JSM Preliminary Online Program
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Activity Number: 160
Type: Topic Contributed
Date/Time: Monday, August 3, 2009 : 10:30 AM to 12:20 PM
Sponsor: Section on Statistics in Epidemiology
Abstract - #305538
Title: Different Schemes of Verification Bias in Evaluating Medical Tests
Author(s): Marina V. Kondratovich*+
Companies: FDA
Address: HFZ-550, 1350 Piccard Dr.,, Rockville, MD, 20850,
Keywords: sensitivity ; specificity ; verification bias ; diagnostic accuracy
Abstract:

An issue of verification bias presents in a lot of submissions to the FDA. If it is not addressed properly by an appropriate study design or an appropriate type of statistical analysis, it can create problems for unbiased evaluation of medical tests. We present different schemes of verification bias for a comparison of two medical tests (Old and New tests) : 1) a random sample of the subjects with negative results via both tests has gold standard results; 2) no subjects with negative results via both tests have gold standard results; we describe two schemes: one for a paired study design (pre-market studies) and another for an unpaired study design (post-market studies); 3) only subjects with positive results by the Old Test have results of the gold standard. The results of investigation of conditions for the unbiased comparison of the two tests are presented along with examples.


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