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Juvenile idiopathic arthritis of peripheral joints: Quality of reporting of diagnostic accuracy of conventional MRI
Academic Radiology, 05/19/09
Miller E et al. – The quality of reporting of methods in studies on the magnetic resonance imaging assessment of juvenile idiopathic arthritis (JIA) is heterogeneous and fair overall. Further methodological refinement in future is recommended.
Methods- A systemic review of the quality of papers on the clinimetric properties of MRI for the diagnosis of JIA in peripheral joints
- Literature search: Medline, EMBASE, the Database of Abstracts of Reviews of Effects, and the Cochrane Library
- 2 independent reviewers evaluated selected articles by using:
- Standards for Reporting of Diagnostic Accuracy (STARD) and
- Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tools
- Items were reported independently for STARD and QUADAS
- 18 studies (validity, n=18; reliability, n=3; responsiveness, n=3) were included
- Their overall quality of reporting of methods was fair
- Methodological problems with the STARD system included:
- a lack of reporting of exclusion criteria (n=14)
- partial or no information on operators' expertise (n=14) or blinding (n=18), and
- deficient information on study time frames (n=12), treatments (n=10), or indeterminate results (n=18)
- The distribution of QUADAS scores was heterogeneous, with overall scores ranging between 3.5 (poor) and 16.5 (excellent) (maximum score, 17.5)
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