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Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: A Health Technology Assessment — Project Protocol [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016 Sep 29. (CADTH Optimal Use Report, No. 6.3a.)

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Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: A Health Technology Assessment — Project Protocol [Internet].

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APPENDIX 4CLINICAL DATA EXTRACTION FORM FOR SYSTEMATIC REVIEWS

Reviewer: ________________________________
Date: ________________________

STUDY CHARACTERISTICS
Ref ID:
Author(s):
Publication title
Publication year:
Country (where the study was conducted):
Funding:


METHODOLOGY
Study design:▢ SR
▢ MA
▢ HTA
Number of included studies:
Total number of participants within studies included in the
review:
Study eligibility criteria:
Type of included studies:
Range of publication years of included studies:
Databases searched:
Search period:
Quality assessment tool:
Subgroup analyses and/or meta-regression:

HTA = health technology assessment; MA = meta-analysis; SR = systematic review.

COMPARISON
Intervention (specify disease threshold and cut-off values,
manufacturer, technological specifications):
Comparator (specify disease threshold and cut-off values,
manufacturer, technological specifications):
Duration between index and reference test:


REPORTED OUTCOMES
Primary (including definition):
Secondary (including definition):
Length of follow-up:


RESULTS (TO BE COMPLETED FOR EACH COMPARISON AND OUTCOME)
Comparison
Intervention:
Comparator:
Outcome
Study (1st author) [REF ID]
Number of included studies:
Range of publication years of included studies:
Study population (nuances)
Pairwise MA
Pooled DTA or effect estimate (95% CI)
P value for effect
I2 statistics
NMA
DTA (95% CI)
P value for effect
Subgroups
Subgroup 1:
Number of included studies
DTA or effect estimate (95% CI)
P value for effect
I2 statistics
Subgroup 2:
Number of included studies
DTA or effect estimate (95% CI)
P value for effect
I2 statistics


(Add subgroups as needed)
Meta-regression
Variables
Variable 1:
Variable 2:
(Add variables as needed)
Main conclusions:


CI = confidence interval; DTA = diagnostic test accuracy; MA = meta-analysis; NMA = network meta-analysis.


Did the systematic review report any data relevant to another research question (RQ)? ▢ Yes: RQ# __________ ▢ No
Copyright © 2016 CADTH.

The copyright and other intellectual property rights in this document are owned by CADTH and its licensors. These rights are protected by the Canadian Copyright Act and other national and international laws and agreements. Users are permitted to make copies of this document for non-commercial purposes only, provided it is not modified when reproduced and appropriate credit is given to CADTH and its licensors.

Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK395890

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