Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design

Use of a case-control design to compare the accuracy of two binary diagnostic tests is frequent in clinical practice. This design consists of applying the two diagnostic tests to all of the individuals in a sample of those who have the disease and in another sample of those who do not have the disea...

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Main Authors: Saad Bouh Regad, José Antonio Roldán-Nofuentes
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Mathematics
Subjects:
Online Access:https://www.mdpi.com/2227-7390/9/6/658
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author Saad Bouh Regad
José Antonio Roldán-Nofuentes
author_facet Saad Bouh Regad
José Antonio Roldán-Nofuentes
author_sort Saad Bouh Regad
collection DOAJ
description Use of a case-control design to compare the accuracy of two binary diagnostic tests is frequent in clinical practice. This design consists of applying the two diagnostic tests to all of the individuals in a sample of those who have the disease and in another sample of those who do not have the disease. This manuscript studies the comparison of the predictive values of two diagnostic tests subject to a case-control design. A global hypothesis test, based on the chi-square distribution, is proposed to compare the predictive values simultaneously, as well as other alternative methods. The hypothesis tests studied require knowing the prevalence of the disease. Simulation experiments were carried out to study the type I errors and the powers of the hypothesis tests proposed, as well as to study the effect of a misspecification of the prevalence on the asymptotic behavior of the hypothesis tests and on the estimators of the predictive values. The proposed global hypothesis test was extended to the situation in which there are more than two diagnostic tests. The results have been applied to the diagnosis of coronary disease.
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spelling doaj.art-a002176d817e44c1ab9fe9025b7379472023-11-21T11:10:06ZengMDPI AGMathematics2227-73902021-03-019665810.3390/math9060658Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control DesignSaad Bouh Regad0José Antonio Roldán-Nofuentes1Department of Epidemiology and Public Health Research Unit and URMCD, University of Nouakchott Alaasriya, Nouakchott BP 880, MauritaniaDepartment of Statistics (Biostatistics), School of Medicine, University of Granada, 18016 Granada, SpainUse of a case-control design to compare the accuracy of two binary diagnostic tests is frequent in clinical practice. This design consists of applying the two diagnostic tests to all of the individuals in a sample of those who have the disease and in another sample of those who do not have the disease. This manuscript studies the comparison of the predictive values of two diagnostic tests subject to a case-control design. A global hypothesis test, based on the chi-square distribution, is proposed to compare the predictive values simultaneously, as well as other alternative methods. The hypothesis tests studied require knowing the prevalence of the disease. Simulation experiments were carried out to study the type I errors and the powers of the hypothesis tests proposed, as well as to study the effect of a misspecification of the prevalence on the asymptotic behavior of the hypothesis tests and on the estimators of the predictive values. The proposed global hypothesis test was extended to the situation in which there are more than two diagnostic tests. The results have been applied to the diagnosis of coronary disease.https://www.mdpi.com/2227-7390/9/6/658binary diagnostic testcase-control designpredictive valuestype I bivariate binomial distribution
spellingShingle Saad Bouh Regad
José Antonio Roldán-Nofuentes
Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design
Mathematics
binary diagnostic test
case-control design
predictive values
type I bivariate binomial distribution
title Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design
title_full Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design
title_fullStr Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design
title_full_unstemmed Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design
title_short Global Hypothesis Test to Compare the Predictive Values of Diagnostic Tests Subject to a Case-Control Design
title_sort global hypothesis test to compare the predictive values of diagnostic tests subject to a case control design
topic binary diagnostic test
case-control design
predictive values
type I bivariate binomial distribution
url https://www.mdpi.com/2227-7390/9/6/658
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