Bayesian nonparametric inference for the three-class Youden index and its associated optimal cutoff points.

Abstract:

:The three-class Youden index serves both as a measure of medical test accuracy and a criterion to choose the optimal pair of cutoff values for classifying subjects into three ordinal disease categories (e.g. no disease, mild disease, advanced disease). We present a Bayesian nonparametric approach for estimating the three-class Youden index and its corresponding optimal cutoff values based on Dirichlet process mixtures, which are robust models that can handle intricate features of distributions for complex data. Results from a simulation study are presented and an application to data from the Trail Making Test to assess cognitive impairment in Parkinson's disease patients is detailed.

journal_name

Stat Methods Med Res

authors

Carvalho VI,Branscum AJ

doi

10.1177/0962280217742538

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

689-700

issue

3

eissn

0962-2802

issn

1477-0334

journal_volume

27

pub_type

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