Diagnostic Study Appraisal Worksheet

DIAGNOSTIC ACCURACY STUDIES

Title : DEVELOPMENT OF A CANCER PAIN ASSESSMENT TOOL IN KOREA: A

VALIDATION STUDY OF A KOREAN VERSION OF THE BRIEF PAIN
INVENTORY

Step 1: Are the results of the study valid?

Was the diagnostic test evaluated in a Representative spectrum of patients (like

those in whom it would be used in practice)?
What is best? Where do I find the information?
It is ideal if the diagnostic test is applied to the The Methods section should tell you how
full spectrum of patients - those with mild, patients were enrolled and whether they were
severe, early and late cases of the target randomly selected or consecutive admissions. It
disorder. It is also best if the patients are should also tell you where patients came from
randomly selected or consecutive admissions and whether they are likely to be representative
so that selection bias is minimized. of the patients in whom the test is to be used.
This paper: YES, penelitian ini merupakan Cohort Study, dengan sampel terdiri dari 132 pasien
dari Kota Seoul yang menderita kanker rekuren atau metastasis dan pasien kanker yang terdaftar
dengan keluhan nyeri. Berdasarkan pendaftaran pasien di layanan kesehatan yang telah dikaji
menggunakan instrument pengkajian nyeri yang biasa digunakan (BDI-K, ECOG dan PMI-R)
Was the reference standard applied regardless of the index test result?
What is best? Where do I find the information?
Ideally both the index test and the reference The Methods section should indicate whether
standard should be carried out on all or not the reference standard was applied to all
patients in the study. In some situations where patients or if an alternative reference standard
the reference standard is invasive or expensive (e.g., follow-up) was applied to those who tested
there may be reservations about subjecting negative on the index test.
patients with a negative index test result (and
thus a low probability of disease) to the
reference standard. An alternative reference
standard is to follow-up people for an
appropriate period of time (dependent on
disease in question) to see if they are truly
negative.
This paper: YES
Was there an independent, blind comparison between the index test and an
appropriate reference ('gold') standard of diagnosis?
What is best? Where do I find the information?
There are two issues here. First the reference The Methods section should have a description
standard should be appropriate - as close to of the reference standard used and if you are
the 'truth' as possible. Sometimes there may unsure of whether or not this is an appropriate
not be a single reference test that is suitable reference standard you may need to do some
and a combination of tests may be used to background searching in the area.
indicate the presence of disease. The Methods section should also describe who
Second, the reference standard and the index conducted the two tests and whether each was
test being assessed should be applied to each conducted independently and blinded to the
patient independently and blindly. Those results of the other.
who interpreted the results of one test should
not be aware of the results of the other test.
This paper: YES. Selain dilakukan a forward-backward translation and cross-cultural equivalence
test pada BPI-K. penelitian ini dilakukan oleh praktisi medis dari Pusat Kanker Nasional Kanker di
Goyang, Korea, Universitas Medis dan Keperawatan di Seoul, dan berkerjasama dengan Universitas
Texas dan Pusat Kanker di Houston, Amerika.

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Diagnostic Study Appraisal Worksheet

Step 2: What were the results?

Are test characteristics presented?

Sampel terdiri dari 132 pasien di Seoul yang menderita kanker rekuren atau metastasis dan pasien
kanker yang terdaftar dengan keluhan nyeri. Dengan Cronbach alpha, diketahui rasa sakit dan nyeri
angka, masing-masing 0,93 dan 0,85. BPI-K disebutkan berguna untuk penelitian terhadap
epidemiologi rasa sakit, penelitian tentang efektivitas intervensi nyeri, dan studi kebijakan kesehatan
yang bisa dilakukan dan dapat membantu perubahan kebijakan kesehatan yang positif di Korea.
Versi Korea dari BPI adalah ukuran yang dapat diandalkan sakit pada penderita kanker.

Step 3: Applicability of the results

Were the methods for performing the test described in sufficient detail to permit
replication?
What is best? Where do I find the information?
The article should have sufficient description of The Methods section should describe the test
the test to allow its replication and also in detail.
interpretation of the results.
This paper: YES