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June 1, 1984Medical Decision Making105 citations

Construction of Receiver Operating Characteristic Curves when Disease Verification Is Subject to Selection Bias

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RGRobert GrayUniversity of BergenCBColin B. BeggMemorial Sloan Kettering Cancer CenterRGRobert A. GreenesUniversity of California, San Diego

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Abstract

The estimates of ROC curves, which are frequently used in the assessment of diagnostic tests, may be biased if the sample is restricted to subjects whose disease status has been definitively verified. A method to provide an unbiased estimate of the ROC curve under these sample conditions is proposed. The new method requires information on the probability distribution of test results in the population from which the verified sample is drawn. It is illustrated using data from a study of computed tomography for fever of uncertain origin.

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Gray et al. (1984) studied this question.

synapsesocial.com/papers/6a096848a9b588564434169chttps://doi.org/10.1177/0272989x8400400204
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