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
复制标题
DOI：
10.7326/0003-4819-138-1-200301070-00010
复制
发表时间：
2003-01-07
影响因子：
39.2
通讯作者：
de Vet, HCW
中科院分区：
文献类型：
--
作者：
Bossuyt, PM;Reitsma, JB;de Vet, HCW
背景：要理解诊断准确性研究的结果，读者必须了解此类研究的设计、进行、分析和结果。这一目标只有通过作者的完全透明才能实现。目的：提高诊断准确性研究报告的准确性和完整性，以便读者评估研究中的潜在偏差并评估其普适性。方法：诊断准确性报告标准(STARD)指导委员会检索文献，寻找关于适当进行和报告诊断研究的出版物，并将潜在项目提取到广泛的列表中。研究人员、编辑、方法学家和统计学家以及专业组织的成员在为期两天的共识会议上缩短了这份清单，目的是为诊断准确性研究制定检查表和通用流程图。结果：搜索已发表的诊断研究指南产生了33个先前发表的检查表，从中提取了75个可能的项目。协商一致会议利用有关偏见的证据，将清单缩短至25项。典型流程图提供了关于患者招募方法、测试执行顺序、接受评估测试的患者数量、参考标准或两者的信息。结论：研究的评估依赖于完整和准确的报告。如果医学期刊采用检查表和流程图，诊断准确性研究的报道质量应该提高，从而有利于临床医生、研究人员、审稿人、期刊和公众。
Background: To comprehend the results of diagnostic accuracy studies, readers must understand the design, conduct, analysis, and results of such studies. That goal can be achieved only through complete transparency from authors.Objective: To improve the accuracy and completeness of reporting of studies of diagnostic accuracy in order to allow readers to assess the potential for bias in the study and to evaluate its generalizability.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, methodologists and statisticians, and members of professional organizations shortened this list during a 2-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 on diagnostic research yielded 33 previously published checklists, from which we extracted a list of 75 potential items. The consensus meeting shortened the list to 25 items, using evidence on bias whenever available. A prototypical 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, the reference standard, or both.Conclusions: Evaluation of research depends on complete and accurate reporting. If medical journals adopt the checklist and the flow diagram, the quality of reporting of studies of diagnostic accuracy should improve to the advantage of the clinicians, researchers, reviewers, journals, and the public.