Systematic reviews of prognostic studies 2: assessing risk of bias in studies of prognostic factors using the QUIPS tool

Article type
Authors
Hayden J1, Moons K2, Van der Windt D3, Cartwright J4, Côté P5, Bombardier C6
1Back Review Group; Prognosis Methods Group
2Julius Center for Health Sciences and Primary Care
3Keele University
4Dalhousie University, Canada
5UOIT, Canada
6UHN, Canada
Abstract
Objectives: The QUality In Prognosis Studies (QUIPS) tool is useful and reliable to assess risk of bias in studies of prognostic factors. This workshop will introduce participants to paper and MS Excel versions of the QUIPS tool. We will discuss the development of the tool, and participate in exercises to apply and interpret the tool.
Description: Prognosis is a description of the probable course of individuals with a health condition. Consideration of factors that are associated with or determine the course of the health condition is important in prognosis. Critical appraisal of prognostic studies is challenging, but essential to assess and identify biases sufficiently large to distort study results.
The QUIPS tool supports a systematic appraisal of bias in studies of prognostic factors. It is based on recommendations from a comprehensive review of critical appraisal in prognosis reviews and is informed by epidemiologic principles. Versions of the tool have been successfully used by several research groups with moderate/substantial inter-rater reliability. Six important areas to evaluate validity prognostic factor studies are considered: participation, attrition, prognostic factor measurement, confounding measurement and account, outcome measurement, and analysis and reporting; the tool includes prompting items related to these six areas with suggestions for operationalization and grading. Participants will gain understanding and experience using the QUIPS tool.