Quality assessment of diagnostic before-after studies: development of methodology in the context of a systematic review
2009

Quality Assessment of Diagnostic Before-After Studies

publication Evidence: moderate

Author Information

Author(s): Catherine A Meads, Clare F Davenport

Primary Institution: University of Birmingham

Hypothesis

How can we improve the quality assessment of diagnostic before-after studies?

Conclusion

A better quality assessment tool for diagnostic before-after studies needs to be developed and validated.

Supporting Evidence

  • Quality assessment tools for primary studies of test accuracy are relatively well developed.
  • The QUADAS tool was modified to better assess diagnostic before-after studies.
  • The study identified limitations in existing quality assessment tools for diagnostic before-after studies.

Takeaway

This study talks about how to check if tests for diagnosing patients are good enough, especially when comparing old tests to new ones.

Methodology

The QUADAS tool was modified and assessed by two systematic reviewers for its appropriateness in evaluating diagnostic before-after studies.

Potential Biases

Diagnostic before-after studies may be biased in favor of new interventions.

Limitations

The developed checklist only partially helped to discern implications of the study designs on the results.

Digital Object Identifier (DOI)

10.1186/1471-2288-9-3

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