- Abstract:
-
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:
- 10.7326/0003-4819-149-11-200812020-00009
-
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- Journal:
- Annals of internal medicine
- Volume:
- 149
- Issue:
- 11
- Pages:
- 816-822
- Publication date:
- 2008-12-05
- DOI:
- EISSN:
-
1539-3704
- ISSN:
-
0003-4819
- URN:
-
uuid:8f3ea2b9-f818-4024-8af9-bf59262710c4
- Source identifiers:
-
215651
- Local pid:
- pubs:215651
- Copyright date:
- 2008
Journal article
When should a new test become the current reference standard?
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