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. 2016 Mar 1;2016(3):CD010360. doi: 10.1002/14651858.CD010360.pub2

Stewart 2006.

Study characteristics
Patient sampling Design: retrospective
 Setting: tertiary hospital, Australia
 Accrual dates: Jan 1999 to Dec 2003
 No participants: 914
 No assessed: 914
 Inclusion criteria: FS of omentum and lymph node included.
 Included previous histological diagnosis: NR
Patient characteristics and setting Tertiary centre pelvic masses. FS of omentum and lymph node included.
Index tests FS of omentum and lymph node included. Pathologhists in general surgery and gyn oncology employed.
Target condition and reference standard(s) Malignant or borderline on PS.
Flow and timing FS before PS.
Comparative  
Notes Good study with useful 2 x 2 table
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Yes    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Yes    
Was the sample representative of patients in practice (90% stage I/II with RMI>200)? Unclear    
    Low Low
DOMAIN 2: Index Test All tests
Were the index tests interpreted without knowledge of the reference standard? Yes    
Were the index tests Interpreted by consultant or specialist gyn‐onc pathologist? Yes    
    Low Low
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Yes    
Were the reference standard results interpreted without knowledge of the results of the index tests? Unclear    
    Low Low
DOMAIN 4: Flow and Timing
Did all patients receive a reference standard? Yes    
Did all patients receive the same reference standard? Yes    
Were un‐interpretable/intermediate test results reported? No    
Were withdrawals from the study explained? Yes    
    Low