Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism A systematic review and meta-analysis

Authors: Te Haara, S.R., De Rezende, H. and Wang, C.

Journal: Sultan Qaboos University Medical Journal

Volume: 24

Issue: 4

Pages: 491-500

eISSN: 2075-0528

ISSN: 2075-051X

DOI: 10.18295/squmj.1.2024.007

Abstract:

This systematic review and meta-analysis aimed to assess the diagnostic accuracy of the YEARS algorithm in excluding pulmonary embolism, as well as to compare the utilisation of advanced imaging modalities between the YEARS approach and standard clinical practice. Eligible studies were identified from multiple databases spanning July 2017 to September 2022, following the Joanna Briggs Institute methodology for diagnostic accuracy reviews. A total of 10 studies, involving approximately 14,000 participants, were included in the analysis. The YEARS algorithm demonstrated a sensitivity of 96% (95% confidence interval [CI]: 93–98%) and a specificity of 50% (95% CI: 33–67%). Additonally, the risk ratio for advanced imaging utilisation was 0.78 (95% CI: 67–90), indicating a significant reduction in imaging use. These findings suggest that the YEARS is an effective and safe strategy for managing patients with suspected pulmonary embolism.

https://eprints.bournemouth.ac.uk/39454/

Source: Scopus

Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism: A systematic review and meta-analysis.

Authors: Te Haara, S.R., De Rezende, H. and Wang, C.

Journal: Sultan Qaboos Univ Med J

Volume: 24

Issue: 4

Pages: 491-500

eISSN: 2075-0528

DOI: 10.18295/squmj.1.2024.007

Abstract:

This systematic review and meta-analysis aimed to assess the diagnostic accuracy of the YEARS algorithm in excluding pulmonary embolism, as well as to compare the utilisation of advanced imaging modalities between the YEARS approach and standard clinical practice. Eligible studies were identified from multiple databases spanning July 2017 to September 2022, following the Joanna Briggs Institute methodology for diagnostic accuracy reviews. A total of 10 studies, involving approximately 14,000 participants, were included in the analysis. The YEARS algorithm demonstrated a sensitivity of 96% (95% confidence interval [CI]: 93-98%) and a specificity of 50% (95% CI: 33-67%). Additonally, the risk ratio for advanced imaging utilisation was 0.78 (95% CI: 67-90), indicating a significant reduction in imaging use. These findings suggest that the YEARS is an effective and safe strategy for managing patients with suspected pulmonary embolism.

https://eprints.bournemouth.ac.uk/39454/

Source: PubMed

Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism: A systematic review and meta-analysis

Authors: De Rezende, H.

Journal: Sultan Qaboos University Medical Journal

Publisher: Sultan Qaboos University

ISSN: 2075-051X

DOI: 10.18295/squmj.1.2024.007

Abstract:

This systematic review and meta-analysis aimed to evaluate both the diagnostic test accuracy of the YEARS algorithm in excluding pulmonary embolism and to compare the advance imaging utilisation rate of YEARS against standard practice. Published studies were selected across several databases from July 2017 to September 2022 using Joanna Briggs Institute methodology for systematic reviews of diagnostic accuracy. The analysis included ten studies with nearly 14,000 participants. YEARS showed a sensitivity of 96% (95% CI 93-98%) and specificity of 50% (95% CI 33-67%). The risk ratio for advanced imaging was 0.78 (95% CI 67-90), showing an overall reduction. YEARS is an effective means of safely managing patients with suspected pulmonary embolism.

https://eprints.bournemouth.ac.uk/39454/

Source: Manual

Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism: A systematic review and meta-analysis.

Authors: Te Haara, S.R., De Rezende, H. and Wang, C.

Journal: Sultan Qaboos University medical journal

Volume: 24

Issue: 4

Pages: 491-500

eISSN: 2075-0528

ISSN: 2075-051X

DOI: 10.18295/squmj.1.2024.007

Abstract:

This systematic review and meta-analysis aimed to assess the diagnostic accuracy of the YEARS algorithm in excluding pulmonary embolism, as well as to compare the utilisation of advanced imaging modalities between the YEARS approach and standard clinical practice. Eligible studies were identified from multiple databases spanning July 2017 to September 2022, following the Joanna Briggs Institute methodology for diagnostic accuracy reviews. A total of 10 studies, involving approximately 14,000 participants, were included in the analysis. The YEARS algorithm demonstrated a sensitivity of 96% (95% confidence interval [CI]: 93-98%) and a specificity of 50% (95% CI: 33-67%). Additonally, the risk ratio for advanced imaging utilisation was 0.78 (95% CI: 67-90), indicating a significant reduction in imaging use. These findings suggest that the YEARS is an effective and safe strategy for managing patients with suspected pulmonary embolism.

https://eprints.bournemouth.ac.uk/39454/

Source: Europe PubMed Central

Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism: A systematic review and meta-analysis

Authors: Te Haara, S.R., De Rezende, H. and Wang, C.

Journal: Sultan Qaboos University Medical Journal

Volume: 24

Issue: 4

Pages: 491-500

Publisher: Sultan Qaboos University

ISSN: 2075-051X

Abstract:

This systematic review and meta-analysis aimed to evaluate both the diagnostic test accuracy of the YEARS algorithm in excluding pulmonary embolism and to compare the advance imaging utilisation rate of YEARS against standard practice. Published studies were selected across several databases from July 2017 to September 2022 using Joanna Briggs Institute methodology for systematic reviews of diagnostic accuracy. The analysis included ten studies with nearly 14,000 participants. YEARS showed a sensitivity of 96% (95% CI 93-98%) and specificity of 50% (95% CI 33-67%). The risk ratio for advanced imaging was 0.78 (95% CI 67-90), showing an overall reduction. YEARS is an effective means of safely managing patients with suspected pulmonary embolism.

https://eprints.bournemouth.ac.uk/39454/

Source: BURO EPrints