Showing papers by "Lee Goldman published in 1980"
TL;DR: A computerized search of 276 randomly selected cardiology abstracts published in conjunction with three national meetings revealed that 137 abstracts led to full-length articles in peer-reviewed journals within a period of 37 to 43 months, emphasizing the preliminary nature of abstracts and suggesting restraint in their citation as references.
Abstract: A computerized search of 276 randomly selected cardiology abstracts published in conjunction with three national meetings revealed that 137 abstracts (49.6 per cent) led to full-length articles in peer-reviewed journals within a period of 37 to 43 months. The median interval between publication of the abstract and of the article was 14 months. Full-length articles were derived from 5. per cent of the abstracts presented at the meetings of the American Federation for Clinical Research, the American Society for Clinical Investigation, and the Association of American Physicians ("clinical societies"); 55 per cent of the abstracts presented at the American Heart Association Scientific Sessions; 49 per cent of the abstracts presented at the American College of Cardiology Scientific Sessions; and 35 per cent of the abstracts submitted to the clinical societies but not presented. During the observation period, each abstract was cited a mean of 1.6 times in a journal reference list; the number of citations was not significantly higher for abstracts that led to articles than for abstracts that did not. These findings emphasize the preliminary nature of abstracts and suggest restraint in their citation as references.
148 citations
TL;DR: Because physicians in the Primary Care Internal Medicine Training Program were significantly more likely to identify principal psychosocial problems, their concordance scores were significantly lower than those of standard internal medicine track physicians.
Abstract: We analyzed how often patients and physicians identified the same principal problem for 439 return primary care visits. Agreement between the patient and physician, called concordance, was...
104 citations
TL;DR: It is concluded that although a test may yield important information in appropriate patients, its total clinical impact will depend on how often it is suitably ordered and used.
Abstract: We analyzed the ordering and impact of the first 171 fee-for-service cardiovascular nuclear medicine procedures at one hospital. The ordering physicians said 72% of the study results were useful and 28% contributed to changes in patient management. Experienced cardiology reviewers, however, felt that only 65% of studies were appropriately ordered, that 97% of appropriately ordered studies provided potentially useful information, and that 12% of all studies made important contributions to appropriate changes in patient management. The revieweres were most likely to rate exercise thallium procedures and procedures ordered by physicians from distant hospitals as being appropriately ordered and having important clinical impact. We conclude that (1) ordering physicians and revieweres may disagree substantially in their estimates of the impact of a diagnostic test; and (2) although a test may yield important information in appropriate patients, its total clinical impact will depend on how often it is suitably ordered and used.
40 citations
TL;DR: In this paper, the risks of general anesthesia and elective surgical procedures in patients who have histories of hypertension were evaluated in 676 consecutive operations in a series of patients more than 40 years old.
Abstract: To determine the risks of general anesthesia and elective surgical procedures in patients who have histories of hypertension, the authors prospectively studied 676 consecutive operations in a series of patients more than 40 years old. All patients were examined preoperatively, monitored intraoperati
5 citations