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本文引用的文献

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Methods of determining optimal cut-point of diagnostic biomarkers with application of clinical data in ROC analysis: an update review.利用 ROC 分析中的临床数据确定诊断生物标志物最佳截断值的方法:更新综述。
BMC Med Res Methodol. 2024 Apr 8;24(1):84. doi: 10.1186/s12874-024-02198-2.
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Improving the Diagnosis of Autism Spectrum Disorder in Fragile X Syndrome by Adapting the Social Communication Questionnaire and the Social Responsiveness Scale-2.通过改编社会沟通问卷和社会反应量表-2 来提高脆性 X 综合征自闭症谱系障碍的诊断。
J Autism Dev Disord. 2020 Sep;50(9):3276-3295. doi: 10.1007/s10803-019-04148-0.
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Weighted Youden index and its two-independent-sample comparison based on weighted sensitivity and specificity.基于加权敏感度和特异性的加权约登指数及其两独立样本比较。
Chin Med J (Engl). 2013 Mar;126(6):1150-4.
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Examining classification criteria: a comparison of three cut score methods.考察分类标准:三种切分分数方法的比较。
Psychol Assess. 2011 Jun;23(2):354-63. doi: 10.1037/a0021745.
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pROC: an open-source package for R and S+ to analyze and compare ROC curves.pROC:一个用于 R 和 S+的开源软件包,用于分析和比较 ROC 曲线。
BMC Bioinformatics. 2011 Mar 17;12:77. doi: 10.1186/1471-2105-12-77.
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Summary ROC curve based on a weighted Youden index for selecting an optimal cutpoint in meta-analysis of diagnostic accuracy.基于加权约登指数的汇总受试者工作特征曲线在诊断准确性荟萃分析中选择最佳截断点的研究
Stat Med. 2010 Dec 30;29(30):3069-78. doi: 10.1002/sim.3937.
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The inconsistency of "optimal" cutpoints obtained using two criteria based on the receiver operating characteristic curve.使用基于受试者工作特征曲线的两个标准所获得的“最佳”切点的不一致性。
Am J Epidemiol. 2006 Apr 1;163(7):670-5. doi: 10.1093/aje/kwj063. Epub 2006 Jan 12.
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Index for rating diagnostic tests.诊断试验评级指数。
Cancer. 1950 Jan;3(1):32-5. doi: 10.1002/1097-0142(1950)3:1<32::aid-cncr2820030106>3.0.co;2-3.
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Use of relative operating characteristic analysis in epidemiology. A method for dealing with subjective judgement.相对操作特征分析在流行病学中的应用。一种处理主观判断的方法。
Am J Epidemiol. 1981 Nov;114(5):649-62. doi: 10.1093/oxfordjournals.aje.a113236.

在标准设定过程之后,使用ROC分析来优化切割分数。

Using ROC Analysis to Refine Cut Scores Following a Standard Setting Process.

作者信息

Wang Dongwei, Keller Lisa A

机构信息

University of Massachusetts Amherst, USA.

出版信息

Educ Psychol Meas. 2024 Sep 24:00131644241278925. doi: 10.1177/00131644241278925.

DOI:10.1177/00131644241278925
PMID:39554775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11562877/
Abstract

In educational assessment, cut scores are often defined through standard setting by a group of subject matter experts. This study aims to investigate the impact of several factors on classification accuracy using the receiver operating characteristic (ROC) analysis to provide statistical and theoretical evidence when the cut score needs to be refined. Factors examined in the study include the sample distribution relative to the cut score, prevalence of the positive event, and cost ratio. Forty item responses were simulated for examinees of four sample distributions. In addition, the prevalence and cost ratio between false negatives and false positives were manipulated to examine their impacts on classification accuracy. The optimal cut score is identified using the Youden Index . The results showed that the optimal cut score identified by the evaluation criterion tended to pull the cut score closer to the mode of the proficiency distribution. In addition, depending on the prevalence of the positive event and cost ratio, the optimal cut score shifts accordingly. With the item parameters used to simulate the data and the simulated sample distributions, it was found that when passing the exam is a low-prevalence event in the population, increasing the cut score operationally improves the classification; when passing the exam is a high-prevalence event, then cut score should be reduced to achieve optimality. As the cost ratio increases, the optimal cut score suggested by the evaluation criterion decreases. In three out of the four sample distributions examined in this study, increasing the cut score enhanced the classification, irrespective of the cost ratio when the prevalence in the population is 50%. This study provides statistical evidence when the cut score needs to be refined for policy reasons.

摘要

在教育评估中,分数线通常由一组学科专家通过标准设定来确定。本研究旨在使用受试者工作特征(ROC)分析来调查几个因素对分类准确性的影响,以便在需要细化分数线时提供统计和理论依据。该研究中考察的因素包括相对于分数线的样本分布、阳性事件的患病率以及成本比率。针对四种样本分布的考生模拟了40个项目反应。此外,还对假阴性和假阳性之间的患病率和成本比率进行了操作,以考察它们对分类准确性的影响。使用约登指数确定最佳分数线。结果表明,评估标准确定的最佳分数线往往会使分数线更接近能力分布的众数。此外,根据阳性事件的患病率和成本比率,最佳分数线会相应地移动。利用用于模拟数据的项目参数和模拟的样本分布,发现当考试及格在人群中是低患病率事件时,实际提高分数线会改善分类;当考试及格是高患病率事件时,则应降低分数线以达到最优。随着成本比率的增加,评估标准建议的最佳分数线会降低。在本研究考察的四种样本分布中的三种分布中,当人群中的患病率为50%时,无论成本比率如何,提高分数线都会增强分类效果。本研究为因政策原因需要细化分数线时提供了统计证据。