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

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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.	陈新林, 胡月, 莫传伟, 等. 诊断准确性研究报告指南—STARD2015简介. 中国循证医学杂志, 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, 杨智荣, 田金徽, 等. 诊断性试验准确性研究系统评价和Meta分析摘要的报告规范(PRISMA-DTA for abstracts)解读. 中国循证医学杂志, 2021, 21(10): 1235-1240.
6.	赵建青. 增强CT与MRI动态增强扫描对肝癌的诊断价值比较. 临床医学研究与实践, 2021, 6(31): 125-127.
7.	傅炜. 基于气味检测技术的帕金森病诊断模型研究. 杭州: 浙江大学, 2021.
8.	马欢, 阚英, 王巍, 等. 123I-MIBG显像对帕金森病早期诊断的临床价值. 临床和实验医学杂志, 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.	李雪静. OCT与FDT对原发性青光眼的诊断准确性研究. 乌鲁木齐: 新疆医科大学, 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.	黄耀华, 唐欣然, 王杨, 等. 诊断性试验缺失值处理方法的比较研究及应用. 中国卫生统计, 2013, 30(4): 490-492.
14.	廖祥超. 九种常用缺失值插补方法的比较. 昆明: 云南师范大学, 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.	黄一宁, 高山, 王莉鹃, 等. 闭塞性脑血管病经颅多谱勒超声和脑血管造影的比较. 中华神经科杂志, 1997, 30(2): 98-101.
17.	朱一丹, 李会娟, 武阳丰. 诊断准确性研究报告规范(STARD)2015介绍与解读. 中国循证医学杂志, 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.	陈平雁, 郭祖超, 胡琳. 比较两种诊断性试验的统计方法. 中国卫生统计, 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. 陈新林, 胡月, 莫传伟, 等. 诊断准确性研究报告指南—STARD2015简介. 中国循证医学杂志, 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, 杨智荣, 田金徽, 等. 诊断性试验准确性研究系统评价和Meta分析摘要的报告规范(PRISMA-DTA for abstracts)解读. 中国循证医学杂志, 2021, 21(10): 1235-1240.
6. 赵建青. 增强CT与MRI动态增强扫描对肝癌的诊断价值比较. 临床医学研究与实践, 2021, 6(31): 125-127.
7. 傅炜. 基于气味检测技术的帕金森病诊断模型研究. 杭州: 浙江大学, 2021.
8. 马欢, 阚英, 王巍, 等. 123I-MIBG显像对帕金森病早期诊断的临床价值. 临床和实验医学杂志, 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. 李雪静. OCT与FDT对原发性青光眼的诊断准确性研究. 乌鲁木齐: 新疆医科大学, 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. 黄耀华, 唐欣然, 王杨, 等. 诊断性试验缺失值处理方法的比较研究及应用. 中国卫生统计, 2013, 30(4): 490-492.
14. 廖祥超. 九种常用缺失值插补方法的比较. 昆明: 云南师范大学, 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. 黄一宁, 高山, 王莉鹃, 等. 闭塞性脑血管病经颅多谱勒超声和脑血管造影的比较. 中华神经科杂志, 1997, 30(2): 98-101.
17. 朱一丹, 李会娟, 武阳丰. 诊断准确性研究报告规范(STARD)2015介绍与解读. 中国循证医学杂志, 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. 陈平雁, 郭祖超, 胡琳. 比较两种诊断性试验的统计方法. 中国卫生统计, 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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