Has the test been placed in the context of other tests in the diagnostic workup?

Application to the paper: "Is it possible to exclude a diagnosis of myocardial damage within six hours of admission to an emergency department? Diagnostic cohort study" BMJ 2001;323:372(18 August)

The context is difficult to decipher because the selection process is uncertain.

This would be a potentially very useful test but a larger trial with more explicit selection criteria would be needed.

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