54–0.62 moderate SE = 67–100%, SP = 68–74%, PPV = 31–33%, NPV = 92–93% Rotator cuff tendinitis: SE = 69–78%, SP = 79–84%, PPV = 16–19%, NPV = 99–100% Sensitivity low to high, specificity low to moderate 22 Mehlum et al. (2009) MSD Upper Extremities Symptoms, Work relatedness   Kappa values: k = 0.16–0.34 low Prevalence of work-related illness based on self-report 6–14% higher

than prevalence based on clinical examination Higher agreement on diagnoses than on findings Positive specific agreement (worker and physician agreed on work relatedness) 76–85% > Negative specific agreement (worker and physician agreed on non-work relatedness) 37–51%. 23 Silverstein et al. (1997) MSD Symptoms SE = 77–88%, SP = 21–38% Self-report and physicians diagnoses: Prevalence based on physicians’ interviews > prevalence based NU7441 research buy on self-report > physician’s diagnosis after examination Sensitivity

moderate to high, specificity low Neck k = 0.43, moderate Shoulder k = 0.36, low Elbow k = 0.47, moderate Hand/wrist k = 0.42, moderate Low back k = 0.23, low 24 Toomingas et al. (1995) MSD Upper Extremities Self-administered examination SE = 0–100%, SP = 63–99%; PPV = 0–36%, BAY 57-1293 in vitro NPV = 92–100% Kappa values of 14 tests <0.20 SR-prevalence 2–3 times higher than CE prevalence Finger flexion deficit: k = 0.50 (0.15–0.84) Highly variable sensitivity and specificity Tenderness of—trapezius pars descendens: k = 0.27 (0.17–0.38) neck k = 0.34 (0.24–0.45) Shoulders k = 0.38 (0.26–0.50) 25 Zetterberg et al. (1997) MSD Symptoms Low-density-lipoprotein receptor kinase   A strong significant correlation between the self-reported complaints and findings on clinical examination (at the 0.001 level).

Self-report prevalence was around 50% higher than prevalence based on clinical examination Weak correlations between subjective complaints and specific tests like acromioclavicular sign or Finkelstein’s test. 26 Cvetkovski et al. (2005) Hand eczema Severity rating SE = 64.8%, SP = 65.6%, PPV = 29.2%, NPV = 89.5%   Self-report prevalence 39.9% versus clinical examination prevalence 17.9% Sensitivity low, specificity low 27 Bolen et al. (2007) Respiratory disorders Work exacerbated asthma (WEA) Daily log or post-test survey on symptoms and medication Post-test symptoms SE = 15% SP = 87%   Self-report prevalence WEA 48% versus prevalence based on positive PEF 14% Post-test medication use SE = 15%; SP = 89% Self-reported concurrent medication use SE = 62% SP = 65% Sensitivity low to moderate, specificity moderate to high 28 Johnson et al.