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

Stat Med. 2022 Apr 30;41(9):1709-1727. doi: 10.1002/sim.9311. Epub 2022 Jan 18.

Abstract

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.

Keywords: accuracy measure; application in R; correction method; diagnostic test; partial verification bias.

Publication types

  • Review

MeSH terms

  • Bias
  • Diagnostic Tests, Routine*
  • Humans
  • Sensitivity and Specificity