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

Towards complete and,accurate reporting of studies of diagnostic accuracy: the STARD initiative
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DOI:
10.1136/bmj.326.7379.41
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发表时间:
2003-01-04
影响因子:
--
通讯作者:
de Vet, HCE
de Vet, HCE
中科院分区:
医学1区
文献类型:
--
作者:
Bossuyt, PM;Reitsma, JB;de Vet, HCE

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目的提高诊断准确性研究报告的准确性和完整性,让读者评估潜在的偏倚在一项研究中,并评估一项研究的generalisability.Methods诊断准确性报告标准(STARD)指导委员会检索文献,以确定出版物的适当的行为和报告的诊断研究和提取潜在的项目到一个广泛的列表。研究人员,编辑,和专业组织的成员缩短了这份名单在为期两天的共识会议,制定一个检查表和一个通用的诊断准确性的研究流程图的目标。结果搜索有关诊断研究的出版指南产生了33个以前出版的检查表,从中我们提取了75个潜在的项目。在协商一致会议上,与会者利用现有证据,将清单缩短为25项清单。一个原型的流程图提供了有关的方法,病人招募,测试执行的顺序,和接受测试的病人的数量下评估和参考标准,或both.Conclusions研究评估依赖于完整和准确的报告。如果医学期刊采用STARD检查表和流程图,诊断准确性研究的报告质量应该提高,以利于临床医生、研究人员、评审人员、期刊和公众。
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.