title: [Diagnostic imaging in oncology--evidence reviews for evidence based guidelines by the Agency of Quality for Medicine (ÄZQ)].
abstract: Within the context of the development of evidence-based oncology guidelines, the Agency for Quality in Medicine undertook evidence reviews for diagnostic imaging procedures. Systematic searches retrieved no randomised controlled trials, but only cohort studies and case series of mostly moderate quality. The identified studies provided only a restricted basis for the guideline recommendations as their validity was limited and only outcomes of diagnostic accuracy were examined. However, decision criteria for recommending diagnostic strategies significantly comprise judgements about required resources and availability of diagnostic imaging procedures. These criteria as well as patient out-comes were mostly implicit and should be explicated in future. In order to increase the relevance of evidence reviews for oncological diagnosis, high quality studies which examine resources and patient-centred outcomes for diagnostic strategies are required.
authors.affiliation: Ärztliches Zentrum für Qualität in der Medizin, Berlin. nothacker@azq.de
authors.forename: Monika
authors.initials: M
authors.lastname: Nothacker
authors.forename: Thomas
authors.initials: T
authors.lastname: Langer
authors.forename: Susanne
authors.initials: S
authors.lastname: Weinbrenner
mesh_terms: D003952:Diagnostic Imaging; D019317:Evidence-Based Medicine / Q000592:standards*; D005858:Germany; D006801:Humans; D009313:National Health Programs / Q000592:standards; D009369:Neoplasms / Q000175:diagnosis*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000592:standards*; D016032:Randomized Controlled Trials as Topic; D012680:Sensitivity and Specificity