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pandora rings There was much debate. Sen. Hillman Frazier, D Jackson, waved a sheathed sword and quoted Bible Scripture as he argued against passage of the bill. There was a wide variation in adherence across systematic reviews (range 0 66%), indicating that there was inconsistency in the quality of reporting in different clinical areas and/or the reviewers’ interpretation of the STARD statement.Conclusion Inconclusive results in diagnostic accuracy studies are not consistently reported, with around a third of studies fully complying with item 22 of the STARD statement (see appendix 1 and 2 for full details of methods and table of results).Based on 1156 primary studies included in 22 systematic reviews (published between 2005 and 2011), we found that only a third (35%) of studies reported the presence or absence of inconclusive results adequately, showing that these results are not consistently reported in diagnostic accuracy research.3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 The wide variation in the proportion of studies that were adherent between reviews could indicate that there was some reviewer subjectivity in the interpretation of the STARD item and how they defined adherence. They also noted important issues surrounding reliability between raters.26These findings support the need to clarify the importance of inconclusive results and provide clear guidance to researchers on how to handle these results when reporting and analysing diagnostic accuracy studies.Defining inconclusive resultsTypes of inconclusive test resultsSimel and colleagues outlined three main types of “non positive, non negative” results27:Uninterpretable results: those that “do not meet the minimum criteria constituting an adequate test”Intermediate test results: those that “confer a likelihood ratio for disease that is more than that conferred by a negative result, but less than that of a positive test”Indeterminate test results: those that add no additional diagnostic information to the original probability of disease. In technical terms, this is a test result with a likelihood ratio of about 1 https://www.pandorajewellrycanada.ca, meaning that knowledge of the test result does not alter the probability of disease.In reported studies, however, the distinction between the different types of results is often lost, and the terms are used interchangeably see, for example, the studies by Kamath and colleagues,28 Glaser and colleagues,29 and Ayad and colleagues.30 We have provided some clarity on methods for reporting and analysing inconclusive index test results in diagnostic accuracy studies pandora rings.