The evaluation of claims that a new diagnostic test is better than the current gold standard test is hindered by the lack of a perfect reference judge. However, this problem may be sidestepped by focusing on the clinical consequences of the decision rather than on estimation of accuracy. Consequences can be assessed by use of a "fair umpire" test that is not perfect yet can discriminate between disease and nondisease cases and is not biased in favor of 1 test. This article discusses 3 princip...Expand abstract
- Publisher copy:
- Copyright date:
When should a new test become the current reference standard?
If you are the owner of this record, you can report an update to it here: Report update to this record