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Quality Assessment Results

Sartucci_2010.pdf

Status: Completed
Document Type: Diagnostic Study
Assessment Tool: QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) - Complete
Assessment completed!
13/13
Next check in: 5 seconds
7.7%
Overall Quality Score
1/13 criteria met

Assessment Details

Assessment Criterion AI Analysis AI Judgment Issues
Was a consecutive or random sample of patients enrolled?
ds_d1_rb1
The document does not explicitly state whether a consecutive or random sample of patients was enrolled. The study describes a retrospective evaluation of electrodiagnostic studies from clinical records without detailing the sampling method used for patient selection. This lack of explicit information about sampling methodology prevents awarding a star for this criterion.
no star awarded
Was a case-control design avoided?
ds_d1_rb2
The study explicitly states it is a retrospective cohort design analyzing data from clinical records, avoiding case-control methodology. The text clearly describes the cohort selection process and data collection methods.
star awarded
Did the study avoid inappropriate exclusions?
ds_d1_rb3
The document does not explicitly describe exclusion criteria or justify their appropriateness for the research question. While some exclusions are mentioned (e.g., 'we also excluded any type of traumatic injury to dorsal or ventral roots, brachial or lumbo-sacral plexus and nerve trunks'), there is no comprehensive list or rationale provided for all exclusions. The NOS requires clear documentation of both the exclusions and their appropriateness, which is not fully met here.
no star awarded
Are there concerns that the included patients and setting do not match the review question?
ds_d1_ac1
The document does not explicitly state whether the included patients and setting match the review question. While the study describes the patient population and setting in detail, there is no direct comparison or discussion of how these characteristics align with the intended review question about A-waves in acute and chronic demyelinating neuropathies. The study focuses on the incidence of A-waves in these conditions but does not address potential mismatches between the study population/setting and the review question.
no star awarded
Were the index test results interpreted without knowledge of the results of the reference standard?
ds_d2_rb1
The document does not explicitly state whether the index test results were interpreted without knowledge of the reference standard results. There is no mention of blinding procedures or any methodological details that would ensure the index test interpretation was independent of the reference standard.
no star awarded
If a threshold was used, was it pre-specified?
ds_d2_rb2
The document does not explicitly state whether thresholds used for A-wave detection were pre-specified. While the criteria for identifying A-waves are described ('stable amplitude and shape', 'variation of onset latencies <1.5 ms', 'occurrence in at least 8 out of 20 stimuli'), there is no explicit statement confirming these were established prior to data collection/analysis to prevent data-driven threshold selection.
no star awarded
Are there concerns that the index test, its conduct, or interpretation differ from the review question?
ds_d2_ac1
The document does not explicitly describe whether the index test (A-wave detection) was performed as it would be in clinical practice. While the methods section details the technical aspects of the EDX studies and criteria for identifying A-waves, there is no explicit statement comparing the test conditions to routine clinical practice. The description focuses on the research protocol rather than clinical applicability.
no star awarded
Is the reference standard likely to correctly classify the target condition?
ds_d3_rb1
Raw response parsing failed. Original content: ```json { "judgment": "no star awarded", "scoring_rationale": "The document does not explicitly describe the reference standard used to classify the target condition (A-wave presence in demyelinat...
no
Were the reference standard results interpreted without knowledge of the results of the index test?
ds_d3_rb2
The document provides no explicit information about whether the reference standard results were interpreted without knowledge of the index test results. There is no mention of blinding procedures or any methodological details that would ensure independence between the interpretation of reference standard and index test results.
no star awarded
Are there concerns that the target condition as defined by the reference standard does not match the question?
ds_d3_ac1
The document does not explicitly define or discuss the reference standard for the target condition (A-wave in acute and chronic demyelinating neuropathies) in relation to the review question. While the study describes the presence and characteristics of A-waves, there is no clear statement about how the reference standard matches or differs from the study's target condition. The criteria for identifying A-waves are provided, but there is no discussion of whether these criteria align with the reference standard or how potential mismatches might affect the study's validity.
no star awarded
Was there an appropriate interval between index test and reference standard?
ds_d4_rb1
The document does not explicitly state the interval between the index test (electrodiagnostic studies) and the reference standard (clinical diagnosis) for the cohort study. While it mentions that 'In acute forms, we performed electrophysiological and serological testing within 15 days of symptom onset,' this only applies to the acute forms (AIDP) and does not address the interval for chronic forms (CIDP) or the overall study design. The NOS criterion requires documentation of an appropriate interval that is short enough to ensure the target condition is unlikely to change, and this information is incomplete for the entire cohort.
no star awarded
Did all patients receive the same reference standard?
ds_d4_rb2
Raw response parsing failed. Original content: ```json { "judgment": "no star awarded", "scoring_rationale": "The document does not explicitly state whether all patients received the same reference standard for diagnosis or outcome assessment....
no
Were all patients included in the analysis?
ds_d4_rb3
The document does not explicitly state whether all patients were included in the analysis or if there were any withdrawals. There is no mention of how withdrawals were handled or whether they were explained, which is required to assess potential bias. The study describes the patient population and methods but lacks specific information on participant flow and completeness of follow-up.
no star awarded
Assessment Summary
13
Total Criteria
1
Criteria Met
12
Issues Found
7.7%
Quality Score

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