Physical Sciences and Mathematics Commons^™

New Confidence Intervals For The Difference Between Two Sensitivities At A Fixed Level Of Specificity, Gengsheng Qin, Yu-Sheng Hsu, Xiao-Hua Zhou

UW Biostatistics Working Paper Series

For two continuous-scale diagnostic tests, it is of interest to compare their sensitivities at a predetermined level of specificity. In this paper we propose three new intervals for the difference between two sensitivities at a fixed level of specificity. These intervals are easy to compute. We also conduct simulation studies to compare the relative performance of the new intervals with the existing normal approximation based interval proposed by Wieand et al (1989). Our simulation results show that the newly proposed intervals perform better than the existing normal approximation based interval in terms of coverage accuracy and interval length.

Standardizing Markers To Evaluate And Compare Their Performances, Margaret S. Pepe, Gary M. Longton

UW Biostatistics Working Paper Series

Introduction: Markers that purport to distinguish subjects with a condition from those without a condition must be evaluated rigorously for their classification accuracy. A single approach to statistically evaluating and comparing markers is not yet established.

Methods: We suggest a standardization that uses the marker distribution in unaffected subjects as a reference. For an affected subject with marker value Y, the standardized placement value is the proportion of unaffected subjects with marker values that exceed Y.

Results: We apply the standardization to two illustrative datasets. In patients with pancreatic cancer placement values calculated for the CA 19-9 marker are smaller …