Accuracy and cost of diagnostic strategies for patients with suspected Crohn's disease

Giovanni Maconi, Enrico Bolzoni, Andrea Giussani, Antony Friedman, Piergiorgio Duca

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24 Citations (Scopus)

Abstract

To evaluate accuracy and cost of non-invasive diagnostic strategies including magnetic resonance imaging, intestinal ultrasonography, ileocolonoscopy and video-capsule endoscopy in suspected Crohn s disease. Methods: A decision-analytic model was used to assess the costs in low (25 ), intermediate (50 ) or high (75 ) pre-test probability of Crohn s disease. Based on the published accuracy of diagnostic modalities and Bayes rule, we calculated post-test probability of Crohn s disease using different strategies, starting from ileocolonoscopy, ultrasonography or magnetic resonance. Each strategy was considered successful when post-test probability was >. 95 or
Original languageEnglish
Pages (from-to)1684 - 1692
Number of pages9
JournalJournal of Crohn's and Colitis
Volume8
Issue number12
DOIs
Publication statusPublished - 2014

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