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Worksheet For Using An Article About Assessing Diagnostic Tests

This document provides a worksheet for assessing the validity and usefulness of diagnostic tests. It contains questions in 5 sections: 1) assessing the validity of a study comparing a diagnostic test to a reference standard, 2) evaluating the results reported, 3) determining if the results will help in patient care, 4) considering if the test will change management, and 5) determining if patients will benefit from the test. The worksheet aims to help clinicians critically evaluate diagnostic test studies and determine if and how tests could be useful in clinical practice.

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Arif Nur Widodo
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56 views3 pages

Worksheet For Using An Article About Assessing Diagnostic Tests

This document provides a worksheet for assessing the validity and usefulness of diagnostic tests. It contains questions in 5 sections: 1) assessing the validity of a study comparing a diagnostic test to a reference standard, 2) evaluating the results reported, 3) determining if the results will help in patient care, 4) considering if the test will change management, and 5) determining if patients will benefit from the test. The worksheet aims to help clinicians critically evaluate diagnostic test studies and determine if and how tests could be useful in clinical practice.

Uploaded by

Arif Nur Widodo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Diagnosis - Last updated February 2003

Worksheet for Using an Article About Assessing Diagnostic Tests


University of Alberta EBM Toolkit CITATION:

ARE THE RESULTS OF THE STUDY VALID?


1. Was there an independent, blind comparison with a reference standard? [ ] Yes [ ] No [ ] Can't Tell

Is reference standard used acceptable?

Were both reference standard and test applied to all patients?

2. Did the patient sample include an appropriate spectrum of patients to whom the diagnostic test will be applied in clinical practice? [ ] Yes [ ] No [ ] Can't Tell

3. Did the results of the test being evaluated influence the decision to perform the reference standard? [ ] Yes [ ] No [ ] Can't Tell

"Verification" or "work-up" bias?

Diagnosis - Last updated February 2003

4. Were the methods for performing the test described in sufficient detail to permit replication? [ ] Yes Preparation of patient? [ ] No [ ] Can't Tell

Performance of test?

Analysis and interpretation of results?

5. Overall, are the results of the study valid? [ ] Yes [ ] No [ ] Can't Tell

WHAT WERE THE RESULTS?


1. Are likelihood ratios for the test results presented or data necessary for their calculation provided? [ ] Yes [ ] No [ ] Can't Tell How big or small is this LR?

WILL THE RESULTS HELP ME IN CARING FOR MY PATIENTS?


1. Will the reproducibility of the test result and its interpretation be satisfactory in my setting? [ ] Yes [ ] No [ ] Can't Tell

Diagnosis - Last updated February 2003

2. Are the results applicable to my patient? [ ] Yes [ ] No

[ ] Can't Tell

Similar distribution of disease severity?

Similar distribution of competing diseases?

Compelling reasons why the results should not be applied?

3. Will the results change my management? [ ] Yes [ ] No Test and treatment thresholds?

[ ] Can't Tell

High or low LR's?

4. Will patients be better off as a result of the test? [ ] Yes [ ] No [ ] Can't Tell

Is target disorder dangerous if left undiagnosed?

Is test risk acceptable?

Does effective treatment exist?

Information from test will lead to change of Management beneficial to patient?

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