ESTIMATING DIAGNOSTIC-ACCURACY FROM MULTIPLE CONFLICTING REPORTS - A NEW METAANALYTIC METHOD

被引:350
作者
LITTENBERG, B [1 ]
MOSES, LE [1 ]
机构
[1] STANFORD UNIV,DEPT STAT,STANFORD,CA 94305
关键词
METAANALYSIS; SENSITIVITY AND SPECIFICITY; DECISION SUPPORT; DATA INTERPRETATION; STATISTICAL; REGRESSION ANALYSIS; DIAGNOSTIC ACCURACY;
D O I
10.1177/0272989X9301300408
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Reports of diagnostic accuracy often differ. The authors present a method to summarize disparate reports that uses a logistic transformation and linear regression to produce a summary receiver operating characteristic curve. The curve is useful for summarizing a body of diagnostic accuracy literature, comparing technologies, detecting outliers, and finding the optimum operating point of the test. Examples from clinical chemistry and diagnostic radiology are provided. By extending the logic of meta-analysis to diagnostic testing, the method provides a new tool for technology assessment.
引用
收藏
页码:313 / 321
页数:9
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