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  • Title: Specificity and sensitivity of clinical diagnosis for chronic pneumonia.
    Author: Avijgan M.
    Journal: East Mediterr Health J; 2005; 11(5-6):1029-37. PubMed ID: 16761674.
    Abstract:
    To compare clinical (non-invasive) diagnosis with bronchoscopic (invasive) diagnosis, a total of 50 patients with chronic pneumonia (sputum smear-negative for tuberculosis) were examined. Age range was 12-82 years. Sensitivity of clinical diagnosis was 100% for tuberculosis and 81.8% for lung cancer; specificity was 67.5% for tuberculosis and 89.7% for lung cancer. Clinical diagnosis was correct in 43.4% of cases suspected of tuberculosis and 69.2% of cases suspected of lung cancer. It may be reliable only for elderly women smokers. Because tuberculosis is over-diagnosed in endemic areas, bronchoscopy is strongly recommended for all cases of chronic pneumonia.
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