Bossuyt Patrick M, Reitsma Johannes B, Bruns David E, Gatsonis Constantine A, Glasziou Paul P, Irwig Les M, Lijmer Jeroen G, Moher David, Rennie Drummond, de Vet Henrica C W
Academic Medical Center, Department of Clinical Epidemiology, University of Amsterdam, Amsterdam, The Netherlands.
Clin Chem Lab Med. 2003 Jan;41(1):68-73. doi: 10.1515/CCLM.2003.012.
To improve the accuracy and completeness of reporting of studies of diagnostic accuracy, to allow readers to assess the potential for bias in the study and to evaluate its generalisability.
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, and members of professional organisations shortened this list during a two-day consensus meeting with the goal of developing a checklist and a generic flow diagram for studies of diagnostic accuracy.
The search for published guidelines regarding diagnostic research yielded 33 previously published checklists, from which we extracted a list of 75 potential items. At the consensus meeting, participants 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.
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 clinicians, researchers, reviewers, journals, and the public.
提高诊断准确性研究报告的准确性和完整性，使读者能够评估研究中存在偏倚的可能性，并评价其可推广性。
诊断准确性研究报告标准（STARD）指导委员会检索文献，以确定有关诊断性研究的恰当实施和报告的出版物，并将潜在条目提取到一份详尽的列表中。研究人员、编辑和专业组织成员在为期两天的共识会议上对该列表进行了精简，目的是为诊断准确性研究制定一份清单和一个通用流程图。
对已发表的诊断研究指南的检索产生了33份先前发表的清单，我们从中提取了一份包含75个潜在条目的列表。在共识会议上，参与者利用可得的偏倚证据将列表精简至25项。一个典型的流程图提供了有关患者招募方法、检测执行顺序以及接受评估检测、参考标准或两者检测的患者数量的信息。
研究评估依赖于完整准确的报告。如果医学期刊采用该清单和流程图，诊断准确性研究报告的质量应会提高，这将有利于临床医生、研究人员、审稿人、期刊及公众。
