488
V. Bélanger et al.
accuracy research is of paramount importance. Resear-
chers should minimize bias by using prospective cohort-
type study designs, index test in accordance with the
original description, adequate reference standards and
adequate interval between index test and reference stan-
dard. Finally, investigators should consider improving
accuracy by clustering OSTs with or without HRUS and
information about current or past medical history (39).
The authors have no conflicts of interest to declare.
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