Diagnostic accuracy of sonography for pleural effusion: systematic review

Detalhes bibliográficos
Autor(a) principal: Grimberg,Alexandre
Data de Publicação: 2010
Outros Autores: Shigueoka,David Carlos, Atallah,Álvaro Nagib, Ajzen,Sergio, Iared,Wagner
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802010000200009
Resumo: CONTEXT AND OBJECTIVE: The initial method for evaluating the presence of pleural effusion was chest radiography. Isolated studies have shown that sonography has greater accuracy than radiography for this diagnosis; however, no systematic reviews on this matter are available in the literature. Thus, the aim of this study was to evaluate the accuracy of sonography in detecting pleural effusion, by means of a systematic review of the literature. DESIGN AND SETTING: This was a systematic review with meta-analysis on accuracy studies. This study was conducted in the Department of Diagnostic Imaging and in the Brazilian Cochrane Center, Discipline of Emergency Medicine and Evidence-Based Medicine, Department of Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil. METHOD: The following databases were searched: Cochrane Library, Medline, Web of Science, Embase and Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs). The references of relevant studies were also screened for additional citations of interest. Studies in which the accuracy of sonography for detecting pleural effusion was tested, with an acceptable reference standard (computed tomography or thoracic drainage), were included. RESULTS: Four studies were included. All of them showed that sonography had high sensitivity, specificity and accuracy for detecting pleural effusions. The mean sensitivity was 93% (95% confidence interval, CI: 89% to 96%), and specificity was 96% (95% CI: 95% to 98%). CONCLUSIONS: In different populations and clinical settings, sonography showed consistently high sensitivity, specificity and accuracy for detecting fluid in the pleural space.
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spelling Diagnostic accuracy of sonography for pleural effusion: systematic reviewPleural effusionUltrasonographySensitivity and specificityReviewMeta-analysisDiagnostic imagingCONTEXT AND OBJECTIVE: The initial method for evaluating the presence of pleural effusion was chest radiography. Isolated studies have shown that sonography has greater accuracy than radiography for this diagnosis; however, no systematic reviews on this matter are available in the literature. Thus, the aim of this study was to evaluate the accuracy of sonography in detecting pleural effusion, by means of a systematic review of the literature. DESIGN AND SETTING: This was a systematic review with meta-analysis on accuracy studies. This study was conducted in the Department of Diagnostic Imaging and in the Brazilian Cochrane Center, Discipline of Emergency Medicine and Evidence-Based Medicine, Department of Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil. METHOD: The following databases were searched: Cochrane Library, Medline, Web of Science, Embase and Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs). The references of relevant studies were also screened for additional citations of interest. Studies in which the accuracy of sonography for detecting pleural effusion was tested, with an acceptable reference standard (computed tomography or thoracic drainage), were included. RESULTS: Four studies were included. All of them showed that sonography had high sensitivity, specificity and accuracy for detecting pleural effusions. The mean sensitivity was 93% (95% confidence interval, CI: 89% to 96%), and specificity was 96% (95% CI: 95% to 98%). CONCLUSIONS: In different populations and clinical settings, sonography showed consistently high sensitivity, specificity and accuracy for detecting fluid in the pleural space.Associação Paulista de Medicina - APM2010-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802010000200009Sao Paulo Medical Journal v.128 n.2 2010reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802010000200009info:eu-repo/semantics/openAccessGrimberg,AlexandreShigueoka,David CarlosAtallah,Álvaro NagibAjzen,SergioIared,Wagnereng2010-07-23T00:00:00Zoai:scielo:S1516-31802010000200009Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2010-07-23T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Diagnostic accuracy of sonography for pleural effusion: systematic review
title Diagnostic accuracy of sonography for pleural effusion: systematic review
spellingShingle Diagnostic accuracy of sonography for pleural effusion: systematic review
Grimberg,Alexandre
Pleural effusion
Ultrasonography
Sensitivity and specificity
Review
Meta-analysis
Diagnostic imaging
title_short Diagnostic accuracy of sonography for pleural effusion: systematic review
title_full Diagnostic accuracy of sonography for pleural effusion: systematic review
title_fullStr Diagnostic accuracy of sonography for pleural effusion: systematic review
title_full_unstemmed Diagnostic accuracy of sonography for pleural effusion: systematic review
title_sort Diagnostic accuracy of sonography for pleural effusion: systematic review
author Grimberg,Alexandre
author_facet Grimberg,Alexandre
Shigueoka,David Carlos
Atallah,Álvaro Nagib
Ajzen,Sergio
Iared,Wagner
author_role author
author2 Shigueoka,David Carlos
Atallah,Álvaro Nagib
Ajzen,Sergio
Iared,Wagner
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Grimberg,Alexandre
Shigueoka,David Carlos
Atallah,Álvaro Nagib
Ajzen,Sergio
Iared,Wagner
dc.subject.por.fl_str_mv Pleural effusion
Ultrasonography
Sensitivity and specificity
Review
Meta-analysis
Diagnostic imaging
topic Pleural effusion
Ultrasonography
Sensitivity and specificity
Review
Meta-analysis
Diagnostic imaging
description CONTEXT AND OBJECTIVE: The initial method for evaluating the presence of pleural effusion was chest radiography. Isolated studies have shown that sonography has greater accuracy than radiography for this diagnosis; however, no systematic reviews on this matter are available in the literature. Thus, the aim of this study was to evaluate the accuracy of sonography in detecting pleural effusion, by means of a systematic review of the literature. DESIGN AND SETTING: This was a systematic review with meta-analysis on accuracy studies. This study was conducted in the Department of Diagnostic Imaging and in the Brazilian Cochrane Center, Discipline of Emergency Medicine and Evidence-Based Medicine, Department of Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil. METHOD: The following databases were searched: Cochrane Library, Medline, Web of Science, Embase and Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs). The references of relevant studies were also screened for additional citations of interest. Studies in which the accuracy of sonography for detecting pleural effusion was tested, with an acceptable reference standard (computed tomography or thoracic drainage), were included. RESULTS: Four studies were included. All of them showed that sonography had high sensitivity, specificity and accuracy for detecting pleural effusions. The mean sensitivity was 93% (95% confidence interval, CI: 89% to 96%), and specificity was 96% (95% CI: 95% to 98%). CONCLUSIONS: In different populations and clinical settings, sonography showed consistently high sensitivity, specificity and accuracy for detecting fluid in the pleural space.
publishDate 2010
dc.date.none.fl_str_mv 2010-01-01
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dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.128 n.2 2010
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
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reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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