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Estimation of sensitivity and specificity of site-specific diagnostic tests
P P Hujoel1, L H Moulton, W J Loesche
1Department of Biostatistics, School of Public Health, University of Michigan, School of Dentistry, Ann Arbor.
Abstract:
Clinical trials designed to estimate the sensitivity and specificity of periodontal diagnostic tests often use multiple sites per patient as experimental units of analyses. Since site-specific test results within a patient are dependent observations, a correlated binomial model should be employed to estimate the sensitivity and specificity of these diagnostic tests. Ignoring the within-patient correlation can result in an over- or underestimation of the true standard errors.
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