TABLE 6.
QUADAS (Quality Assessment of Diagnostic Accuracy Studies) values of the Spurling test for multiple studies.
| Item | Spurling & Scoville8 | Uchihara et al9 | Shah & Rajshekhar10 | Wainner et al11 | Viikari-Juntura et al12 | Sandmark & Nisell13 |
|---|---|---|---|---|---|---|
| 1. Was the spectrum of patients representative of the patients who will receive the test in practice? | Y | Y | Y | Y | Y | N |
| 2. Were selection criteria clearly described? | N | N | Y | Y | Y | Y |
| 3. Is the reference standard likely to classify the target condition correctly? | Y | Y | Y | Y | Y | N |
| 4. Is the period between reference standard and index test short enough to be reasonably sure that the target condition did not change between the two tests? | U | U | N | U | Y | Y |
| 5. Did the whole sample or random selection of the sample receive verification using a reference standard of diagnosis? | U | Y | Y | Y | Y | Y |
| 6. Did patients receive the same reference standard regardless of the index test result? | U | Y | Y | Y | Y | Y |
| 7. Was the reference standard independent of the index test (i.e., the index test did not form part of the reference standard)? | U | Y | Y | Y | Y | N |
| 8. Was the execution of the index test described in sufficient detail to permit its replication? | Y | Y | Y | Y | Y | Y |
| 9. Was the execution of the reference standard described in sufficient detail to permit its replication? | N | N | N | Y | N | Y |
| 10. Were the index test results interpreted without knowledge of the results of the reference test? | U | U | U | Y | Y | Y |
| 11. Were the reference standard results interpreted without knowledge of the results of the index test? | U | Y | Y | U | Y | Y |
| 12. Were the same clinical data available when test results were interpreted as would be available when the test is used in practice? | Y | Y | Y | Y | Y | Y |
| 13. Were uninterpretable/intermediate test results reported? | N | N | N | U | N | N |
| 14. Were withdrawals from the study explained? | N | N | N | N | N | N |
Y = Yes, N = No, U = Unclear