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Inleiding richtlijn de ziekte van Parkinson - Medisch Contact

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eferentietest (een „gou<strong>de</strong>n standaard‟)<br />

met tevoren ge<strong>de</strong>finieer<strong>de</strong><br />

afkapwaar<strong>de</strong>n en onafhankelijke<br />

beoor<strong>de</strong>ling <strong>van</strong> <strong>de</strong> resultaten <strong>van</strong> test<br />

en gou<strong>de</strong>n standaard, betreffen<strong>de</strong> een<br />

voldoen<strong>de</strong> grote serie <strong>van</strong><br />

opeenvolgen<strong>de</strong> patiënten die allen <strong>de</strong><br />

in<strong>de</strong>x- en referentietest hebben gehad<br />

- That use a blind comparison of the test with<br />

a validated reference standard (gold<br />

standard)<br />

- In a sample of patients that reflects the<br />

population to whom the test would apply.<br />

B<br />

On<strong>de</strong>rzoek ten opzichte <strong>van</strong> een<br />

referentietest, maar niet met alle<br />

kenmerken die on<strong>de</strong>r A2 zijn genoemd<br />

DSII<br />

Level-2 studies or Systematic reviews of level-2<br />

studies<br />

Level-2 studies are studies that have only one of<br />

the following:<br />

- Narrow population (the sample does not<br />

reflect the population to whom the test would<br />

apply)<br />

- Use a poor reference standard (<strong>de</strong>fined as<br />

that where the „test‟ is inclu<strong>de</strong>d in the<br />

„reference‟, or where the „testing‟ affects the<br />

„reference‟)<br />

- The comparison between the test and<br />

reference standard is not blind<br />

- Case–control studies.<br />

C Niet-vergelijkend on<strong>de</strong>rzoek DS III Level-3 studies or Systematic reviews of level-3<br />

studies:<br />

Studies that have at least two or three of the<br />

features listed above by level-2 studies.<br />

D Mening <strong>van</strong> <strong>de</strong>skundigen DS IV Evi<strong>de</strong>nce obtained from expert committee reports<br />

or opinions and/or clinical experience without<br />

explicit critical experience, based on physiology,<br />

bench research or „first principles‟<br />

*Homogeneity means there are no or minor variations in the directions and <strong>de</strong>grees of results between individual studies that are<br />

inclu<strong>de</strong>d in the systematic review. DS = Diagnostic study<br />

17

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