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The methodological quality was assessed using a quality assessment tool based on six different types of bias common in observational studies (selection, exposure, outcome, analytic, attrition and confounding) for each study included in the review.
All reviewers will be asked to logon to Decision Aid Manager in order to view a PDF of the PtDA and assess its content using a quality assessment tool we adapted from the IPDAS quality checklist [ 33].
Two authors (JWCH and DYTF) independently assessed the methodological rigour of the selected studies using a quality assessment checklist developed by the Scottish Intercollegiate Guidelines Network.
Reviewers independently evaluated papers using a quality assessment tool.
Each article for final inclusion in the review was subject to assessment using a quality assessment inventory (Additional file 1).
We present a study design that copes with these methodological challenges and discuss the methodological implications of our choices, using a quality assessment tool for diagnostic accuracy studies (QUADAS-2).
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One of the three reviews used a quality assessment list [26], while the two others used a qualitative approach to discuss study design, exposure assessment and outcome definition.
We used a quality assessment tool with reference to MOOSE (Stroup et al, 2000), QATSO (Wong et al, 2008), and STROBE (von Elm et al, 2007).
Second, although we used a quality assessment method that was based on the best available evidence and has been used in other similar reviews, there is the potential for misclassification in quality because this measure has not previously validated.
Although we edited and analyzed all data extensively and used a quality assessment audit, differing measurement error structures across the three sets of data remains a possible source of heterogeneity.
The authors noted that only 7 studies evaluating APP roles published before 2005 were found to be methodologically sound following assessment using a quality appraisal tool.
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using a welfare assessment
using a quality factor
using a performance assessment
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using a quality filter
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using a Failure assessment
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using a quality class
using a quality framework
using a correlation assessment
using a climate assessment
using a quality grid
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