Evidence map›Paper›PMID 31843693›Full record

ArticleJournal of clinical epidemiology2020

Methods and reporting of systematic reviews of comparative accuracy were deficient: a methodological survey and proposed guidance.

Yemisi Takwoingi, Christopher Partlett, Richard D Riley, Chris Hyde, Jonathan J Deeks

Abstract read
In one paragraph

Article in Journal of clinical epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yemisi TakwoingiTest Evaluation Research Group, University of Birmingham, Birmingham, UK; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK. Electronic address: y.takwoingi@bham.ac.uk.
Christopher PartlettNottingham Clinical Trials Unit, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
Richard D RileyCentre for Prognosis Research, School of Primary, Community and Social Care, Keele University, Staffordshire, UK.
Chris HydeExeter Test Group, College of Medicine and Health, University of Exeter, Exeter, UK.
Jonathan J DeeksTest Evaluation Research Group, University of Birmingham, Birmingham, UK; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.

Funding

Department of Health PDF-2017-10-059
6 · The paper itself

Abstract

objectiveThe objective of this study was to examine methodological and reporting characteristics of systematic reviews and meta-analyses which compare diagnostic test accuracy (DTA) of multiple index tests, identify good practice, and develop guidance for better reporting. STUDY DESIGN AND

settingMethodological survey of 127 comparative or multiple tests reviews published in 74 different general medical and specialist journals. We summarized methods and reporting characteristics that are likely to differ between reviews of a single test and comparative reviews. We then developed guidance to enhance reporting of test comparisons in DTA reviews.

resultsOf 127 reviews, 16 (13%) reviews restricted study selection and test comparisons to comparative accuracy studies while the remaining 111 (87%) reviews included any study type. Fifty-three reviews (42%) statistically compared test accuracy with only 18 (34%) of these using recommended methods. Reporting of several items-in particular the role of the index tests, test comparison strategy, and limitations of indirect comparisons (i.e., comparisons involving any study type)-was deficient in many reviews. Five reviews with exemplary methods and reporting were identified.

conclusionReporting quality of reviews which evaluate and compare multiple tests is poor. The guidance developed, complemented with the exemplars, can assist review authors in producing better quality comparative reviews.

Indexed as

Guidelines as TopicMeta-Analysis as TopicSystematic Reviews as TopicData AccuracyData CollectionDiagnostic Techniques and ProceduresDiagnostic Tests, RoutineHumansTerminology as TopicComparative accuracyDiagnostic accuracyMeta-analysisSystematic reviewTest accuracyTest comparison

Identifiers

PMID31843693
PMCPMC7203546

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.