Reiniging, desinfectie en sterilisatie (herbruikbare) medische hulpmiddelen - Module 8 Quality-assessment-tabel

Table of quality assessment for systematic reviews of diagnostic studies

Based on AMSTAR checklist (Shea et al.; 2007, BMC Methodol 7: 10; doi:10.1186/1471-2288-7-10) and PRISMA checklist (Moher et al 2009, PLoS Med 6: e1000097; doi:10.1371/journal.pmed1000097)

Research question:

Study

First author, year

Appropriate and clearly focused question?

Yes/no/unclear

Comprehensive and systematic literature search?

Yes/no/unclear

Description of included and excluded studies?

Yes/no/unclear

Description of relevant characteristics of included studies?

Yes/no/unclear

Assessment of scientific quality of included studies?

Yes/no/unclear

Enough similarities between studies to make combining them reasonable?Yes/no/unclear

Potential risk of publication bias taken into account?

Yes/no/unclear

Potential conflicts of interest reported?

Yes/no/unclear

Olafsdottir, 2017

Yes

Yes

Yes

Yes

Yes. Risk of bias was present in the included studies

- Risk of design bias The studies were conducted in high-volume centers. High-volume institutions might have more proficient reprocessing staff with higher quality of cleaning.

- It is unclear if the age and condition of the duodenoscopes affected the relationship between ATP Adenosinetrifosfaat (Adenosinetrifosfaat ) RLU Relative Light Unit (Relative Light Unit ) and culture results

-Sampling bias: convenience sampling only

-Misclassification bias: different cut-offs used

Not relevant.

Studies were not pooled

Yes

Yes

In 2 of the studies, the authors reported a potential conflict of interest as a consultant, inventor of a proprietary ATP-related testing assay, and/or invited speaker sponsored by a company involved with duodenoscopes or ATP testing assays (Olympus and 3M)