{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:04:54Z","timestamp":1790309094806,"version":"4.1.0"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T00:00:00Z","timestamp":1620777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["KRS\u2010134297, KRS 140994"],"award-info":[{"award-number":["KRS\u2010134297, KRS 140994"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Methods Psych Res"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Selectively reported results from only well\u2010performing cutoffs in diagnostic accuracy studies may bias estimates in meta\u2010analyses. We investigated cutoff reporting patterns for the Patient Health Questionnaire\u20109 (PHQ\u20109; standard cutoff 10) and Edinburgh Postnatal Depression Scale (EPDS; no standard cutoff, commonly used 10\u201313) and compared accuracy estimates based on published cutoffs versus all cutoffs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted bivariate random effects meta\u2010analyses using individual participant data to compare accuracy from published versus all cutoffs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the PHQ\u20109 (30 studies, <jats:italic>N<\/jats:italic>\u00a0=\u00a011,773), published results underestimated sensitivity for cutoffs below 10 (median difference: \u22120.06) and overestimated for cutoffs above 10 (median difference: 0.07). EPDS (19 studies, <jats:italic>N<\/jats:italic>\u00a0=\u00a03637) sensitivity estimates from published results were similar for cutoffs below 10 (median difference: 0.00) but higher for cutoffs above 13 (median difference: 0.14). Specificity estimates from published and all cutoffs were similar for both tools. The mean cutoff of all reported cutoffs in PHQ\u20109 studies with optimal cutoff below 10 was 8.8 compared to 11.8 for those with optimal cutoffs above 10. Mean for EPDS studies with optimal cutoffs below 10 was 9.9 compared to 11.8 for those with optimal cutoffs greater than 10.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Selective cutoff reporting was more pronounced for the PHQ\u20109 than EPDS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mpr.1873","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T09:50:20Z","timestamp":1620813020000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Selective cutoff reporting in studies of the accuracy of the Patient Health Questionnaire\u20109 and Edinburgh Postnatal Depression Scale: Comparison of results based on published cutoffs versus all cutoffs using individual participant data meta\u2010analysis"],"prefix":"10.1002","volume":"30","author":[{"given":"Dipika","family":"Neupane","sequence":"first","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health McGill University  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Levis","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health McGill University  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Centre for Prognosis Research School of Medicine Keele University  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parash M.","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health McGill University  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-8432","authenticated-orcid":false,"given":"Brett D.","family":"Thombs","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health McGill University  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Psychiatry McGill University  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Medicine McGill University  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Psychology McGill University  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8314-9497","authenticated-orcid":false,"given":"Andrea","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Biostatistics and Occupational Health McGill University  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Medicine McGill University  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Respiratory Epidemiology and Clinical Research Unit McGill University Health Centre  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"DEPRESsion Screening Data (DEPRESSD) Collaboration","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737\u2010014\u20100466\u2010z"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2017.06.006"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1139"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2013.09.005"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199\u2010200107000\u201000008"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1443"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.04.019"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5527"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7379.41"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674820903230708"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.06.003"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.02.003"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008\u20103261"},{"key":"e_1_2_9_15_1","unstructured":"Cochrane methods: IPD meta\u2010analysis. 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