Aim: This study aimed to investigate the values of preoperative serum levels of white blood cell, erythrocyte sedimentation rate (ESR), C-reactive protein, procalcitonin, IL-6, TNF-α and serum amyloid A for diagnosis of chronic osteomyelitis (COM) in Chinese patients.

Methods: All 586 eligible patients were included for analysis.

Results: Outcomes revealed that positive ratios of TNF-α, ESR and IL-6 lied in top three. Taken predicted probability and detection cost into consideration, combination of ESR, IL-6 and TNF-α might be the optimal model due to its high predicted probability for COM (91.02%) with an acceptable cost (CN¥161).

Conclusion: Combination of preoperative serum TNF-α, ESR and IL-6 can help a reliable predication of COM.

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http://dx.doi.org/10.2217/bmm-2017-0082DOI Listing

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