Johnson 2018.
| Study characteristics | |||
| Patient Sampling | Cohort study. Participants aged 50 years or older were selected by inspection of clinical data from visits to the glaucoma clinic between November 2015 and November 2017. Data from one eye were included in the analysis. | ||
| Patient characteristics and setting | Sample size: 131 eyes (19 narrow angle and 112 open angle). Age: mean (SD), 62.0 ± 8.7 years. Sex: 58 (44.3%) female. Setting: secondary care. Country: USA. Ethnicity: 110 (84.0%) Black, 8 (6.1%) White (non‐Hispanic), 6 (4.6%) Hispanic (7.1%), 5 (3.8%) Asian, 2 (1.5%) Middle Eastern. Exclusions: pseudophakia, aphakia, previous glaucoma surgery, previous iridotomy or iridectomy, anterior segment dysgenesis, phthisis bulbi and corneal opacities. |
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| Index tests | LACD: original van Herick grading scheme used (grade 1‐4) performed at the temporal angle. Grade 2 and less was used as the cut‐off (≤ 25%). | ||
| Target condition and reference standard(s) | Static gonioscopy, an angle was defined as occludable when the posterior trabecular meshwork was not visible in 2 or more quadrants (≥ 180 degrees) in dim illumination. | ||
| Flow and timing | 131 participants recruited and there were 2 participants who were excluded from the analysis, reason was not reported. Data from 129 eyes were included in the analysis. The index test and reference standard were conducted on the same occasion. | ||
| Comparative | |||
| Notes | Conflict of interest: authors reported no conflict of interest. | ||
| Methodological quality | |||
| Item | Authors' judgement | Risk of bias | Applicability concerns |
| DOMAIN 1: Patient Selection | |||
| Was a consecutive or random sample of patients enrolled? | No | ||
| Was a case‐control design avoided? | Yes | ||
| Did the study avoid inappropriate exclusions? | Yes | ||
| Could the selection of patients have introduced bias? | High risk | ||
| Are there concerns that the included patients and setting do not match the review question? | High | ||
| DOMAIN 2: Index Test (LACD) | |||
| Were the index test results interpreted without knowledge of the results of the reference standard? | Yes | ||
| If a threshold was used, was it pre‐specified? | Yes | ||
| Could the conduct or interpretation of the index test have introduced bias? | Low risk | ||
| Are there concerns that the index test, its conduct, or interpretation differ from the review question? | Low concern | ||
| DOMAIN 2: Index Test (Scheimpflug photography) | |||
| DOMAIN 2: Index Test (AS‐OCT) | |||
| DOMAIN 2: Index Test (SPAC) | |||
| DOMAIN 2: Index Test (Flashlight) | |||
| 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? | Yes | ||
| Could the reference standard, its conduct, or its interpretation have introduced bias? | Low risk | ||
| Are there concerns that the target condition as defined by the reference standard does not match the question? | Low concern | ||
| DOMAIN 4: Flow and Timing | |||
| Was there an appropriate interval between index test and reference standard? | Yes | ||
| Were all patients included in the analysis? | Yes | ||
| Did all patients receive a reference standard | Yes | ||
| Could the patient flow have introduced bias? | Low risk | ||