Summary
A simple method is delineated for correcting the fundamental measures of validity of binary diagnostic tests, sensitivity and specificity, for the presence of chance agreement between classification result and true status. While recent proposals of such chance—correction techniques result in an undesirable dependence of the measures on the disease prevalence, our approach overcomes this deficit. Point and interval estimates of the chance—corrected measures are derived.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
BENNETT, B.M. (1983). Further results on indices of diagnostic screening II. Biometrical Journal, 25, 453–457.
BLOCH, D.A., and KRAEMER, H.C. (1989). 2 × 2 Kappa coefficients: measures of agreement or association. Biometrics, 45, 269–287.
COHEN, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.
COUGHLIN, S.S., and PICKLE, L.W. (1992). Sensitivity and specificity-like measures of the validity of a diagnostic test that are corrected for chance agreement. Epidemiology, 3, 178–181.
FLEISS, J.L. (1975). Measuring agreement between two judges on the presence or absence of trait. Biometrics, 31, 651–659.
GEFELLER, O., and BRENNER, H. (1994). How to correct for chance agreement in the estimation of sensitivity and specificity of diagnostic tests.Methods of Information in Medicine, 33, 180–186.
JAMART, J. (1992). Chance-corrected sensitivity and specificity for three-zone diagnostic tests. Journal of Clinical Epidemiology, 45, 1035–1039.
WHITE, A., and LANDIS, J.R. (1982). A general categorical data methodology for evaluating medical diagnostic tests. Communications in Statistics — Theory and Methods, All, 567–605.
YERUSHALMY, J. (1947). Statistical problems in assessing methods of medical diagnosis. Public Health Reports, 62, 1432–1449.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Gefeller, O., Brenner, H. (1996). A New Methodologic Look at Describing the Performance of Diagnostic Classification Procedures in Medicine. In: Gaul, W., Pfeifer, D. (eds) From Data to Knowledge. Studies in Classification, Data Analysis, and Knowledge Organization. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79999-0_39
Download citation
DOI: https://doi.org/10.1007/978-3-642-79999-0_39
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-60354-2
Online ISBN: 978-3-642-79999-0
eBook Packages: Springer Book Archive