A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach

Background & Objectives: One of the problems of diagnostic accuracy studies is verification bias. It occurs when standard test performed only for non-representative subsample of study subjects that diagnostic test done for them. In this study we extend a Bayesian method to correct this bias. Met...

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Main Authors: M Cheharazi, M Shamsipour, M Norouzi, F Jafari, F Ramazan Ali
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2012-09-01
Series:مجله اپیدمیولوژی ایران
Subjects:
Online Access:http://irje.tums.ac.ir/browse.php?a_code=A-10-25-5&slc_lang=en&sid=1
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author M Cheharazi
M Shamsipour
M Norouzi
F Jafari
F Ramazan Ali
author_facet M Cheharazi
M Shamsipour
M Norouzi
F Jafari
F Ramazan Ali
author_sort M Cheharazi
collection DOAJ
description Background & Objectives: One of the problems of diagnostic accuracy studies is verification bias. It occurs when standard test performed only for non-representative subsample of study subjects that diagnostic test done for them. In this study we extend a Bayesian method to correct this bias. Methods: Patients that have had at least twice repeated failures in cycles IVF ICSI were included in this model. Patients were screened by using an ultrasonography and those with polyps recommended for hysteroscopy. A logistic regression with binomial outcome fit to predict the missing values (false and true negative), sensitivity and specificity. Bayesian methods was applied with informative prior on polyp prevalence. False and true negatives were estimated in Bayesian framework.Results: A total of 238 patients were screened and 47 had polyps. Those with polyps are strongly recommended to undergo hysteroscopy, 47/47 decided to have a hysteroscopy and 37/47 were confirmed to have polyps. None of the 191 patients with no polyps in ultrasonography had hysteroscopy. The false negative was obtained 14 and true negative 177, so sensitivity and specificity was estimated easily after estimating missing data. Sensitivity and specificity were equal to 74% and 94% respectively.Conclusion: Bayesian analyses with informative prior seem to be powerful tools in simulation experimental
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spelling doaj.art-44e8ece187444d5faf80838b6aeb7e6e2022-12-21T19:34:34ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072012-09-01822028A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian ApproachM Cheharazi0M Shamsipour1M Norouzi2F Jafari3F Ramazan Ali4 Background & Objectives: One of the problems of diagnostic accuracy studies is verification bias. It occurs when standard test performed only for non-representative subsample of study subjects that diagnostic test done for them. In this study we extend a Bayesian method to correct this bias. Methods: Patients that have had at least twice repeated failures in cycles IVF ICSI were included in this model. Patients were screened by using an ultrasonography and those with polyps recommended for hysteroscopy. A logistic regression with binomial outcome fit to predict the missing values (false and true negative), sensitivity and specificity. Bayesian methods was applied with informative prior on polyp prevalence. False and true negatives were estimated in Bayesian framework.Results: A total of 238 patients were screened and 47 had polyps. Those with polyps are strongly recommended to undergo hysteroscopy, 47/47 decided to have a hysteroscopy and 37/47 were confirmed to have polyps. None of the 191 patients with no polyps in ultrasonography had hysteroscopy. The false negative was obtained 14 and true negative 177, so sensitivity and specificity was estimated easily after estimating missing data. Sensitivity and specificity were equal to 74% and 94% respectively.Conclusion: Bayesian analyses with informative prior seem to be powerful tools in simulation experimentalhttp://irje.tums.ac.ir/browse.php?a_code=A-10-25-5&slc_lang=en&sid=1Verification biasMCMCBayesianHysteroscopyVaginal ultrasonography
spellingShingle M Cheharazi
M Shamsipour
M Norouzi
F Jafari
F Ramazan Ali
A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach
مجله اپیدمیولوژی ایران
Verification bias
MCMC
Bayesian
Hysteroscopy
Vaginal ultrasonography
title A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach
title_full A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach
title_fullStr A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach
title_full_unstemmed A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach
title_short A New Method for Correcting Verification Bias in Diagnostic Accuracy Studies Using A Bayesian Approach
title_sort new method for correcting verification bias in diagnostic accuracy studies using a bayesian approach
topic Verification bias
MCMC
Bayesian
Hysteroscopy
Vaginal ultrasonography
url http://irje.tums.ac.ir/browse.php?a_code=A-10-25-5&slc_lang=en&sid=1
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