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NO CHS : C 207 20 503




SnNout : 88%

SpPin : 95%

PPV : 93%

NPV : 91%

LR(+) : 17,6

LR(-) : 0,12

Worksheet for Using an Article About Assessing Diagnostic Tests

Evidence Based Medicine Working Group

Are the Results of the Study Valid?

1. Was there an independent, blind comparison with a reference standard?

Is reference standard used acceptable? yes

Were both reference standard and test applied to all patients? yes

2. Did the patient sample include an appropriate spectrum of patients to whom

the diagnostic test will be applied in clinical practice? yes

3. Did the results of the test being evaluated influence the decision to perform the
reference standard?

"Verification" or "work-up" bias? yes

4. Were the methods for performing the test described in sufficient detail to
permit replication?

Preparation of patient? yes

Performance of test? yes
Analysis and interpretation of results? yes

5. Overall, are the results of the study valid? yes

What Were the Results?

1. Are likelihood ratios for the test results presented or data necessary for their
calculation provided?

How big or small is this LR? yes

Will the results Help Me in Caring for My Patients?

1. Will the reproducibility of the test result and its interpretation be satisfactory in
my setting? yes

2. Are the results applicable to my patient?

Similar distribution of disease severity? yes

Similar distribution of competing diseases? yes
Compelling reasons why the results should not be applied? yes

3.Will the results change my management?

Test and treatment thresholds? yes

High or low LR's? yes

4. Will patients be better off as a result of the test?

Is target disorder dangerous if left undiagnosed? yes

Is test risk acceptable? yes
Does effective treatment exist? yes
Information from test will lead to change of Management beneficial to patient?

1. Tes tidur miring (TTM) atau yang lebih dikenal dengan nama Roll-over test

mempunyai sensitivitas 88 % dan spesifitas 95 %. Hal ini menunjukkan bahwa tes

tidur miring mempunyai ketepatan diagnosis sebesar 88% untuk menentukan

preeklampsia pada wanita hamil.

2. LR + (rasio kecenderungan positif) adalah sebesar 17,6 yang menunjukkan bahwa

Kemungkinan hasil tes positif adalah 17,6 kali lebih besar dapat menentukan

preeklampsia atau tidak pada wanita hamil. Nilai LR – (rasio kecenderungan neg

atif) adalah sebesar 0,12 kali lebih besar dapat menentukan preeklampsia atau

tidak pada wanita hamil.

3. Kesimpulan akhir dari data diatas adalah tes tidut miring (TTM) sebagai kriteria

Diagnostik untuk menentukan preeklampsia atau tidak pada wanita hamil,

mudah dikerjakan, tidak memakan waktu lama, non invasif