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

Twaalfhoven 1991.

Study characteristics
Patient sampling Design: Retrospective
 Setting: Netherlands
 Accrual dates: Jan 1984‐Jan 1990
 No participants: 176
 No assessed: 176 inc. 11 deferred
 Inclusion criteria: Included 27 ovarian biopsies and 149 ovaries.
 Included previous histological diagnosis: unclear
Patient characteristics and setting Ovarian biopsies and ovaries submitted for FS. Netherlands.
Index tests FS. No details given.
Target condition and reference standard(s) Malignant or borderline on PS.
Flow and timing FS before PS.
Comparative  
Notes 11 Deferred (1 benign, 4 borderline, 6 malignant).
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Unclear    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Unclear    
Was the sample representative of patients in practice (90% stage I/II with RMI>200)? Unclear    
    Unclear Unclear
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? Unclear    
    Unclear Unclear
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    
    Unclear 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? Yes    
Were withdrawals from the study explained? Unclear    
    Unclear