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存在部分疾病验证情况下二元诊断试验似然比的近似置信区间。

Approximate confidence intervals for the likelihood ratios of a binary diagnostic test in the presence of partial disease verification.

作者信息

Montero-Alonso M A, Roldán-Nofuentes J A

机构信息

a Department of Statistics (Biostatistics), School of Medicine , University of Granada , Granada, Spain.

出版信息

J Biopharm Stat. 2019;29(1):56-81. doi: 10.1080/10543406.2018.1452025. Epub 2018 Mar 27.

Abstract

The classic parameters used to assess the accuracy of a binary diagnostic test () are sensitivity and specificity. Other parameters used to describe the performance of a are likelihood ratios (). The depend on the sensitivity and the specificity of the diagnostic test, and they reflect how much greater the probability of a positive or negative diagnostic test result for individuals with the disease than that for the individuals without the disease. In this study, several confidence intervals are studied for the of a in the presence of missing data. Two confidence intervals were studied through the method of maximum likelihood and seven confidence intervals were studied by applying the multiple imputation by chained equations method. A program in R software has been written that allows us to solve the estimation problem posed. The results obtained have been applied to the two real examples.

摘要

用于评估二元诊断测试()准确性的经典参数是灵敏度和特异性。用于描述诊断测试性能的其他参数是似然比()。似然比取决于诊断测试的灵敏度和特异性,它们反映了患有该疾病的个体与未患有该疾病的个体相比,诊断测试呈阳性或阴性结果的概率要高多少。在本研究中,针对存在缺失数据时诊断测试的似然比研究了几个置信区间。通过最大似然法研究了两个置信区间,并通过链式方程多重填补法研究了七个置信区间。编写了一个R软件程序,使我们能够解决所提出的估计问题。所获得的结果已应用于两个实际例子。

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