Technical note
The use and misuse of threshold diagnostic criteria in paleopathology
Bibliographic Data
| ID | 24314561 |
|---|---|
| Authors | M Vlok (0000-0002-5259-3819, Sydney Southeast Asia Centre University of Sydney Sydney New South Wales Australia) |
| Year | 2023 |
| Volume | 181 |
| Issue | 2 |
| Pages | 326-335 |
| Publication date | 2023-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | American Journal of Biological Anthropology (JOURNAL) |
| Journal identifiers | ISSN: 2692-7691 • E-ISSN: 2692-7691 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/ajpa.24721 |
| PMID | 36866523 |
| OpenAlex | W4323036530 |
| Language | EN |
| Citations received | 10 |
| References cited | 38 |
Weighted threshold diagnostic criteria approaches have emerged for diseases that involve skeletal/bony tissue that are readily diagnosed in the field of paleopathology such as Vitamin C deficiency (scurvy), Vitamin D deficiency (rickets) and treponemal disease. These criteria differ from traditional differential diagnosis in that they involve standardized inclusion criteria based on the lesion's specificity to the disease. Here I discuss the limitations and benefits of threshold criteria. I argue that while these criteria will benefit from further revision such as inclusion of lesion severity, and the incorporation of exclusion criteria, threshold diagnostic approaches have considerable value in the future of diagnosis in the field.
diagnostic criteria revision · Differential diagnosis · exclusion criteria · lesion severity · Paleopathology · Rickets · Scurvy · skeletal lesions · treponemal infection · Forensic Anthropology and Bioarchaeology Studies · History of Medicine Studies · Paleopathology and ancient diseases
Assessing diagnostic certainty for scurvy and rickets in human skeletal remains
Evaluation of missing data imputation methods for human osteometric measurements
High prevalence of adult and nonadult scurvy in an early agricultural transition site from Mainland Southeast Asia was associated with decreased survivorship
A macroscopic assessment of porosity and new bone formation on the inferior pars basilaris
Exploring the Bony Flatlands
The noble diets in Kourla Manor according to bone collagen δ13C and ẟ15N analyses – a comparative study between samples from four Finnish archaeological sites
Nutritional Deficiency Contributing to Physical Impairment of an Individual in the Metal Period Philippines (~2000–1800 bp )
Infection in the Tropics
Southeast Asian mainland archaeological science 1964–2034
Hypomineralization disorder in tropical Southeast Asia during the agricultural revolution
Hydatid disease ( Echinococcosis granulosis) diagnosis from skeletal osteolytic lesions in an early seventh‐millennium BP forager community from preagricultural northern Vietnam
Palaeopathology
Diagnostic Criteria of Syphilis, Yaws and Treponarid (Treponematoses) and of Some Other Diseases in Dry Bones
The Study of Metabolic Bone Disease in Bioarchaeology
Pott’s Disease in a Liao Dynasty (Tenth to Twelfth Century A.D.) Adult from Mongolia
Increasing confidence in paleopathological diagnosis – Application of the Istanbul terminological framework
The association between skeletal lesions and tuberculosis diagnosis using a probabilistic approach
Introduction
Pathological pitting in ankylosaur (Dinosauria) osteoderms
Sensationalism and speaking to the public
Paleopathological rigor and differential diagnosis
A possible case of mycosis in a post-classical burial from La Selvicciola (Italy)
Accuracy in Dry Bone Diagnosis
Macroscopic features of scurvy in human skeletal remains
Investigating the specificity of periosteal reactions in pathology museum specimens
Epidemiological approach to the paleopathological diagnosis of leprosy
The skeletal manifestation of malaria
Advancing the understanding of treponemal disease in the past and present
Skeletal pathology in a prehistoric Pacific Island sample
The origin and antiquity of syphilis revisited
A century of paleopathology
Dental defects of congenital syphilis
Adapt or Die
An Early Holocene case of congenital syphilis in South America
Paleopathology of Children
| Citations per year | 3.33 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |