A brief introduction of comparative diagnostic test accuracy study_Chinese Journal of Evidence-Based Medicine

Authors：

TIAN Chen ^1,2 , YANG Qiuyu ³ , LAI Honghao ^1,2 , SUN Mingyao ³ , LU Yao ^1,2 , XIE Xinling ⁴ , TIAN Jinhui ^5,6 , LI Ni ⁷ , WANG Huilin ⁷ , ZHENG Yadi ⁷ ,  LI Jiang ⁷ , GE Long ^1,2,6

1. Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
2. Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
3. Evidence Based Nursing Centre, School of Nursing, Lanzhou University, Lanzhou 730000, P. R. China;
4. Lanzhou University Second School of Clinical Medicine, Lanzhou 730000, P. R. China;
5. Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
6. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P. R. China;
7. National Cancer Center/National Cancer Clinical Medical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P. R. China;

Corresponding?author：

LI Jiang, Email: gelong2009@163.com

Keywords：

Diagnosis test; Comparative diagnosis test accuracy; Accuracy

DOI：

10.7507/1672-2531.202201098

Video：

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By comparing the diagnostic accuracy of two or more tests in the same study, the one with the higher diagnostic accuracy can be screened. Therefore, it is extremely important to conduct the comparative diagnostic test accuracy study. This paper introduced the concept of the comparative diagnostic test accuracy study, compared it with single diagnostic test accuracy study, and described its role, study design, statistical analysis, current status, and challenges.

Citation： TIAN Chen, YANG Qiuyu, LAI Honghao, SUN Mingyao, LU Yao, XIE Xinling, TIAN Jinhui, LI Ni, WANG Huilin, ZHENG Yadi, LI Jiang, GE Long. A brief introduction of comparative diagnostic test accuracy study. Chinese Journal of Evidence-Based Medicine, 2022, 22(5): 590-594. doi: 10.7507/1672-2531.202201098 Copy

1.	陳新林, 胡月, 莫傳偉, 等. 診斷準確性研究報告指南—STARD2015簡介. 中國循證醫學雜志, 2016, 16(10): 1227-1230.
2.	Vali Y, Yang B, Olsen M, et al. Reporting of test comparisons in diagnostic accuracy studies: a literature review. Res Synth Methods, 2021, 12(3): 357-367.
3.	Yang B, Vali Y, Dehmoobad Sharifabadi A, et al. Risk of bias assessment of test comparisons was uncommon in comparative accuracy systematic reviews: an overview of reviews. J Clin Epidemiol, 2020, 127: 167-174.
4.	Bossuyt PM, Irwig L, Craig J, et al. Comparative accuracy: assessing new tests against existing diagnostic pathways. BMJ, 2006, 332(7549): 1089-1092.
5.	王巍巍, 楊智榮, 田金徽, 等. 診斷性試驗準確性研究系統評價和Meta分析摘要的報告規范(PRISMA-DTA for abstracts)解讀. 中國循證醫學雜志, 2021, 21(10): 1235-1240.
6.	趙建青. 增強CT與MRI動態增強掃描對肝癌的診斷價值比較. 臨床醫學研究與實踐, 2021, 6(31): 125-127.
7.	傅煒. 基于氣味檢測技術的帕金森病診斷模型研究. 杭州: 浙江大學, 2021.
8.	馬歡, 闞英, 王巍, 等. 123I-MIBG顯像對帕金森病早期診斷的臨床價值. 臨床和實驗醫學雜志, 2021, 20(19): 2105-2109.
9.	Takwoingi Y, Leeflang MM, Deeks JJ. Empirical evidence of the importance of comparative studies of diagnostic test accuracy. Ann Intern Med, 2013, 158(7): 544-554.
10.	李雪靜. OCT與FDT對原發性青光眼的診斷準確性研究. 烏魯木齊: 新疆醫科大學, 2010.
11.	Yang B, Olsen M, Vali Y, et al. Study designs for comparative diagnostic test accuracy: a methodological review and classification scheme. J Clin Epidemiol, 2021, 138: 128-138.
12.	Hayen A, Macaskill P, Irwig L, et al. Appropriate statistical methods are required to assess diagnostic tests for replacement, add-on, and triage. J Clin Epidemiol, 2010, 63(8): 883-891.
13.	黃耀華, 唐欣然, 王楊, 等. 診斷性試驗缺失值處理方法的比較研究及應用. 中國衛生統計, 2013, 30(4): 490-492.
14.	廖祥超. 九種常用缺失值插補方法的比較. 昆明: 云南師范大學, 2017.
15.	Malone JM, Bean B, Laguna J, et al. Diagnosis of carotid artery stenosis: comparison of oculoplethysmography and Doppler supraorbital examination. Ann Surg, 1980, 191(3): 347-354.
16.	黃一寧, 高山, 王莉鵑, 等. 閉塞性腦血管病經顱多譜勒超聲和腦血管造影的比較. 中華神經科雜志, 1997, 30(2): 98-101.
17.	朱一丹, 李會娟, 武陽豐. 診斷準確性研究報告規范(STARD)2015介紹與解讀. 中國循證醫學雜志, 2016, 16(6): 730-735.
18.	Bossuyt PM, Reitsma JB, Bruns DE, et al. STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies. Radiology, 2015, 277(3): 826-832.
19.	Bossuyt PM, Reitsma JB, Bruns DE, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ, 2003, 326(7379): 41-44.
20.	Leeflang MMG, Reitsma JB. Systematic reviews and meta-analyses addressing comparative test accuracy questions. Diagn Progn Res, 2018, 2: 17.
21.	Takwoingi Y, Partlett C, Riley RD, et al. Methods and reporting of systematic reviews of comparative accuracy were deficient: a methodological survey and proposed guidance. J Clin Epidemiol, 2020, 121: 1-14.
22.	Yang B, Mallett S, Takwoingi Y, et al. QUADAS-C: a tool for assessing risk of bias in comparative diagnostic accuracy studies. Ann Intern Med, 2021, 174(11): 1592-1599.
23.	Yang B, Mustafa RA, Bossuyt PM, et al. GRADE guidance: 31. assessing the certainty across a body of evidence for comparative test accuracy. J Clin Epidemiol, 2021, 136: 146-156.
24.	陳平雁, 郭祖超, 胡琳. 比較兩種診斷性試驗的統計方法. 中國衛生統計, 1990, (2): 22-25.
25.	Knottnerus JA, Muris JW. Assessment of the accuracy of diagnostic tests: the cross-sectional study. J Clin Epidemiol, 2003, 56(11): 1118-1128.
26.	Moons KG, Harrell FE. Sensitivity and specificity should be de-emphasized in diagnostic accuracy studies. Acad Radiol, 2003, 10(6): 670-672.
27.	Janes H, Pepe MS. Adjusting for covariates in studies of diagnostic, screening, or prognostic markers: an old concept in a new setting. Am J Epidemiol, 2008, 168(1): 89-97.
28.	Le Gal G, Righini M, Parent F, et al. Diagnosis and management of subsegmental pulmonary embolism. J Thromb Haemost, 2006, 4(4): 724-731.
29.	Yoo HH, Nunes-Nogueira VS, Fortes Villas Boas PJ. Anticoagulant treatment for subsegmental pulmonary embolism. Cochrane Database Syst Rev, 2020, (2): CD010222.

1. 陳新林, 胡月, 莫傳偉, 等. 診斷準確性研究報告指南—STARD2015簡介. 中國循證醫學雜志, 2016, 16(10): 1227-1230.
2. Vali Y, Yang B, Olsen M, et al. Reporting of test comparisons in diagnostic accuracy studies: a literature review. Res Synth Methods, 2021, 12(3): 357-367.
3. Yang B, Vali Y, Dehmoobad Sharifabadi A, et al. Risk of bias assessment of test comparisons was uncommon in comparative accuracy systematic reviews: an overview of reviews. J Clin Epidemiol, 2020, 127: 167-174.
4. Bossuyt PM, Irwig L, Craig J, et al. Comparative accuracy: assessing new tests against existing diagnostic pathways. BMJ, 2006, 332(7549): 1089-1092.
5. 王巍巍, 楊智榮, 田金徽, 等. 診斷性試驗準確性研究系統評價和Meta分析摘要的報告規范(PRISMA-DTA for abstracts)解讀. 中國循證醫學雜志, 2021, 21(10): 1235-1240.
6. 趙建青. 增強CT與MRI動態增強掃描對肝癌的診斷價值比較. 臨床醫學研究與實踐, 2021, 6(31): 125-127.
7. 傅煒. 基于氣味檢測技術的帕金森病診斷模型研究. 杭州: 浙江大學, 2021.
8. 馬歡, 闞英, 王巍, 等. 123I-MIBG顯像對帕金森病早期診斷的臨床價值. 臨床和實驗醫學雜志, 2021, 20(19): 2105-2109.
9. Takwoingi Y, Leeflang MM, Deeks JJ. Empirical evidence of the importance of comparative studies of diagnostic test accuracy. Ann Intern Med, 2013, 158(7): 544-554.
10. 李雪靜. OCT與FDT對原發性青光眼的診斷準確性研究. 烏魯木齊: 新疆醫科大學, 2010.
11. Yang B, Olsen M, Vali Y, et al. Study designs for comparative diagnostic test accuracy: a methodological review and classification scheme. J Clin Epidemiol, 2021, 138: 128-138.
12. Hayen A, Macaskill P, Irwig L, et al. Appropriate statistical methods are required to assess diagnostic tests for replacement, add-on, and triage. J Clin Epidemiol, 2010, 63(8): 883-891.
13. 黃耀華, 唐欣然, 王楊, 等. 診斷性試驗缺失值處理方法的比較研究及應用. 中國衛生統計, 2013, 30(4): 490-492.
14. 廖祥超. 九種常用缺失值插補方法的比較. 昆明: 云南師范大學, 2017.
15. Malone JM, Bean B, Laguna J, et al. Diagnosis of carotid artery stenosis: comparison of oculoplethysmography and Doppler supraorbital examination. Ann Surg, 1980, 191(3): 347-354.
16. 黃一寧, 高山, 王莉鵑, 等. 閉塞性腦血管病經顱多譜勒超聲和腦血管造影的比較. 中華神經科雜志, 1997, 30(2): 98-101.
17. 朱一丹, 李會娟, 武陽豐. 診斷準確性研究報告規范(STARD)2015介紹與解讀. 中國循證醫學雜志, 2016, 16(6): 730-735.
18. Bossuyt PM, Reitsma JB, Bruns DE, et al. STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies. Radiology, 2015, 277(3): 826-832.
19. Bossuyt PM, Reitsma JB, Bruns DE, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ, 2003, 326(7379): 41-44.
20. Leeflang MMG, Reitsma JB. Systematic reviews and meta-analyses addressing comparative test accuracy questions. Diagn Progn Res, 2018, 2: 17.
21. Takwoingi Y, Partlett C, Riley RD, et al. Methods and reporting of systematic reviews of comparative accuracy were deficient: a methodological survey and proposed guidance. J Clin Epidemiol, 2020, 121: 1-14.
22. Yang B, Mallett S, Takwoingi Y, et al. QUADAS-C: a tool for assessing risk of bias in comparative diagnostic accuracy studies. Ann Intern Med, 2021, 174(11): 1592-1599.
23. Yang B, Mustafa RA, Bossuyt PM, et al. GRADE guidance: 31. assessing the certainty across a body of evidence for comparative test accuracy. J Clin Epidemiol, 2021, 136: 146-156.
24. 陳平雁, 郭祖超, 胡琳. 比較兩種診斷性試驗的統計方法. 中國衛生統計, 1990, (2): 22-25.
25. Knottnerus JA, Muris JW. Assessment of the accuracy of diagnostic tests: the cross-sectional study. J Clin Epidemiol, 2003, 56(11): 1118-1128.
26. Moons KG, Harrell FE. Sensitivity and specificity should be de-emphasized in diagnostic accuracy studies. Acad Radiol, 2003, 10(6): 670-672.
27. Janes H, Pepe MS. Adjusting for covariates in studies of diagnostic, screening, or prognostic markers: an old concept in a new setting. Am J Epidemiol, 2008, 168(1): 89-97.
28. Le Gal G, Righini M, Parent F, et al. Diagnosis and management of subsegmental pulmonary embolism. J Thromb Haemost, 2006, 4(4): 724-731.
29. Yoo HH, Nunes-Nogueira VS, Fortes Villas Boas PJ. Anticoagulant treatment for subsegmental pulmonary embolism. Cochrane Database Syst Rev, 2020, (2): CD010222.

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