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Multiple Imputation For The Comparison Of Two Screening Tests In Two-Phase Alzheimer Studies, Ofer Harel, Xiao-Hua Zhou
Multiple Imputation For The Comparison Of Two Screening Tests In Two-Phase Alzheimer Studies, Ofer Harel, Xiao-Hua Zhou
UW Biostatistics Working Paper Series
Two-phase designs are common in epidemiological studies of dementia, and especially in Alzheimer research. In the first phase, all subjects are screened using a common screening test(s), while in the second phase, only a subset of these subjects is tested using a more definitive verification assessment, i.e. golden standard test. When comparing the accuracy of two screening tests in a two-phase study of dementia, inferences are commonly made using only the verified sample. It is well documented that in that case, there is a risk for bias, called verification bias. When the two screening tests have only two values (e.g. …
Multiple Imputation For Correcting Verification Bias, Ofer Harel, Xiao-Hua Zhou
Multiple Imputation For Correcting Verification Bias, Ofer Harel, Xiao-Hua Zhou
UW Biostatistics Working Paper Series
In the case in which all subjects are screened using a common test, and only a subset of these subjects are tested using a golden standard test, it is well documented that there is a risk for bias, called verification bias. When the test has only two levels (e.g. positive and negative) and we are trying to estimate the sensitivity and specificity of the test, one is actually constructing a confidence interval for a binomial proportion. Since it is well documented that this estimation is not trivial even with complete data, we adopt Multiple imputation (MI) framework for verification bias …
Non-Parametric Estimation Of Roc Curves In The Absence Of A Gold Standard, Xiao-Hua Zhou, Pete Castelluccio, Chuan Zhou
Non-Parametric Estimation Of Roc Curves In The Absence Of A Gold Standard, Xiao-Hua Zhou, Pete Castelluccio, Chuan Zhou
UW Biostatistics Working Paper Series
In evaluation of diagnostic accuracy of tests, a gold standard on the disease status is required. However, in many complex diseases, it is impossible or unethical to obtain such the gold standard. If an imperfect standard is used as if it were a gold standard, the estimated accuracy of the tests would be biased. This type of bias is called imperfect gold standard bias. In this paper we develop a maximum likelihood (ML) method for estimating ROC curves and their areas of ordinal-scale tests in the absence of a gold standard. Our simulation study shows the proposed estimates for the …