Towards complete and accurate reporting of studies of diagnostic accuracy: The STARD initiative

PM Bossuyt, JB Reitsma, DE Bruns, CA Gatsonis, PP Glasziou, LM Irwig, JG Lijmer, D Moher, D Rennie, Henrica C W de Vet, STARD Group

Research output: Contribution to journalArticleResearchpeer-review

626 Citations (Scopus)

Abstract

Background: To comprehend the results of diagnostic accuracy studies, readers must understand the design, conduct, analysis, and results of such studies. That goal can be achieved only through complete transparency from authors.

Objective: To improve the accuracy and completeness of reporting of studies of diagnostic accuracy in order to allow readers to assess the potential for bias in the study and to evaluate its generalizability.

Methods: The Standards for Reporting of Diagnostic Accuracy (STARD) steering committee searched the literature to identify publications on the appropriate conduct and reporting of diagnostic studies and extracted potential items into an extensive list. Researchers, editors, methodologists and statisticians, and members of professional organizations shortened this list during a 2-day consensus meeting with the goal of developing a checklist and a generic flow diagram for studies of diagnostic accuracy.

Results: The search for published guidelines on diagnostic research yielded 33 previously published checklists, from which we extracted a list of 75 potential items. The consensus meeting shortened the list to 25 items, using evidence on bias whenever available. A prototypical flow diagram provides information about the method of patient recruitment, the order of test execution, and the numbers of patients undergoing the test under evaluation, the reference standard, or both.

Conclusions: Evaluation of research depends on complete and accurate reporting. If medical journals adopt the checklist and the flow diagram, the quality of reporting of studies of diagnostic accuracy should improve to the advantage of the clinicians, researchers, reviewers, journals, and the public.

Original languageEnglish
Pages (from-to)40-44
Number of pages5
JournalAnnals of Internal Medicine
Volume138
Issue number1
DOIs
Publication statusPublished - 7 Jan 2003
Externally publishedYes

Cite this

Bossuyt, PM ; Reitsma, JB ; Bruns, DE ; Gatsonis, CA ; Glasziou, PP ; Irwig, LM ; Lijmer, JG ; Moher, D ; Rennie, D ; de Vet, Henrica C W ; STARD Group. / Towards complete and accurate reporting of studies of diagnostic accuracy : The STARD initiative. In: Annals of Internal Medicine. 2003 ; Vol. 138, No. 1. pp. 40-44.
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Bossuyt, PM, Reitsma, JB, Bruns, DE, Gatsonis, CA, Glasziou, PP, Irwig, LM, Lijmer, JG, Moher, D, Rennie, D, de Vet, HCW & STARD Group 2003, 'Towards complete and accurate reporting of studies of diagnostic accuracy: The STARD initiative' Annals of Internal Medicine, vol. 138, no. 1, pp. 40-44. https://doi.org/10.7326/0003-4819-138-1-200301070-00010

Towards complete and accurate reporting of studies of diagnostic accuracy : The STARD initiative. / Bossuyt, PM; Reitsma, JB; Bruns, DE; Gatsonis, CA; Glasziou, PP; Irwig, LM; Lijmer, JG; Moher, D; Rennie, D; de Vet, Henrica C W; STARD Group.

In: Annals of Internal Medicine, Vol. 138, No. 1, 07.01.2003, p. 40-44.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Bruns, DE

AU - Gatsonis, CA

AU - Glasziou, PP

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N2 - Background: To comprehend the results of diagnostic accuracy studies, readers must understand the design, conduct, analysis, and results of such studies. That goal can be achieved only through complete transparency from authors.Objective: To improve the accuracy and completeness of reporting of studies of diagnostic accuracy in order to allow readers to assess the potential for bias in the study and to evaluate its generalizability.Methods: The Standards for Reporting of Diagnostic Accuracy (STARD) steering committee searched the literature to identify publications on the appropriate conduct and reporting of diagnostic studies and extracted potential items into an extensive list. Researchers, editors, methodologists and statisticians, and members of professional organizations shortened this list during a 2-day consensus meeting with the goal of developing a checklist and a generic flow diagram for studies of diagnostic accuracy.Results: The search for published guidelines on diagnostic research yielded 33 previously published checklists, from which we extracted a list of 75 potential items. The consensus meeting shortened the list to 25 items, using evidence on bias whenever available. A prototypical flow diagram provides information about the method of patient recruitment, the order of test execution, and the numbers of patients undergoing the test under evaluation, the reference standard, or both.Conclusions: Evaluation of research depends on complete and accurate reporting. If medical journals adopt the checklist and the flow diagram, the quality of reporting of studies of diagnostic accuracy should improve to the advantage of the clinicians, researchers, reviewers, journals, and the public.

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