Article Text

Download PDFPDF

Evidence about evidence
Free
  1. B C Reeves
  1. Correspondence to: Dr Barney C Reeves London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK; barney.reeveslshtm.ac.uk

Statistics from Altmetric.com

The quality of evaluations of diagnostic test performance

In this issue of the BJO (p 261), Siddiqui et al review the compliance of researchers with quality standards for evaluations of diagnostic test performance (DTP). “Standards” were originally set by the McMaster evidence based medicine (EBM) group1,2 and they have continued to evolve over recent years. Unfortunately, the standards appear to have had little impact since reviews of recent evaluations have shown that they tend to be of poor quality, in medicine generally and in ophthalmology and other specialties.3–6 The review of Siddiqui et al confirms this gloomy picture.

In contrast, during the same period, there has been substantial improvement in the quality and reporting of evaluations of the effectiveness of treatments. Why has research to evaluate DTP not benefited in a similar way from the EBM “movement”? Perhaps improving the quality of research about effectiveness was seen as a priority because it was perceived to be important to patients—the “bit” of health care that makes them better—or because the resources wasted from using treatments that don’t work (and not using ones that do) was much easier for …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles