Chapter 6: Assessing Applicability of Medical Test Studies in Systematic Reviews
Use of medical tests should be guided by research evidence about the accuracy and utility of those tests in clinical care settings. Systematic reviews of the literature about medical tests must address applicability to real-world decision-making. Challenges for reviews include: (1) lack of clarity in key questions about the intended applicability of the review, (2) numerous studies in many populations and settings, (3) publications that provide too little information to assess applicability, (4) secular trends in prevalence and the spectrum of the condition for which the test is done, and (5) changes in the technology of the test itself. We describe principles for crafting reviews that meet these challenges and capture the key elements from the literature necessary to understand applicability.
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- Chapter 6: Assessing Applicability of Medical Test Studies in Systematic Reviews
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Journal of General Internal Medicine
Volume 27, Issue 1 Supplement, pp 39-46
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- systematic evidence review
- diagnostic test
- screening test
- prognostic test
- Industry Sectors
- Author Affiliations
- 1. Vanderbilt AHRQ Evidence-based Practice Center, Vanderbilt University, Nashville, TN, USA
- 2. Institute for Medicine and Public Health, Vanderbilt University, Nashville, TN, USA
- 6. Obstetrics & Gynecology and Medicine, Vanderbilt University School of Medicine, Vanderbilt University, 2525 West End Avenue, Suite 600, Nashville, TN, 37203-8291, USA
- 3. Center for Clinical Health Policy Research, Duke University, Durham, NC, USA
- 4. Duke University Medical Center, Durham, NC, USA
- 5. Center for Outcomes and Evidence, Agency for Healthcare Research and Quality, Rockville, MD, USA