Interpreting Hoofbeats: Can Bayes Help Clear the Haze?
- 1 October 1992
- journal article
- case report
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 327 (14) , 1009-1013
- https://doi.org/10.1056/nejm199210013271407
Abstract
The physician of a 59-year-old man with a long history of mild, labile hypertension became concerned when, despite drug therapy, the patient's blood pressure remained persistently elevated, reaching levels as high as 180/120 mm Hg. He ordered a test of urinary vanilmandelic acid (VMA) excretion and was surprised when he received a report of 20.9 mg per day, a value twice the upper limit of normal.VMA is the end product of catecholamine metabolism, and its excretion is increased in a large proportion of patients with pheochromocytomas. When we collect 24-hour urine samples for VMA in hypertensive patients, especially those . . .Keywords
This publication has 9 references indexed in Scilit:
- Pheochromocytoma: New concepts and future trendsKidney International, 1991
- Biochemical tests for pheochromocytomaJournal of General Internal Medicine, 1989
- Diagnosis and Management of PheochromocytomaHospital Practice, 1989
- Decision AnalysisNew England Journal of Medicine, 1987
- Reliability, Decision Rules, and the Value of Repeated TestsMedical Decision Making, 1982
- Circulating and Urinary Catecholamines in PheochromocytomaNew England Journal of Medicine, 1979
- Localization of Pheochromocytoma by Computed TomographyNew England Journal of Medicine, 1978
- XXXIX. The haze of Bayes, the aerial palaces of decision analysis, and the computerized Ouija boardClinical Pharmacology & Therapeutics, 1977