Normal view MARC view

Guidelines for meta-analyses evaluating diagnostic tests [Article de Revue]

 
[Méta-analyse d'évaluation de tests diagnostics : recommandations]
IRWIG L ; TOSTESON A ; GATSONIS C ; LAU J ;
Dept of Public Health. University of Sidney. Australie
Annals of internal medicine. 1994/04/15; 120(8) : 667-676
Summary: OBJECTIF : Etablir des recommandations pour la conduite, les conclusions et l'appréciation critique des méta-analyses appliquées à l'évaluation des tests diagnostics et appliquer ces recommandations aux méta-analyses récemment publiées sur les tests diagnostics. Voir dans l'article les sources des données, la sélection des études, l'extraction des données et leur synthèse.CONCLUSION : La méta-analyse représente un outil méthodologique potentiellement important pour l'évaluation des tests diagnostics . Les lecteurs de méta-analyses évaluant des tests diagnostics devraient être en mesure de pouvoir les évaluer de manière critique ; les équipes réalisant des méta-analyses pourront appliquer des méthodes récemment mises au point. La conduite et la publication des études primaires sur lesquelles se fonde la méta-analyse doivent être améliorées.

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.(RESUME D'AUTEUR)
Publication
1994/04/15

Pages
667-676

Language
Anglais

Number of ref
57

ID notice
319331

Location Call number Status Date due Barcode
CCLIN Est
CClin Est
CHU de Nancy - Hôpitaux de Brabois
Rue du Morvan
54511 Vandoeuvre le Nancy Cedex
Tél : 03.83.15.34.73
cclin.est@chu-nancy.fr
http://www.cclin-est.org/
CCLIN Ouest
CClin Ouest
CHU Hôtel Dieu
CS 26419
35064 Rennes Cedex 2
Tél : 02.99.87.35.31
isabelle.girot@chu-rennes.fr
http://www.cclinouest.com/
CCLIN Paris Nord
CClin Paris-Nord
96 rue Didot
75014 Paris
Tél : 01.40.27.42.00  
karin.lebascle@sap.aphp.fr
http://www.cclinparisnord.org/
CCLIN Sud-Est
CClin Sud-Est
Hospices Civils de Lyon
Hôpital Henry Gabriel
20 route de vourles
69230 Saint-Genis-Laval
Tél : 04.78.86.49.50
cclinse@chu-lyon.fr
http://cclin-sudest.chu-lyon.fr/
CCLIN Sud-Ouest
CClin Sud-Ouest
CHU de Bordeaux
Hôpital Pellegrin - Bâtiment Le Tondu
33076 Bordeaux
Tél : 05.56.79.60.58
cclin.so@chu-bordeaux.fr
http://www.cclin-sudouest.com/

There are no comments for this item.

Log in to your account to post a comment.
Tags from this library:
No tags from this library for this title.
Log in to add tags.
    average rating: 0.0 (0 votes)
Languages: