Systematic reviews of diagnostic tests in cancer: review of methods and reporting.

OBJECTIVES: To assess the methods and reporting of systematic reviews of diagnostic tests. DATA SOURCES: Systematic searches of Medline, Embase, and five other databases identified reviews of tests used in patients with cancer. Of these, 89 satisfied our inclusion criteria of reporting accuracy of...

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Main Authors: Mallett, S, Deeks, J, Halligan, S, Hopewell, S, Cornelius, V, Altman, D
Format: Journal article
Language:English
Published: 2006
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author Mallett, S
Deeks, J
Halligan, S
Hopewell, S
Cornelius, V
Altman, D
author_facet Mallett, S
Deeks, J
Halligan, S
Hopewell, S
Cornelius, V
Altman, D
author_sort Mallett, S
collection OXFORD
description OBJECTIVES: To assess the methods and reporting of systematic reviews of diagnostic tests. DATA SOURCES: Systematic searches of Medline, Embase, and five other databases identified reviews of tests used in patients with cancer. Of these, 89 satisfied our inclusion criteria of reporting accuracy of the test compared with a reference test, including an electronic search, and published since 1990. REVIEW METHODS: All reviews were assessed for methods and reporting of objectives, search strategy, participants, clinical setting, index and reference tests, study design, study results, graphs, meta-analysis, quality, bias, and procedures in the review. We assessed 25 randomly selected reviews in more detail. RESULTS: 75% (67) of the reviews stated inclusion criteria, 49% (44) tabulated characteristics of included studies, 40% (36) reported details of study design, 17% (15) reported on the clinical setting, 17% (15) reported on the severity of disease in participants, and 49% (44) reported on whether the tumours were primary, metastatic, or recurrent. Of the 25 reviews assessed in detail, 68% (17) stated the reference standard used in the review, 36% (9) reported the definition of a positive result for the index test, and 56% (14) reported sensitivity, specificity, and sample sizes for individual studies. Of the 89 reviews, 61% (54) attempted to formally synthesise results of the studies and 32% (29) reported formal assessments of study quality. CONCLUSIONS: Reliability and relevance of current systematic reviews of diagnostic tests is compromised by poor reporting and review methods.
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spelling oxford-uuid:b7c30ef5-38d4-4599-b274-b8a34158984f2022-03-27T04:50:57ZSystematic reviews of diagnostic tests in cancer: review of methods and reporting.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b7c30ef5-38d4-4599-b274-b8a34158984fEnglishSymplectic Elements at Oxford2006Mallett, SDeeks, JHalligan, SHopewell, SCornelius, VAltman, D OBJECTIVES: To assess the methods and reporting of systematic reviews of diagnostic tests. DATA SOURCES: Systematic searches of Medline, Embase, and five other databases identified reviews of tests used in patients with cancer. Of these, 89 satisfied our inclusion criteria of reporting accuracy of the test compared with a reference test, including an electronic search, and published since 1990. REVIEW METHODS: All reviews were assessed for methods and reporting of objectives, search strategy, participants, clinical setting, index and reference tests, study design, study results, graphs, meta-analysis, quality, bias, and procedures in the review. We assessed 25 randomly selected reviews in more detail. RESULTS: 75% (67) of the reviews stated inclusion criteria, 49% (44) tabulated characteristics of included studies, 40% (36) reported details of study design, 17% (15) reported on the clinical setting, 17% (15) reported on the severity of disease in participants, and 49% (44) reported on whether the tumours were primary, metastatic, or recurrent. Of the 25 reviews assessed in detail, 68% (17) stated the reference standard used in the review, 36% (9) reported the definition of a positive result for the index test, and 56% (14) reported sensitivity, specificity, and sample sizes for individual studies. Of the 89 reviews, 61% (54) attempted to formally synthesise results of the studies and 32% (29) reported formal assessments of study quality. CONCLUSIONS: Reliability and relevance of current systematic reviews of diagnostic tests is compromised by poor reporting and review methods.
spellingShingle Mallett, S
Deeks, J
Halligan, S
Hopewell, S
Cornelius, V
Altman, D
Systematic reviews of diagnostic tests in cancer: review of methods and reporting.
title Systematic reviews of diagnostic tests in cancer: review of methods and reporting.
title_full Systematic reviews of diagnostic tests in cancer: review of methods and reporting.
title_fullStr Systematic reviews of diagnostic tests in cancer: review of methods and reporting.
title_full_unstemmed Systematic reviews of diagnostic tests in cancer: review of methods and reporting.
title_short Systematic reviews of diagnostic tests in cancer: review of methods and reporting.
title_sort systematic reviews of diagnostic tests in cancer review of methods and reporting
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