A multinomial quadrivariate D-vine copula mixed model for meta-analysis of diagnostic studies in the presence of non-evaluable subjects

Nikoloulopoulos, Aristidis K (2020) A multinomial quadrivariate D-vine copula mixed model for meta-analysis of diagnostic studies in the presence of non-evaluable subjects. Statistical Methods in Medical Research, 29 (10). pp. 2988-3005. ISSN 0962-2802

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Abstract

Diagnostic test accuracy studies observe the result of a gold standard procedure that defines the presence or absence of a disease and the result of a diagnostic test. They typically report the number of true positives, false positives, true negatives and false negatives. However, diagnostic test outcomes can also be either non-evaluable positives or non-evaluable negatives. We propose a novel model for the meta-analysis of diagnostic studies in the presence of non-evaluable outcomes, which assumes independent multinomial distributions for the true and non-evaluable positives, and, the true and non-evaluable negatives, conditional on the latent sensitivity, specificity, probability of non-evaluable positives and probability of non-evaluable negatives in each study. For the random effects distribution of the latent proportions, we employ a drawable vine copula that can successively model the dependence in the joint tails. Our methodology is demonstrated with an extensive simulation study and applied to data from diagnostic accuracy studies of coronary computed tomography angiography for the detection of coronary artery disease. The comparison of our method with the existing approaches yields findings in the real data application that change the current conclusions.

Item Type: Article
Uncontrolled Keywords: diagnostic tests,multivariate meta-analysis,sensitivity,specificity,summary receiver operating characteristic curves,epidemiology,statistics and probability,health information management ,/dk/atira/pure/subjectarea/asjc/2700/2713
Faculty \ School: Faculty of Science > School of Computing Sciences
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 08 Apr 2020 00:46
Last Modified: 05 Oct 2020 00:02
URI: https://ueaeprints.uea.ac.uk/id/eprint/74730
DOI: 10.1177/0962280220913898

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