Tian Lili, Vexler Albert, Yan Li, Schisterman Enrique F
Department of Biostatistics, University at Buffalo, 249 Farber Hall, 3435 Main St. Bldg. 26 Buffalo, NY 14214-3000, USA.
J Stat Plan Inference. 2009;139(10):3725-3732. doi: 10.1016/j.jspi.2009.05.001.
In many diagnostic studies, multiple diagnostic tests are performed on each subject or multiple disease markers are available. Commonly, the information should be combined to improve the diagnostic accuracy. We consider the problem of comparing the discriminatory abilities between two groups of biomarkers. Specifically, this article focuses on confidence interval estimation of the difference between paired AUCs based on optimally combined markers under the assumption of multivariate normality. Simulation studies demonstrate that the proposed generalized variable approach provides confidence intervals with satisfying coverage probabilities at finite sample sizes. The proposed method can also easily provide P-values for hypothesis testing. Application to analysis of a subset of data from a study on coronary heart disease illustrates the utility of the method in practice.
在许多诊断研究中,对每个受试者进行多项诊断测试或有多种疾病标志物可用。通常,应将这些信息结合起来以提高诊断准确性。我们考虑比较两组生物标志物之间鉴别能力的问题。具体而言,本文重点关注在多元正态性假设下基于最优组合标志物的配对AUC之间差异的置信区间估计。模拟研究表明,所提出的广义变量方法在有限样本量下提供了具有令人满意覆盖概率的置信区间。所提出的方法还可以轻松地为假设检验提供P值。对一项冠心病研究的部分数据进行分析的应用说明了该方法在实际中的效用。