Current Concepts Review   |    
User's Guide to the Surgical Literature: How to Use an Article About a Diagnostic Test
Mohit Bhandari, MD, MSc; Victor M. Montori, MD; Marc F. Swiontkowski, MD; Gordon H. Guyatt, MD, MSc
View Disclosures and Other Information
Mohit Bhandari, MD, MSc
Victor M. Montori, MD
Gordon H. Guyatt, MD, MSc
Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Center, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada. E-mail address for M. Bhandari: bhandari@sympatico.ca

Marc F. Swiontkowski, MD
Department of Orthopaedic Surgery, University of Minnesota, Box 492, Delaware Street N.E., Minneapolis, MN 55455

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

This article is the fourth in a series designed to help the orthopaedic surgeon use the published literature in practice. In the first article in the series, we presented guidelines for making a decision about therapy and focused on randomized controlled trials. In the second article, we focused on evaluating nonrandomized studies that present information about a patient's prognosis. In the third article, we focused on systematic literature reviews. In this article, we address the use of articles about diagnostic tests in the care of surgical patients.

J Bone Joint Surg Am, 2003 Jun 01;85(6):1133-1140
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


• The primary issues to consider in determining the validity of a diagnostic test study are how the authors assembled the patients and whether they used an appropriate reference standard for all patients to determine whether the patients did or did not have the target condition.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    OH - University Hospitals Case Medical Center
    WV - Charleston Area Medical Center
    CA - UCLA/OH Department of Orthopaedic Surgery
    PA - Penn State Milton S. Hershey Medical Center