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. 2019 Sep 9;19(3):254–277. doi: 10.5230/jgc.2019.19.e29

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.