Past research found that 40%-71% of chronic pain patients had overlooked diagnoses, underscoring the need for more accurate diagnostic methodology. In this study, 28 diagnoses were made by the senior author during the initial evaluation of 5 chronic pain patients. Of these diagnoses, 27 diagnoses made by the senior author were also made by the computer scored and interpreted Maryland Clinical Diagnostics (MCD) "Diagnostic Paradigm." The MCD Diagnostic Paradigm matched the senior author's evaluation 96.37 % of the time, and the Diagnostic Paradigm missed 1 diagnoses made by the senior author, for a 3.63% "missed diagnosis" rate, based on the initial clinic evaluation.Overall there were 4 "Test Only Positives," i.e. diagnoses made by the Diagnostic Paradigm, but not made by the senior author. Therefore, these patients received the benefit of additional diagnostics studies, which helped the chiropractor obtain an additional diagnoses 16% of the time, which he otherwise might have overlooked, as the results of the "Test Only Positive" diagnosis.The Pain Validity Test could predict which of the patients would have moderate or severe abnormalities on objective medical tests with 100% accuracy. The Diagnostic Paradigm predicted the specific abnormality on objective medical testing with 98% accuracy.
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