Library of risk of bias tools

Recommended by LATITUDES QUADAS-3

Study design(s) targeted by the tool Diagnostic test accuracy (DTA) studiesdiagnostic-test-accuracy-dta-studies
Additional details on designs NA
Tool area Health
Link to the tool Get the QUADAS-3 tool

Details

Website https://www.quadas.info
Primary publication Whiting P, Tomlinson E, Rutjes A, et al. QUADAS-3: A Revised Tool for the Quality Assessment of Diagnostic Test Accuracy Studies. Ann Intern Med. 2026;doi:10.7326/annals-25-02104.
DOI doi.org/10.7326/ANNALS-25-0494
Guidance document Get the QUADAS-3 guidance
Training

Training | Bristol Medical School: Population Health Sciences | University of Bristol

Language English
Translations

None known – please contact us if you are aware of any translations that should be listed here.

Record last updated 17/02/2026

Related tools and Publications

Previous versions

QUADAS-2

QUADAS

Updated versions

None

Related tools

QUADAS-C

Evaluations

None known

Other publications

Tomlinson E, Yang B, Davenport CF, Rutjes AW, Mallett S, Whiting PF. Piloting QUADAS-3: a revised tool for the quality assessment of diagnostic accuracy studies. J Clin Epidemiol. 2025 Dec;188:111983. doi: 10.1016/j.jclinepi.2025.111983.

Tomlinson E, Holmes J, Rutjes AWS, Davenport C, Leeflang M, Yang B, Mallett S, Whiting P. Developing a framework for assessing the applicability of the target condition in diagnostic research. J Clin Epidemiol. 2026 Feb;190:112059. doi: 10.1016/j.jclinepi.2025.112059. Epub 2025 Nov 15. PMID: 41248868.

Key Criteria

Focuses on risk of bias, or makes a distinction between items that assess risk of bias and other aspects of study quality Yes
Offers a method to reach either a domain specific or overall assessment of risk of bias Yes
Tool developed for use across topic areas (i.e. not developed for specific clinical area such as physiotherapy or dentistry) Yes
Avoids recommending use of summary numerical quality scores Yes