Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative - PubMed (original) (raw)

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Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative

Patrick M Bossuyt et al. BMJ. 2003.

Abstract

Objective: To improve the accuracy and completeness of reporting of studies of diagnostic accuracy, to allow readers to assess the potential for bias in a study, and to evaluate a study's generalisability.

Methods: The Standards for Reporting of Diagnostic Accuracy (STARD) steering committee searched the literature to identify publications on the appropriate conduct and reporting of diagnostic studies and extracted potential items into an extensive list. Researchers, editors, and members of professional organisations shortened this list during a two day consensus meeting, with the goal of developing a checklist and a generic flow diagram for studies of diagnostic accuracy.

Results: The search for published guidelines about diagnostic research yielded 33 previously published checklists, from which we extracted a list of 75 potential items. At the consensus meeting, participants shortened the list to a 25 item checklist, by using evidence, whenever available. A prototype of a flow diagram provides information about the method of patient recruitment, the order of test execution, and the numbers of patients undergoing the test under evaluation and the reference standard, or both.

Conclusions: Evaluation of research depends on complete and accurate reporting. If medical journals adopt the STARD checklist and flow diagram, the quality of reporting of studies of diagnostic accuracy should improve to the advantage of clinicians, researchers, reviewers, journals, and the public.

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Prototype of a flow diagram for a study on diagnostic accuracy

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References

    1. Guyatt GH, Tugwell PX, Feeny DH, Haynes RB, Drummond M. A framework for clinical evaluation of diagnostic technologies. Can Med Assoc J. 1986;134:587–594. - PMC - PubMed
    1. Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making. 1991;11:88–94. - PubMed
    1. Kent DL, Larson EB. Disease, level of impact, and quality of research methods. Three dimensions of clinical efficacy assessment applied to magnetic resonance imaging. Invest Radiol. 1992;27:245–254. - PubMed
    1. Griner PF, Mayewski RJ, Mushlin AI, Greenland P. Selection and interpretation of diagnostic tests and procedures. Principles and applications. Ann Intern Med. 1981;94:557–592. - PubMed
    1. Sackett DL, Haynes RB, Guyatt GH, Tugwell P. The selection of diagnostic tests. In: Sackett D, editor. Clinical epidemiology. Boston, Toronto, and London: Little, Brown and Company; 1991. pp. 47–57.

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