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Cited by 753

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

Guidelines for Meta-analyses Evaluating Diagnostic Tests

Irwig, Les, Tosteson, Anna N. A., Gatsonis, Constantine, Lau, Joseph, Colditz, Graham, Chalmers, Thomas C., Mosteller, Frederick·1994·Annals of Internal Medicine

Abstract

OBJECTIVES: To introduce guidelines for the conduct, reporting, and critical appraisal of meta-analyses evaluating diagnostic tests and to apply these guidelines to recently published meta-analyses of diagnostic tests. DATA SOURCES: Based on current concepts of how to assess diagnostic tests and conduct meta-analyses. They are applied to all meta-analyses evaluating diagnostic tests published in English-language journals from January 1990 through December 1991, identified through MEDLINE searching and by experts in the field. STUDY SELECTION: Meta-analyses were included if at least two of three independent readers regarded their main purpose as the evaluation of diagnostic tests against a concurrent reference standard. DATA EXTRACTION: By three independent readers on the extent to which meta-analyses fulfilled each guideline, with consensus defined as agreement by at least two readers. DATA SYNTHESIS: The guidelines are concerned with determining the objective of the meta-analysis, identifying the relevant literature and extracting the data, estimating diagnostic accuracy, and identifying the extent to which variability is explained by study design characteristics and characteristics of the patients and diagnostic test. In general, the guidelines were only partially fulfilled. CONCLUSION: Meta-analysis is potentially important in the assessment of diagnostic tests. Those reading meta-analyses evaluating diagnostic tests should critically appraise them; those doing meta-analyses should apply recently developed methods. The conduct and reporting of primary studies on which meta-analyses are based require improvement.

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Crossref · 10.7326/0003-4819-120-8-199404150-00008

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Metadata

Authors
Irwig, L., Tosteson, A. N. A., Gatsonis, C., Lau, J., Colditz, G., Chalmers, T. C., & Mosteller, F.
Venue
Annals of Internal Medicine
Published
1994-04-15
Volume
120
Issue
8
Pages
667-676
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2057631921
Cited by
753
References
5
FWCI
20.20
Type
journal article
Language
en
Open access
closed

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