Evaluation of Abdominal Pain: Clinicians' Performance Compared With Three Protocols

South Med J. 1986 Jul;79(7):793-9. doi: 10.1097/00007611-198607000-00003.


Clinical findings in ambulatory patients with abdominal pain, presenting themselves to general medical practitioners, were analyzed by three different protocols: an algorithm using a branched-chain logic, a linear discriminant rule, and bayesian analysis. All methods missed some serious diagnoses. None was as effective as the clinician at distinguishing nonspecific abdominal pain (NSAP) from more serious conditions.

Publication types

  • Comparative Study

MeSH terms

  • Abdomen*
  • Bayes Theorem
  • Clinical Competence*
  • Diagnosis, Computer-Assisted
  • Diagnosis, Differential
  • Diagnostic Errors
  • Evaluation Studies as Topic
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Methods
  • Nurse Practitioners
  • Pain / diagnosis*
  • Pain / etiology
  • Pregnancy
  • Risk
  • Triage
  • United States
  • United States Department of Veterans Affairs