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. 2017 Apr 26;2017(4):CD008759. doi: 10.1002/14651858.CD008759.pub2

Agha 2011.

Study characteristics
Patient sampling Prospective cross‐sectional
Patient characteristics and setting 43 consecutive adult patients with evidence of schistosomal infection (based on seropositivity for Schistosoma mansonii) and periportal hepatic fibrosis confirmed on abdominal ultrasound. Setting: referral tertiary centre in Kingdom of Saudi Arabia
Index tests Platelet count‐to‐spleen diameter ratio
Target condition and reference standard(s) Any oesophageal varices. Upper endoscopy
Flow and timing  
Comparative  
Notes  
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    
    Low High
DOMAIN 2: Index Test Platelet count to spleen length ratio
Were the index test results interpreted without knowledge of the results of the reference standard? Unclear    
If a threshold was used, was it pre‐specified? No    
    High 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    
    Unclear Low
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard? Unclear    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? Yes    
    Unclear