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. 2007;15(2):93–102. doi: 10.1179/106698107790819945

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