Diagnosis of acute maxillary sinusitis in adults - systematic review and meta-analysis
Perleth M, Jakubowski E, Busse R
Record ID 31999009824
To assess effectiveness of the available technologies for the diagnosis of acute maxillary sinusitis.
Authors' results and conclusions: 22 studies were included with a total of 40 comparisons: radiography vs. sinus puncture (11 studies), ultrasound (A-mode) vs. puncture (5), radiography vs. ultrasound (3) and 9 studies with comparisons involving among others lab tests and computer tomography. All were accuracy studies. For the first two comparisons metaanalyses were performed. Radiography in comparison with sinus puncture as the gold standard yielded a sensitivity of 82% and a specificity of 77%. Ultrasound vs. puncture achieved a sens. of 80% and spec. of 73% respectively. Sensitivity and specificity of studies comparing ultrasound with radiography varied between 29-79% and 86-100% respectively. For all other comparisons, results were at best inconclusive.
Authors' recommendations: Radiography in patients with alleged sinusitis appears to be the most accurate diagnostic method. Ultrasound is less accurate and depends more on the examiner. For the other methods, no conclusions can be derived on the basis of the available evidence.
Authors' methods: Systematic review, meta-analysis
Project Status: Completed
URL for project: http://www.dimdi.de/
Year Published: 1999
English language abstract: An English language summary is available
Publication Type: Not Assigned
- Maxillary Sinusitis
Organisation Name: German Agency for HTA at the German Institute for Medical Documentation and Information
Contact Address: German Agency for Health Technology Assessment at the German Institute for Medical Documentation and Information, Waisenhausgasse 36-38a, D-50676 Cologne Germany
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Copyright: German Agency for Health Technology Assessment at the German Institute for Medical Documentation and Information
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