Diagnostic test systematic reviews: bibliographic search filters ("Clinical Queries") for diagnostic accuracy studies perform well.

Diagnostic test systematic reviews: bibliographic search filters ("Clinical Queries") for diagnostic accuracy studies perform well.
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DOI:
10.1016/j.jclinepi.2008.11.006
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发表时间:
2009-09
影响因子:
7.2
通讯作者:
Haynes, R. Brian
Haynes, R. Brian
中科院分区:
医学2区
文献类型:
--
作者:
Kastner, Monika;Wilczynski, Nancy L.;McKibbon, Ann K.;Garg, Amit X.;Haynes, R. Brian

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卫生保健主题的系统综述是对所有相关研究的有价值的总结。然而,为系统评价找到所有相关的主要研究仍然具有挑战性。确定用于诊断准确性研究的临床检索(CQ)敏感搜索过滤器在检索系统综述研究中的性能。我们比较了MEDLINE和EMBASE的敏感CQ诊断检索过滤器检索诊断准确性系统综述中的研究(ACP Journal Club,2006)。22项诊断准确性综述中有12项(纳入的452项研究)符合纳入标准。排除11项不在MEDLINE或EMBASE中的研究后,95%的文章(417/441)被敏感CQ诊断搜索过滤器(MEDLINE和EMBASE组合)捕获。在未被过滤器检索到的24项研究中,22项不是诊断准确性研究。在没有这22篇非诊断文章的情况下对CQ滤波器进行重新分析,将其性能提高至99%(417/419)。我们发现CQ过滤器遗漏的2篇文章对引用它们的系统综述的结论没有实质性影响。敏感CQ诊断检索过滤器捕获了MEDLINE和EMBASE中诊断准确性系统性综述中99%的文章和100%的实质性文章。
Systematic reviews of health care topics are valuable summaries of all pertinent studies on focused questions. However, finding all relevant primary studies for systematic reviews remains challenging. To determine the performance of the Clinical Queries (CQ) sensitive search filter for diagnostic accuracy studies for retrieving studies for systematic reviews. We compared the yield of the sensitive CQ diagnosis search filter for MEDLINE and EMBASE to retrieve studies in diagnostic accuracy systematic reviews (ACP Journal Club, 2006). 12 of 22 diagnostic accuracy reviews (452 included studies) met inclusion criteria. After excluding 11 studies not in MEDLINE or EMBASE, 95% of articles (417/441) were captured by the sensitive CQ diagnosis search filter (MEDLINE and EMBASE combined). Of 24 studies not retrieved by the filter, 22 were not diagnostic accuracy studies. Re-analysis of the CQ filter without these 22 non-diagnosis articles increased its performance to 99% (417/419). We found no substantive impact of the 2 articles missed by the CQ filter on the conclusions of the systematic reviews in which they were cited. The sensitive CQ diagnostic search filter captured 99% of articles and 100% of substantive articles indexed in MEDLINE and EMBASE in diagnostic accuracy systematic reviews.
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