Semiparametric estimator for the covariate-specific receiver operating characteristic curve.

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Titel: Semiparametric estimator for the covariate-specific receiver operating characteristic curve.
Autoren: Martínez-Camblor P; Department of Anesthesiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; Faculty of Health Sciences, Universidad Autónoma de Chile, Chile., Pardo-Fernández JC; CITMAga and Department of Statistics and Operations Research, Universidade de Vigo, Vigo, Galicia, Spain.
Quelle: Statistical methods in medical research [Stat Methods Med Res] 2025 Mar; Vol. 34 (3), pp. 594-614. Date of Electronic Publication: 2025 Jan 23.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: SAGE Publications Country of Publication: England NLM ID: 9212457 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-0334 (Electronic) Linking ISSN: 09622802 NLM ISO Abbreviation: Stat Methods Med Res Subsets: MEDLINE
Imprint Name(s): Publication: London : SAGE Publications
Original Publication: Sevenoaks, Kent, UK : Edward Arnold, c1992-
MeSH-Schlagworte: ROC Curve*, Humans ; Proportional Hazards Models ; Biomarkers ; Models, Statistical
Abstract: Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
The study of the predictive ability of a marker is mainly based on the accuracy measures provided by the so-called confusion matrix. Besides, the area under the receiver operating characteristic curve has become a popular index for summarizing the overall accuracy of a marker. However, the nature of the relationship between the marker and the outcome, and the role that potential confounders play in this relationship could be fundamental in order to extrapolate the observed results. Directed acyclic graphs commonly used in epidemiology and in causality, could provide good feedback for learning the possibilities and limits of this extrapolation applied to the binary classification problem. Both the covariate-specific and the covariate-adjusted receiver operating characteristic curves are valuable tools, which can help to a better understanding of the real classification abilities of a marker. Since they are strongly related with the conditional distributions of the marker on the positive (subjects with the studied characteristic) and negative (subjects without the studied characteristic) populations, the use of proportional hazard regression models arises in a very natural way. We explore the use of flexible proportional hazard Cox regression models for estimating the covariate-specific and the covariate-adjusted receiver operating characteristic curves. We study their large- and finite-sample properties and apply the proposed estimators to a real-world problem. The developed code (in R language) is provided on Supplemental Material.
Contributed Indexing: Keywords: Binary classification problem; covariate-adjusted receiver operating characteristic curve; covariate-specific receiver operating characteristic curve; semiparametric estimator
Substance Nomenclature: 0 (Biomarkers)
Entry Date(s): Date Created: 20250123 Date Completed: 20250503 Latest Revision: 20250503
Update Code: 20250503
DOI: 10.1177/09622802241311458
PMID: 39846150
Datenbank: MEDLINE
Beschreibung
Abstract:Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.<br />The study of the predictive ability of a marker is mainly based on the accuracy measures provided by the so-called confusion matrix. Besides, the area under the receiver operating characteristic curve has become a popular index for summarizing the overall accuracy of a marker. However, the nature of the relationship between the marker and the outcome, and the role that potential confounders play in this relationship could be fundamental in order to extrapolate the observed results. Directed acyclic graphs commonly used in epidemiology and in causality, could provide good feedback for learning the possibilities and limits of this extrapolation applied to the binary classification problem. Both the covariate-specific and the covariate-adjusted receiver operating characteristic curves are valuable tools, which can help to a better understanding of the real classification abilities of a marker. Since they are strongly related with the conditional distributions of the marker on the positive (subjects with the studied characteristic) and negative (subjects without the studied characteristic) populations, the use of proportional hazard regression models arises in a very natural way. We explore the use of flexible proportional hazard Cox regression models for estimating the covariate-specific and the covariate-adjusted receiver operating characteristic curves. We study their large- and finite-sample properties and apply the proposed estimators to a real-world problem. The developed code (in R language) is provided on Supplemental Material.
ISSN:1477-0334
DOI:10.1177/09622802241311458