Survey of the methods and reporting practices in published meta-analyses of test performance : 1987 to 2009

Copyright © 2013 John Wiley & Sons, Ltd..

We performed a survey of meta-analyses of test performance to describe the evolution in their methods and reporting. Studies were identified through MEDLINE (1966-2009), reference lists, and relevant reviews. We extracted information on clinical topics, literature review methods, quality assessment, and statistical analyses. We reviewed 760 publications reporting meta-analyses of test performance, published between 1987 and 2009. Eligible reviews included a median of 18 primary studies that were used in quantitative analyses. Most common clinical areas were cardiovascular disease (21%) and oncology (25%); most common test categories were imaging (44%) and biomarker tests (28%). Assessment of verification and spectrum bias, blinding, prospective study design, and consecutive patient recruitment became more common over time (p < 0.001 comparing reviews published through 2004 vs 2005 onwards). These changes coincided with the increasing use of checklists to guide assessment of methodological quality. Heterogeneity tests were used in 58% of meta-analyses; subgroup or regression analyses were used in 57%. Random effects models were employed in 57% of meta-analyses (38% through 2004 vs 72% 2004-onwards; p < 0.001). Use of bivariate models of sensitivity and specificity increased in recent years (21% in 2008-2009 vs 7% in earlier years; p < 0.001). Methods employed in meta-analyses of test performance have improved with the introduction of quality assessment checklists and the development of more sophisticated statistical methods.

Medienart:

E-Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:4

Enthalten in:

Research synthesis methods - 4(2013), 3 vom: 14. Sept., Seite 242-55

Sprache:

Englisch

Beteiligte Personen:

Dahabreh, Issa J [VerfasserIn]
Chung, Mei [VerfasserIn]
Kitsios, Georgios D [VerfasserIn]
Terasawa, Teruhiko [VerfasserIn]
Raman, Gowri [VerfasserIn]
Tatsioni, Athina [VerfasserIn]
Tobar, Annette [VerfasserIn]
Lau, Joseph [VerfasserIn]
Trikalinos, Thomas A [VerfasserIn]
Schmid, Christopher H [VerfasserIn]

Links:

Volltext

Themen:

Diagnostic test
Journal Article
Meta-analysis
Methods
Reporting
Research Support, U.S. Gov't, P.H.S.
Systematic review
Test performance

Anmerkungen:

Date Completed 07.04.2016

Date Revised 10.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jrsm.1083

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM249758970