Verification Bias

Sometimes it is not feasible to obtain disease status verification for all study subjects. Analysis of only those with disease ascertainment can result in biased estimates of the accuracy (sensitivity, specificity, ROC curve) of a diagnostic test, screening test, or biomarker if the estimation meth...

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Main Author: Todd A. Alonzo
Format: Article
Language:English
Published: Instituto Nacional de Estatística | Statistics Portugal 2014-04-01
Series:Revstat Statistical Journal
Subjects:
Online Access:https://revstat.ine.pt/index.php/REVSTAT/article/view/144
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author Todd A. Alonzo
author_facet Todd A. Alonzo
author_sort Todd A. Alonzo
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description Sometimes it is not feasible to obtain disease status verification for all study subjects. Analysis of only those with disease ascertainment can result in biased estimates of the accuracy (sensitivity, specificity, ROC curve) of a diagnostic test, screening test, or biomarker if the estimation method does not properly account for the missing disease ascertainment. This paper discusses the impact of this bias, verification bias, when estimating the accuracy of dichotomous and continuous diagnostic tests. In addition, methods to correct for verification bias are described. Areas that require additional attention are also highlighted.
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spelling doaj.art-d0d62fe49ca746a4a7df8173e635cfef2022-12-22T02:15:39ZengInstituto Nacional de Estatística | Statistics PortugalRevstat Statistical Journal1645-67262183-03712014-04-0112110.57805/revstat.v12i1.144Verification BiasTodd A. Alonzo 0University of Southern California Sometimes it is not feasible to obtain disease status verification for all study subjects. Analysis of only those with disease ascertainment can result in biased estimates of the accuracy (sensitivity, specificity, ROC curve) of a diagnostic test, screening test, or biomarker if the estimation method does not properly account for the missing disease ascertainment. This paper discusses the impact of this bias, verification bias, when estimating the accuracy of dichotomous and continuous diagnostic tests. In addition, methods to correct for verification bias are described. Areas that require additional attention are also highlighted. https://revstat.ine.pt/index.php/REVSTAT/article/view/144imputationinverse probability weightingROC curvesensitivityspecificity
spellingShingle Todd A. Alonzo
Verification Bias
Revstat Statistical Journal
imputation
inverse probability weighting
ROC curve
sensitivity
specificity
title Verification Bias
title_full Verification Bias
title_fullStr Verification Bias
title_full_unstemmed Verification Bias
title_short Verification Bias
title_sort verification bias
topic imputation
inverse probability weighting
ROC curve
sensitivity
specificity
url https://revstat.ine.pt/index.php/REVSTAT/article/view/144
work_keys_str_mv AT toddaalonzo verificationbias