exercise at least once a week | Standardized examination protocol | 42 | 60 | 70 | 130 | 0.38 | 0.68 | 0.41 | 0.65 | 1.19 | 0.91 | 37 | 41 | 35 |
Stochkendahl et al. [44] | Pain not provoked during a meal | Standardized examination protocol | 109 | 170 | 3 | 20 | 0.97 | 0.11 | 0.39 | 0.87 | 1.09 | 0.25 | 37 | 39 | 13 |
Stochkendahl et al. [44] | Not sudden debut | Standardized examination protocol | 53 | 31 | 59 | 159 | 0.47 | 0.84 | 0.63 | 0.73 | 2.90 | 0.63 | 37 | 63 | 27 |
Bosner et al. [45] | Pain >24Â h | Interdisciplinary consensus | 158 | 139 | 407 | 508 | 0.28 | 0.79 | 0.53 | 0.56 | 1.30 | 0.92 | 47 | 54 | 45 |
Stochkendahl et al. [44] | Age ≤49 years old | Standardized examination protocol | 67 | 54 | 45 | 136 | 0.60 | 0.72 | 0.55 | 0.75 | 2.10 | 0.56 | 37 | 55 | 25 |
Bosner et al. [45] | Pain mostly at noon time | Interdisciplinary consensus | 13 | 30 | 552 | 617 | 0.02 | 0.95 | 0.31 | 0.53 | 0.50 | 1.02 | 47 | 31 | 48 |
Bosner et al. [45] | Cough | Interdisciplinary consensus | 31 | 129 | 534 | 518 | 0.06 | 0.80 | 0.19 | 0.49 | 0.28 | 1.18 | 47 | 20 | 51 |
Bosner et al. [45] | Known IHD | Interdisciplinary consensus | 56 | 122 | 509 | 525 | 0.10 | 0.81 | 0.32 | 0.51 | 0.52 | 1.11 | 47 | 32 | 50 |
Bosner et al. [45] | Pain worse with breathing | Interdisciplinary consensus | 138 | 123 | 427 | 524 | 0.24 | 0.81 | 0.53 | 0.55 | 1.28 | 0.93 | 47 | 53 | 45 |
Manchikanti et al. [46] | Chronic thoracic pain: lidocaine injection | Bupivacaine injection | 22 | 14 | _ | _ | Â | Â | 0.61 | _ | Â | Â | Â | Â | Â |
Psychiatric | |||||||||||||||
Kuijpers et al. [47] | Anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A score, cut-off ≥8) | Diagnosis Anxiety disorders (Mini International Neuropsychiatric Interview (gold standard)) | 195 | 71 | 3 | 75 | 0.98 | 0.51 | 0.73 | 0.96 | 2.03 | 0.03 | 58 | 73 | 4 |
Demiryoguran et al. [48] | Palpitation | Anxiety disorder: HADS-A score (cut-off ≥10) | 18 | 25 | 31 | 80 | 0.37 | 0.76 | 0.42 | 0.72 | 1.54 | 0.83 | 31 | 41 | 27 |
Demiryoguran et al. [48] | Fear of dying | Anxiety disorder: HADS-A score (cut-off ≥10) | 11 | 6 | 38 | 102 | 0.22 | 0.94 | 0.65 | 0.73 | 4.04 | 0.82 | 31 | 65 | 27 |
Demiryoguran et al. [48] | Light-headedness, dizziness, faintness | Anxiety disorder: HADS-A score (cut-off ≥10) | 11 | 8 | 38 | 100 | 0.22 | 0.93 | 0.58 | 0.73 | 3.03 | 0.84 | 31 | 58 | 28 |
Demiryoguran et al. [48] | Chills or hot flushes | Anxiety disorder: HADS-A score (cut-off ≥10) | 11 | 5 | 38 | 103 | 0.22 | 0.95 | 0.69 | 0.73 | 4.85 | 0.81 | 31 | 69 | 27 |
Demiryoguran et al. [48] | Shortness of breath | Anxiety disorder: HADS-A score (cut-off ≥10) | 13 | 22 | 36 | 86 | 0.27 | 0.80 | 0.37 | 0.71 | 1.30 | 0.92 | 31 | 37 | 29 |
Demiryoguran et al. [48] | Nausea or gastric discomfort | Anxiety disorder: HADS-A score (cut-off ≥10) | 9 | 10 | 40 | 98 | 0.18 | 0.91 | 0.47 | 0.71 | 1.98 | 0.90 | 31 | 47 | 29 |
Demiryoguran et al. [48] | Diaphoresis | Anxiety disorder: HADS-A score (cut-off ≥10) | 19 | 12 | 30 | 96 | 0.39 | 0.89 | 0.61 | 0.76 | 3.49 | 0.69 | 31 | 61 | 24 |
Foldes-Busque et al. [49] | The Panic Screening Score (derivation population) | Panic disorder diagnosis (structured Anxiety Disorders Interview Schedule for Diagnostic and Statistical Manual of Mental Disorders, fourth edition DSM-IV (ADIS-IV)) | 53 | 19 | 31 | 98 | 0.63 | 0.84 | 0.74 | 0.76 | 3.89 | 0.44 | 42 | 74 | 24 |
Foldes-Busque et al. [49] | The Panic Screening Score (validation population) | Panic disorder diagnosis (structured ADIS-IV) | 69 | 27 | 61 | 148 | 0.53 | 0.85 | 0.72 | 0.71 | 3.44 | 0.55 | 43 | 72 | 29 |
Katerndahl et al. [51] | GP diagnosis of panic disorder | Panic disorder (structured clinical Interview of Diagnostic and Statistical Manual of Mental Disorders, based on DSM-III-R) | 2 | 2 | 26 | 21 | 0.07 | 0.91 | 0.50 | 0.45 | 0.82 | 1.02 | 55 | 50 | 55 |
Fleet et al. [50] | Panic disorder diagnosis: formula including Agoraphobia Cognitions QA, Mobility Inventory for Agoraphobia, Zone 12 Dermatome Pain Map, Sensory McGill Pain QA, Gender, Zone 25 (Validation population) | Panic Disorder (ADIS-R structured interview by psychologist) | 32 | 41 | 17 | 122 | 0.65 | 0.75 | 0.44 | 0.88 | 2.60 | 0.46 | 23 | 44 | 12 |