Prediction Rule for Renal Artery Stenosis
Authors: Pieta Krijnen, Ewout W. Steyerberg, Brigit C. van Jaarsveld
Journal: Annals of Internal Medicine (1999)

Letters3 August 1999Prediction Rule for Renal Artery StenosisPieta Krijnen, MSc, Ewout W. Steyerberg, PhD, and Brigit C. van Jaarsveld, MDPieta Krijnen, MScErasmus University; 3000 DR Rotterdam, the Netherlands(Krijnen)Erasmus University; 3000 DR Rotterdam, the Netherlands(Steyerberg)University Hospital Dijkzeit; 3015 GD Dijkzigt, the Netherlands (van Jaarsveld)Search for more papers by this author, Ewout W. Steyerberg, PhDErasmus University; 3000 DR Rotterdam, the Netherlands(Krijnen)Erasmus University; 3000 DR Rotterdam, the Netherlands(Steyerberg)University Hospital Dijkzeit; 3015 GD Dijkzigt, the Netherlands (van Jaarsveld)Search for more papers by this author, and Brigit C. van Jaarsveld, MDErasmus University; 3000 DR Rotterdam, the Netherlands(Krijnen)Erasmus University; 3000 DR Rotterdam, the Netherlands(Steyerberg)University Hospital Dijkzeit; 3015 GD Dijkzigt, the Netherlands (van Jaarsveld)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-3-199908030-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:In contrast to the suggestion of Bloch and colleagues, we did not recommend any cut-off level for the probability of stenosis to be used in clinical practice. We merely showed the consequences of using different cut-off levels. The probability of 30% was mentioned to illustrate that the accuracy could approximate that of renal scintigraphy in our patient sample. A cut-off level of 10% may be more justifiable because this corresponds to a sensitivity of approximately 90% and a 40% reduction in the number of angiograms. Whether this selection should be followed by a noninvasive test with a high ...References1. Dondi M, Fanti S, De Fabritiis A, Zuccala A, Gaggi R, Mirelli M, et al . Prognostic value of captopril renal scintigraphy in renovascular hypertension. J Nucl Med. 1992;33:2040-4. MedlineGoogle Scholar2. Blaufox MD, Middleton ML, Bongiovanni J, Davis B. Cost efficacy of the diagnosis and therapy of renovascular hypertension. J Nucl Med. 1996;37:171-7. MedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Pieta Krijnen, MSc; Ewout W. Steyerberg, PhD; Brigit C. van Jaarsveld, MDAffiliations: Erasmus University; 3000 DR Rotterdam, the Netherlands(Krijnen)Erasmus University; 3000 DR Rotterdam, the Netherlands(Steyerberg)University Hospital Dijkzeit; 3015 GD Dijkzigt, the Netherlands (van Jaarsveld) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Clinical Prediction Rule for Renal Artery Stenosis Pieta Krijnen , Brigit C. van Jaarsveld , Ewout W. Steyerberg , Arie J. Man in 't Veld , Maarten A.D.H. Schalekamp , and J. Dik F. Habbema Prediction Rule for Renal Artery Stenosis Michael Bloch , Samuel Mann , and Thomas Pickering Prediction Rule for Renal Artery Stenosis Eugene J. Fine and M. Donald Blaufox Prediction Rule for Renal Artery Stenosis Vijay Rajput and Faddel Nammour Prediction Rule for Renal Artery Stenosis S.J.C.M.M. Neggers and J. van der Meulen Metrics 3 August 1999Volume 131, Issue 3Page: 228KeywordsAngiographyBlood pressureDiagnostic techniquesHypertensionMedical risk factorsPopulation statisticsRacial and ethnic issuesRadionuclide imagingRenal arteriesStenosis ePublished: 15 August 2000 Issue Published: 3 August 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...