Dx accuracy for CAP
Robert M Centor
rcentor at UAB.EDU
Tue Nov 19 12:43:01 UTC 2013
My pet peeve as an academic hospitalist is the “diagnosis” of CAP (community acquired pneumonia). Once I hear that phrase I immediately become skeptical. CAP has seemingly become a waste basket diagnosis for dyspnea and an abnormal CXR. I love collecting and presenting patient stories that start as community acquired pneumonia. In preparing to more formally study this topic, I have spent much time thinking about the problem. Just yesterday I recalled this paper. I have not seen it in the diagnostic error literature previously, and thought I would share it with the group. If you know of other similar articles, I would greatly appreciate the references.
Given the lower diagnostic accuracy on CAP, I urge all physicians to be skeptical of the diagnosis, until collecting appropriate clinical information to support the diagnosis.
http://archinte.jamanetwork.com/article.aspx?articleid=413982 (article available for free)
1. Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008 Feb 25;168(4):351–6.
Robert M Centor, MD, FACP
Regional Dean, UAB Huntsville Regional Medical Campus
301 Governors Drive
Huntsville, AL 35801
Chair-Elect, ACP Board of Regents
Professor, General Internal Medicine
1530 3rd Ave S
Birmingham, AL 35294-3407
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