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Table 4 Risk of bias table for HCV antibody

From: Diagnostic accuracy of serological diagnosis of hepatitis C and B using dried blood spot samples (DBS): two systematic reviews and meta-analyses

 

Patient selection

Bias

Index test

Bias

Reference standard

Bias

Flow

Bias

 

Was a case control design avoided?

Consecutive or random sample of patients?

Inappropriate exclusions?

 

Blinded to reference standard

Could the conduct or interpretation of the index test have introduced bias?

 

Blinded to index?

Could the reference standard have introduced bias?

 

There is an appropriate interval between the index test and reference standard?

All patients receive the same reference standard?

All patients recruited into the study are included in the analysis?

 

Brandao

No case control design, consecutive sample, no exclusions

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported, same reference standard

LR

Croom

Sampling from high-risk and low risk groups

UR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

All patients included, same reference standard

LR

Chevaliez

NR

UR

NR

UR

NR

UR

NR

UR

Dokubo

No case control, concurrent sampling from a prospective cohort

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported, same reference standard, all patients recruited included in analysis

LR

Flores

Case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported, same reference standard, all patients recruited included in analysis

LR

Gruner

NR

UR

Not blinded, NR

UR

NR

UR

NR

UR

Kania

Consecutive recruitment

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported

LR

Larrat

Consecutive recruitment, but of known cases and known negative controls

HR

blinded

LR

Blinded

LR

Sampling reported, same reference standard

LR

Lee

Consecutive recruitment

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported, same reference standard

LR

Lukacs

NR

UR

NR

UR

NR

UR

Sampling reported, same reference standard

LR

McCarron

Case control, known positive and negative cases from prevalence survey

HR

NR

UR

NR

UR

NR

UR

Marques 2012

No case control design

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported, same reference standard

LR

Marques 2016

NR

UR

Not blinded, interpretation unbiased

UR

Not blinded, interpretation unbiased

UR

NR, same reference standard, NR

UR

Mossner

Sampling from high-risk and low risk groups

UR

Not blinded, interpretation unbiased

UR

Not blinded, interpretation unbiased

UR

Sampling reported, same reference standard, all patients included in analysis

LR

Nandagopal

NR

UR

NR

UR

NR

UR

NR

UR

O Brien

No case control design,

LR

Blinded

LR

Blinded

LR

Sampling partly reported, same reference standard

LR

Parker

Case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling partly reported, same reference standard

LR

Ross

Possible case control design, sampling NR

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Flow reported

LR

Sheperd

No case control design, but partly sampling from patients with known disease

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

Soulier

Sampling from high-risk and low risk-groups

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR, same reference standard, NR

LR

Tejada-Strop

Case control

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

Tuaillon, E

Case control

HR

Blinded

LR

Blinded

LR

Sampling reported, same reference standard

LR

Waterboer, T

No case control

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

  1. Abbreviations: LR: low risk, HR: high risk, UR: unknown risk, NR: not reported; shaded: low risk of bias