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Assessing the certainty of evidence of test accuracy studies when there are challenges with establishing a reference standard

Published:November 28, 2022DOI:https://doi.org/10.1016/j.jclinepi.2022.11.016
      We provide real-world case examples of potential solutions when a reference standard is not clearly defined, easily replicable, or when it is infeasible or unethical to perform the reference standard on all patients.
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