Table 5. Guidelines for biomarker studies.
Structure | Common guidelines | STARD-specific guidelines | REMARK-specific guidelines |
---|---|---|---|
Introduction | Background, objective, and hypothesis | ||
Methods | • Eligibility criteria | • Participant identification methods | • Description of biological material used |
• Participants chosen for the study | • Rationale for reference standard | • Clinical endpoints examined | |
• Detailed protocol sufficient to replicate | • List of all candidate variables initially examined | ||
• Study performer, readers, or assessors blinded to identifying information | |||
• Data collection methods (retrospective vs prospective) | |||
• Sample size determination | |||
• Missing data handling | |||
• Rationale for cut-offs | |||
Results | • Study flow | • Time interval between index test and reference standard | • Univariable analyses revealing the correlation between the marker and outcome |
• Characteristics of patients | • Adverse events due to the index test or the reference standard | • Confidence intervals from an analysis in which the marker and standard prognostic variables are included | |
• Relation of index test (marker) and reference standard (prognosis) | • Results of further investigations | ||
• Estimation of accuracy and precision (STARD) or confidence intervals (REMARK) | |||
Discussion | • Limitations, implications for practice, and future research | • Interpret the results in the context of the pre-specified hypotheses |
STARD = STAndards for Reporting of Diagnostic accuracy studies; REMARK = REporting recommendations for tumor MARKer prognostic studies.