诊断研究中的缺失值和不确定的结果 - - 方法的范围审查
Katharina Stahlmann1, Johannes B Reitsma2, Antonia Zapf1
1Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Germany.
本综述探讨了在诊断准确性研究中处理缺失或不确定的数据的方法. 对这些策略的认识和应用,特别是对指数测试的应用,对于获得公正的结果至关重要.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 生物统计学 生物统计学
- 卫生研究方法论 卫生研究方法论
背景情况:
- 诊断准确性研究经常排除缺失/不确定的数据,导致偏见的估计.
- 缺乏意识或缺乏适当的方法有助于解决这个问题.
研究的目的:
- 在诊断准确性研究中提供对处理缺失值和不确定的结果的策略的全面概述.
- 涵盖参考标准和索引测试的方法.
主要方法:
- 在MEDLINE,Cochrane图书馆和科学网络中进行了系统的文献搜索.
- 在参考标准和索引测试中解决缺失数据的方法的识别和分类.
主要成果:
- 对于参考标准中缺失的值,存在许多方法.
- 对于缺少/不确定的索引测试数据,可以使用各种方法 (归算,概率,基于模型的,潜伏类).
- 参考标准的方法通常使用,与索引测试的方法不同.
结论:
- 对缺少/不确定的索引测试数据的方法的认识和应用需要改进.
- 需要进一步的研究来比较方法的性能,并提供使用建议.
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