Correcting for partial verification bias in diagnostic accuracy studies: A tutorial using R

Fuente: arXiv
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Autori principali: Arifin, Wan Nor, Yusof, Umi Kalsom
Natura: Preprint
Pubblicazione: 2025
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author Arifin, Wan Nor
Yusof, Umi Kalsom
author_facet Arifin, Wan Nor
Yusof, Umi Kalsom
contents Diagnostic tests play a crucial role in medical care. Thus any new diagnostic tests must undergo a thorough evaluation. New diagnostic tests are evaluated in comparison with the respective gold standard tests. The performance of binary diagnostic tests is quantified by accuracy measures, with sensitivity and specificity being the most important measures. In any diagnostic accuracy study, the estimates of these measures are often biased owing to selective verification of the patients, which is referred to as partial verification bias. Several methods for correcting partial verification bias are available depending on the scale of the index test, target outcome and missing data mechanism. However, these are not easily accessible to the researchers due to the complexity of the methods. This article aims to provide a brief overview of the methods available to correct for partial verification bias involving a binary diagnostic test and provide a practical tutorial on how to implement the methods using the statistical programming language R.
format Preprint
id arxiv_https___arxiv_org_abs_2509_12217
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Correcting for partial verification bias in diagnostic accuracy studies: A tutorial using R
Arifin, Wan Nor
Yusof, Umi Kalsom
Applications
62-01, 62P10 (Primary), 62-04, 62F10, 62H12 (Secondary)
G.3; J.3
Diagnostic tests play a crucial role in medical care. Thus any new diagnostic tests must undergo a thorough evaluation. New diagnostic tests are evaluated in comparison with the respective gold standard tests. The performance of binary diagnostic tests is quantified by accuracy measures, with sensitivity and specificity being the most important measures. In any diagnostic accuracy study, the estimates of these measures are often biased owing to selective verification of the patients, which is referred to as partial verification bias. Several methods for correcting partial verification bias are available depending on the scale of the index test, target outcome and missing data mechanism. However, these are not easily accessible to the researchers due to the complexity of the methods. This article aims to provide a brief overview of the methods available to correct for partial verification bias involving a binary diagnostic test and provide a practical tutorial on how to implement the methods using the statistical programming language R.
title Correcting for partial verification bias in diagnostic accuracy studies: A tutorial using R
topic Applications
62-01, 62P10 (Primary), 62-04, 62F10, 62H12 (Secondary)
G.3; J.3
url https://arxiv.org/abs/2509.12217