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Activity Number: 407
Type: Topic Contributed
Date/Time: Wednesday, August 9, 2006 : 10:30 AM to 12:20 PM
Sponsor: Section on Statistics in Epidemiology
Abstract - #306323
Title: Random Effects Modeling Approaches for Estimating ROC Curves from Repeated Ordinal Tests without a Gold Standard
Author(s): Paul S. Albert*+
Companies: National Cancer Institute
Address: 6130 Executive Blvd., Room 8136, Bethesda, MD, 20892,
Keywords: diagnostic accuracy ; latent class analysis ; mixture models ; ROC curves
Abstract:

Estimating diagnostic accuracy without a gold standard is an important problem in medical testing. Although there is much literature about this problem for the case of repeated binary tests, there is substantially less work for the case of ordinal tests. A noted exception is the work by Zhou et al. (2005), which proposed methodology for estimating ROC curves without a gold standard from multiple ordinal tests. An assumption in their work was that the test results are independent conditional on the true test result. We propose random effects modeling approaches that incorporate dependence between the ordinal tests. We show, through asymptotics and simulations, the importance of correctly accounting for the dependence between tests. We illustrate these modeling approaches by analyzing the uterine cancer pathology data analyzed in Zhou et al. (2005).


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