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The Clinical Chemist |
| Reporting Diagnostic Accuracy |
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| Toward a Checklist for Reporting of Studies of Diagnostic Accuracy |
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Diagnostic testing is a critical part of modern medicine. Despite the importance of testing for diagnosis, prognosis, and monitoring, the methodology for evaluations of clinical (diagnostic) accuracy of tests has received only modest attention. Recent studies have documented that most published studies of diagnostic accuracy of clinical tests fail to meet (or fail to document adherence to) reasonable methodological standards.
Assessments of diagnostic accuracy of tests are likely to attract increasing attention. Diagnostic testing accounts for 1025% of healthcare expenditures, and assessment of the diagnostic accuracy of a test is a logical prerequisite to studies of the test's cost-effectiveness.
The Table below is a step toward a checklist for reporting
of studies of diagnostic accuracy. It specifically does not
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| Public Servants Speak Out |
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| Footnotes |
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The following articles in journals at HighWire Press have cited this article:
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N. A. Obuchowski, M. L. Lieber, and F. H. Wians Jr. ROC Curves in Clinical Chemistry: Uses, Misuses, and Possible Solutions Clin. Chem., July 1, 2004; 50(7): 1118 - 1125. [Abstract] [Full Text] [PDF] |
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B. Lumbreras-Lacarra, J. M. Ramos-Rincon, and I. Hernandez-Aguado Methodology in Diagnostic Laboratory Test Research in Clinical Chemistry and Clinical Chemistry and Laboratory Medicine Clin. Chem., March 1, 2004; 50(3): 530 - 536. [Abstract] [Full Text] [PDF] |
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D. E. Bruns The STARD Initiative and the Reporting of Studies of Diagnostic Accuracy Clin. Chem., January 1, 2003; 49(1): 19 - 20. [Full Text] [PDF] |
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M. J. McQueen Overview of Evidence-based Medicine: Challenges for Evidence-based Laboratory Medicine Clin. Chem., August 1, 2001; 47(8): 1536 - 1546. [Abstract] [Full Text] [PDF] |
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K. Scouller, K. M. Conigrave, P. Macaskill, L. Irwig, and J. B. Whitfield Should We Use Carbohydrate-deficient Transferrin instead of {gamma}-Glutamyltransferase for Detecting Problem Drinkers? A Systematic Review and Metaanalysis Clin. Chem., December 1, 2000; 46(12): 1894 - 1902. [Abstract] [Full Text] [PDF] |
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D. E. Bruns, E. J. Huth, E. Magid, and D. S. Young Toward a Checklist for Reporting of Studies of Diagnostic Accuracy of Medical Tests Clin. Chem., July 1, 2000; 46(7): 893 - 895. [Abstract] [Full Text] [PDF] |
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