Sticking by an Imperfect Standard: Chest Radiography for Pediatric Community-Acquired Pneumonia.
Year of Publication
2020 Feb 20
<p>For decades, chest radiography (CXR) was considered to be the reference standard for diagnosis of community-acquired pneumonia (CAP). Studies of CAP diagnostics in children have used CXR as both a reference standard and an index test, with disagreement over how and when it should be used. Although frequently obtained, CXR has low sensitivity and only fair interrater reliability in diagnosing CAP. Radiography cannot differentiate bacterial from viral CAP and does not have substantial impact on outcomes. Furthermore, access to CXR is limited in many settings.</p>