Document Detail

Developmental dysplasia of the hip: quality of reporting of diagnostic accuracy for US.
MedLine Citation:
PMID:  17053199     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To systematically review the quality of diagnostic accuracy reporting in studies on the use of ultrasonography (US) for the diagnosis of developmental dysplasia of the hip (DDH).
MATERIALS AND METHODS: A systematic review of the MEDLINE, EMBASE, DARE, and Cochrane Library databases was performed by using a validated search strategy. Two independent reviewers evaluated articles by using the Standards for Reporting of Diagnostic Accuracy (STARD) and Quality Assessment of Studies of Diagnostic Accuracy included in Systematic Reviews (QUADAS) statements. Items were reported individually for STARD and QUADAS because these instruments do not incorporate a summary score. A simple kappa statistic with 95% confidence intervals was used to measure the level of agreement between the two reviewers.
RESULTS: Ten studies were included. In three studies, reliability was investigated, and in seven studies elements of both validity and reliability were investigated. In no study did the authors adequately report more than 40% of the STARD items. The quality of methods that were used in the studies was poor. Only one (14%) of seven studies provided information on more than 50% of the QUADAS items. All studies included a good description of image acquisition, but data analysis was imperfect and lacked estimates of diagnostic accuracy and precision. Authors tended to overinterpret their results.
CONCLUSION: Overall, there was imperfect reporting of diagnostic accuracy in studies on the use of US for diagnosis of DDH.
Andreas Roposch; Nicole M Moreau; Elizabeth Uleryk; Andrea S Doria
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Publication Detail:
Type:  Journal Article; Review     Date:  2006-10-19
Journal Detail:
Title:  Radiology     Volume:  241     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-20     Completed Date:  2007-01-05     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  854-60     Citation Subset:  AIM; IM    
Copyright Information:
(c) RSNA, 2006.
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MeSH Terms
Hip Dislocation, Congenital / ultrasonography*
Periodicals as Topic / standards
Publishing / standards
Quality of Health Care
Research Design / standards
Ultrasonography / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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