Measurement properties of quality assessment tools for studies of diagnostic accuracy.

Abstract:

OBJECTIVES:To determine the reliability, internal consistency, measurement error, convergent validity, and floor and ceiling effects of three quality assessment tools commonly used to evaluate the quality of diagnostic test accuracy studies in physical therapy. A secondary aim was to describe the quality of a sample of diagnostic accuracy studies. STUDY DESIGN AND SETTING:50 studies were randomly selected from a comprehensive database of physical therapy-relevant diagnostic accuracy studies. Two reviewers independently rated each study with the Quality Assessment of Diagnostic Accuracy Studies (QUADAS), Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) and Diagnostic Accuracy Quality Scale (DAQS) tools in random sequence. RESULTS:Only 7% of QUADAS items, 14% of QUADAS-2 items, and 33% of DAQS items had at least moderate inter-rater reliability (kappa>0.40). Internal consistency and convergent validity measures were acceptable (>0.70) in 33% and 50% of cases respectively. Floor or ceiling effects were not present in any tool. The quality of studies was mixed: most avoided case-control sampling strategies and used the same reference standard on all subjects, but many failed to enroll a consecutive or random sample of subjects or provide confidence intervals about estimates of diagnostic accuracy. CONCLUSION:The QUADAS, QUADAS-2 and DAQS tools provide unreliable estimates of the quality of studies of diagnostic accuracy in physical therapy.

journal_name

Braz J Phys Ther

authors

Kaizik MA,Garcia AN,Hancock MJ,Herbert RD

doi

10.1016/j.bjpt.2019.01.009

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

177-184

issue

2

eissn

1413-3555

issn

1809-9246

pii

S1413-3555(18)31013-X

journal_volume

24

pub_type

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