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In a recent publication, lung scintigraphy had a lower diagnostic inadequacy rate than CTA in pregnant patients [45], probably due to a transient interruption of contrast material by unopacified blood from the inferior vena cava in the CTA studies.
In Khalid and coworkers' study, the inadequacy rate of P-FNA was 20%, the inadequacy rate of USG-FNA was 5%, the accuracy rate of P-FNA was 0.92 and the accuracy rate of USG-FNA was 0.98 [ 19].
Mehrotra and coworkers reported an inadequacy rate of 47% for P-FNA and 16% for USG-FNA [ 9].
In contrast, having had prenatal care under the Family Health Program PRR = 0.92; 95% CI 0.85-0.98) wassociatedted with a lower inadequacy rate (Table 4).
The inadequacy rate tended to increase with increasing pain severity: 79, 84 and 88% among patients reporting mild, moderate and severe pain, respectively, possibly as effect of more stringent criteria for adequacy with increasing pain severity.
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Our inadequacy rates are not greatly different from Mehrotra's rates.
Our inadequacy rates are high (42% for P-FNA and 29% for USG-FNA).
These inadequacy rates compare favourably with published data indicating that as many as 41%to91%1% of all antibiotic prescriptions in hospitals are inappropriate [ 11].
On one hand, patients on antibiotic prophylaxis were excluded from the present study, and inadequacy rates for antibiotic prophylaxis are frequently higher than for therapy [ 9].
In this setting, optimal discrimination between patients with and without malignancy was provided by a minimal total cell count of 5000 per slide, leading to relatively high overall inadequacy rates.
Perhaps most of all, the 1997 98 financial crisis revealed the dangers of premature financial liberalization in the absence of established regulatory regimes, the inadequacy of exchange rate regimes, the problems with IMF prescriptions, and the general absence of social safety nets in East Asia.
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