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All these examples show that adjusting for the worst case would be a rather conservative strategy and adaptive tests should be implemented instead (Koenig et al., 2008; Bretz et al., 2009).
Our colleagues are entitled to their opinion as to how these complementary tests should be implemented, as has been stated in the recently published commentary noted in their letter.
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A current debate in Sweden endorsed by the Swedish Transport Agency concerns whether periodic medical testing should be implemented for people starting at age 65 or 70 years to check their fitness to drive.
Regulatory authorities, policy makers and healthcare professionals frequently use diagnostic accuracy studies to decide which test should be implemented in a particular setting.
RDT testing should be implemented nationally and a record of RDT positive diagnoses fed back to the National Malaria Control Program, where control activities could focus on the places where malaria is truly a problem.
Appropriate counselling based on the medical, family and reproductive history should be offered and genetic testing should be implemented when indicated.
For different patients than those included in our five study sites, Figure 2A can be used for defining whether PCR testing should be implemented.
Considering the burden of this disease and its economic impact on the community, the authors believe that a more standardized approach to formal diagnostic testing should be implemented.
We think our data support the statement of Cuschieri et al (2004) that 'a broad spectrum test should be implemented until the true impact of the persistence of less common HR-HPV types in neoplastic progression is established'.
Regarding the hearing screening programme, 'audiological assessment' referred to detailed hearing tests that should be implemented in the presence of risk factors for hearing loss.
In clinical use and in further studies, reflective conversations for clarifying goals and skill/knowledge among staff and the test leaders should be implemented.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com