TITLE

GRADE: grading quality of evidence and strength of recommendations for diagnostic tests and strategies

AUTHOR(S)
Schünemann, A. Holger J.; Oxman, Andrew D.; Brozek, Jan; Glasziou, Paul; Jaeschke, Roman; Vist, Gunn E.; Williams Jr., John W.; Kunz, Regina; Craig, Jonathan; Montori, Victor M.; Bossuyt, Patrick; Guyatt, Gordon H.
PUB. DATE
May 2008
SOURCE
BMJ: British Medical Journal (International Edition);5/17/2008, Vol. 336 Issue 7653, p1106
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In this fourth article of the five part series, we describe how guideline developers are using GRADE to rate the quality of evidence and move from evidence to a recommendation for diagnostic tests and strategies. Although recommendations on diagnosis share the fundamental logic of recommendations for other interventions, they present unique challenges. We will describe why guideline panels should be cautious when they use evidence of the accuracy of tests ("test accuracy") as the basis for recommendations and why evidence of test accuracy often provides low quality evidence for making recommendations. INSET: SUMMARY POINTS.
ACCESSION #
32199021

 

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