Conducting systematic reviews of diagnostic studies: didactic guidelines.
Conducting systematic reviews of diagnostic studies: didactic guidelines.
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DOI：
10.1186/1471-2288-2-9
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发表时间：
2002-07-03
影响因子：
4
通讯作者：
Bezemer PD
中科院分区：
文献类型：
--
作者：
Devillé WL;Buntinx F;Bouter LM;Montori VM;de Vet HC;van der Windt DA;Bezemer PD
尽管诊断研究和荟萃分析的批判性评估指南已经发布，但这些指南对于临床研究人员来说可能很难理解，或者没有提供足够详细的信息。基于诊断研究文献系统检索报告中证据的系统性综述、评价诊断研究的方法学标准、诊断准确性数据统计汇总方法以及探索异质性的方法，制定指南。进行诊断性系统评价的指南以逐步的方式呈现，随后是提供进一步信息的评论。使用两个系统评价的结果，尿试纸在尿路感染的诊断的准确性，并在直腿抬高试验在椎间盘突出症的诊断的准确性的例子。
Although guidelines for critical appraisal of diagnostic research and meta-analyses have already been published, these may be difficult to understand for clinical researchers or do not provide enough detailed information. Development of guidelines based on a systematic review of the evidence in reports of systematic searches of the literature for diagnostic research, of methodological criteria to evaluate diagnostic research, of methods for statistical pooling of data on diagnostic accuracy, and of methods for exploring heterogeneity. Guidelines for conducting diagnostic systematic reviews are presented in a stepwise fashion and are followed by comments providing further information. Examples are given using the results of two systematic reviews on the accuracy of the urine dipstick in the diagnosis of urinary tract infections, and on the accuracy of the straight-leg-raising test in the diagnosis of intervertebral disc hernia.