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. 2021 Mar 9;2021(3):CD012553. doi: 10.1002/14651858.CD012553.pub2

Klam 2005.

Study characteristics
Patient Sampling Diamniotic twin pregnancies with 2 live births from tertiary care centre
Patient characteristics and setting 503 diamniotic twin pregnancies (1 April 1994 to 11 January 2002); GA: growth discordant twins: mean 34.4 (SD 2.9) weeks, growth concordant twins: mean 35.6 (SD 2.9) weeks; tertiary care centre
Index tests EFW and AC
Target condition and reference standard(s) Birth weight discordance
Flow and timing Excluded women with chromosomal and structural anomalies, pregnancies complicated by TTTS and intrauterine death of 1 or both fetuses
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    
Could the selection of patients have introduced bias?   Low risk  
Are there concerns that the included patients and setting do not match the review question?     Low concern
DOMAIN 2: Index Test (All tests)
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? Yes    
Could the conduct or interpretation of the index test have introduced bias?   Unclear risk  
Are there concerns that the index test, its conduct, or interpretation differ from the review question?     Low concern
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Unclear    
Were the reference standard results interpreted without knowledge of the results of the index tests? Unclear    
Could the reference standard, its conduct, or its interpretation have introduced bias?   Unclear 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? Unclear    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? Unclear    
Could the patient flow have introduced bias?   Unclear risk