Student or educator? Sign up with your school email and get 6 months of Pro free.
Cited by 387

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

GRADE guidelines: 21 part 2. Test accuracy: inconsistency, imprecision, publication bias, and other domains for rating the certainty of evidence and presenting it in evidence profiles and summary of findings tables

Open access
Schünemann, Holger J., Mustafa, Reem A., Brozek, Jan, Steingart, Karen R., Leeflang, Mariska, Murad, Mohammad Hassan, Bossuyt, Patrick, Glasziou, Paul, Jaeschke, Roman, Lange, Stefan, Meerpohl, Joerg, Langendam, Miranda, Hultcrantz, Monica, Vist, Gunn E., Akl, Elie A., Helfand, Mark, Santesso, Nancy, Hooft, Lotty, Scholten, Rob, Rosen, Måns, Rutjes, Anne, Crowther, Mark, Muti, Paola, Raatz, Heike, Ansari, Mohammed T., Williams, John, Kunz, Regina, Harris, Jeff, Rodriguez, Ingrid Arévalo, Kohli, Mikashmi, Guyatt, Gordon H.·2020·Journal of Clinical Epidemiology

Abstract

OBJECTIVES This article provides updated GRADE guidance about how authors of systematic reviews and health technology assessments (HTA) and guideline developers can rate the certainty of evidence (also known as quality of the evidence or confidence in the estimates) of a body of evidence addressing test accuracy (TA) on the domains imprecision, inconsistency, publication bias and other domains. It also provides guidance for how to present synthesized information in evidence profiles and summary of findings tables. STUDY DESIGN AND SETTING We present guidance for rating certainty in TA in clinical and public health and review the presentation of results of a body of evidence regarding tests. RESULTS Supplemented by practical examples, we describe how raters of the evidence can apply the GRADE domains inconsistency, imprecision, and publication bias to a body of evidence of TA studies. CONCLUSIONS Using GRADE in Cochrane and other reviews as well as World Health Organization and other guidelines helped refining the GRADE approach for rating the certainty of a body of evidence from TA studies. While several of the GRADE domains (e.g., imprecision and magnitude of the association) require further methodological research to help operationalize them, judgments need to be made on the basis of what is known so far.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.jclinepi.2019.12.021

Cites

5 of 5 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 5 references

Cited by

See all 387

Metadata

Authors
Schünemann, H. J., Mustafa, R. A., Brozek, J., Steingart, K. R., Leeflang, M., Murad, M. H., Bossuyt, P., Glasziou, P., Jaeschke, R., Lange, S., Meerpohl, J., Langendam, M., Hultcrantz, M., Vist, G. E., Akl, E. A., Helfand, M., Santesso, N., Hooft, L., Scholten, R., Rosen, M., Rutjes, A., Crowther, M., Muti, P., Raatz, H., Ansari, M. T., Williams, J., Kunz, R., Harris, J., Rodriguez, I. A., Kohli, M., & Guyatt, G. H.
Venue
Journal of Clinical Epidemiology
Publisher
Elsevier BV
Published
2020-06
Volume
122
Pages
142-152
ISSN
0895-4356 (ISSN-L)
OpenAlex
W3004577559
Cited by
387
References
5
FWCI
26.65
Type
journal article
Language
en
Open access
bronze

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: GRADE guidelines: 21 part 2. Test accuracy: inconsistency, imprecision, publication bias, and other domains for rating the certainty of evidence and presenting it in evidence profiles and summary of findings tables. https://app.cochat.ai/papers/10.1016/j.jclinepi.2019.12.021
The paper
Schünemann, H. J., Mustafa, R. A., Brozek, J., Steingart, K. R., Leeflang, M., Murad, M. H., Bossuyt, P., Glasziou, P., Jaeschke, R., Lange, S., Meerpohl, J., Langendam, M., Hultcrantz, M., Vist, G. E., Akl, E. A., Helfand, M., Santesso, N., Hooft, L., Scholten, R., . . . Guyatt, G. H. (2020). GRADE guidelines: 21 part 2. Test accuracy: inconsistency, imprecision, publication bias, and other domains for rating the certainty of evidence and presenting it in evidence profiles and summary of findings tables. Journal of Clinical Epidemiology. https://doi.org/10.1016/j.jclinepi.2019.12.021

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.