A sequential classification rule based on multiple quantitative tests in the absence of a gold standard.

Abstract:

:In many medical applications, combining information from multiple biomarkers could yield a better diagnosis than any single one on its own. When there is a lack of a gold standard, an algorithm of classifying subjects into the case and non-case status is necessary for combining multiple markers. The aim of this paper is to develop a method to construct a composite test from multiple applicable tests and derive an optimal classification rule under the absence of a gold standard. Rather than combining the tests, we treat the tests as a sequence. This sequential composite test is based on a mixture of two multivariate normal latent models for the distribution of the test results in case and non-case groups, and the optimal classification rule is derived returning the greatest sensitivity at a given specificity. This method is applied to a real-data example and simulation studies have been carried out to assess the statistical properties and predictive accuracy of the proposed composite test. This method is also attainable to implement nonparametrically.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Zhang J,Zhang Y,Chaloner K,Stapleton JT

doi

10.1002/sim.6780

subject

Has Abstract

pub_date

2016-04-15 00:00:00

pages

1359-72

issue

8

eissn

0277-6715

issn

1097-0258

journal_volume

35

pub_type

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