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Table 3 Risk of bias in studies included in the systematic review on detection of HB surface antigen

From: Diagnostic accuracy of serological diagnosis of hepatitis C and B using dried blood spot samples (DBS): two systematic reviews and meta-analyses

Author

Patient selection

Bias

Index test

Bias

Reference standard

Bias

Flow and timing

Bias

 

Was a case control design avoided?

Consecutive or random sample of patients?

Inappropriate exclusions?

Blinded to reference standard

Could the conduct or interpretation of the index test have introduced bias?

Blinded to index?

Could the reference standard have introduced bias?

There is an appropriate interval between the index test and reference standard?

All patients receive the same reference standard and are included in the analysis?

Alidjinou

NR, but no case control design

UR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

Boa-Sorte

No case control design, consecutive recruitment

LR

blinded

LR

blinded

LR

Same reference standard, all patients included in analysis

LR

Brown

Not reported

UR

Not reported

UR

Not reported

UR

Not reported

UR

Farzadegan

Only cases, no consecutive sampling

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

Farghaly

Case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

Forbi

No case control design

LR

Not blinded, interpretation unbiased

UR

Not blinded, interpretation unbiased

UR

Sampling not reported, same reference standard

UR

Gruner

NR

UR

Not blinded, NR

UR

NR

UR

NR

UR

Halfon

NR, probably case control design

UR

Not blinded, NR

UR

Not blinded, NR

UR

NR

UR

Kania

Consecutive recruitment

LR

Not blinded, interpretation unbiased

UR

Not blinded, interpretation unbiased

UR

Sampling reported

LR

Khan

No case control design

LR

Not reported, unclear whether blinded

UR

Not reported, unclear whether blinded

UR

Sampling not reported

UR

Lee

Consecutive recruitment

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported, same reference standard

LR

Lukacs

Case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling not reported, same reference standard

UR

Mayer

NR, probably case control

UR

Not reported, interpretation unbiased

LR

Not reported, interpretation unbiased

LR

Sampling not reported

UR

Mendy

Case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling reported

LR

Mohamed

Case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

NR

UR

Mossner

Sampling from high-risk and low risk groups

HR

Not blinded, interpretation unbiased

UR

Not blinded, interpretation unbiased

UR

Sampling reported, same reference standard, all patients included in analysis

LR

Nielsen

Only cases

HR

Not reported

UR

Not reported

UR

Sampling not reported

UR

Parkinson

Only cases

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling not reported, same reference standard

UR

Ross

Sampling not reported, probable case control design

HR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Flow reported

LR

Villa

Case control design

HR

NR

UR

NR

UR

NR

UR

Villar

Case control design

HR

Bias possible, as selective samples by OD values

HR

Not blinded, interpretation unbiased

LR

Sampling reported

LR

Zhuang

No case control design

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling not reported

UR

Zoulek

Unclear, but no case control design, probably random or successive

LR

Not blinded, interpretation unbiased

LR

Not blinded, interpretation unbiased

LR

Sampling not reported, same reference standard

LR

  1. Abbreviations: LR: low risk, HR: high risk, UR: unknown risk, NR: not reported; shaded: low risk of bias