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Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist

Abstract

Background  

The COSMIN checklist is a standardized tool for assessing the methodological quality of studies on measurement properties.
It contains 9 boxes, each dealing with one measurement property, with 5–18 items per box about design aspects and statistical
methods. Our aim was to develop a scoring system for the COSMIN checklist to calculate quality scores per measurement property
when using the checklist in systematic reviews of measurement properties.

Methods  

The scoring system was developed based on discussions among experts and testing of the scoring system on 46 articles from
a systematic review. Four response options were defined for each COSMIN item (excellent, good, fair, and poor). A quality
score per measurement property is obtained by taking the lowest rating of any item in a box (“worst score counts”).

Results  

Specific criteria for excellent, good, fair, and poor quality for each COSMIN item are described. In defining the criteria,
the “worst score counts” algorithm was taken into consideration. This means that only fatal flaws were defined as poor quality.
The scores of the 46 articles show how the scoring system can be used to provide an overview of the methodological quality
of studies included in a systematic review of measurement properties.

Conclusions  

Based on experience in testing this scoring system on 46 articles, the COSMIN checklist with the proposed scoring system seems
to be a useful tool for assessing the methodological quality of studies included in systematic reviews of measurement properties.

  • Content Type Journal Article
  • Pages 1-7
  • DOI 10.1007/s11136-011-9960-1
  • Authors
    • Caroline B. Terwee, Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    • Lidwine B. Mokkink, Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    • Dirk L. Knol, Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    • Raymond W. J. G. Ostelo, Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands
    • Lex M. Bouter, Executive Board of VU University Amsterdam, Amsterdam, The Netherlands
    • Henrica C. W. de Vet, Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    • Journal Quality of Life Research
    • Online ISSN 1573-2649
    • Print ISSN 0962-9343
Posted in: Meta-analyses - Systematic Reviews on 07/08/2011 | Link to this post on IFP |
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