Sample size calculation should be performed for design accuracy in diagnostic test studies

Guidelines for conducting studies and reading medical literature on diagnostic tests have been published: Requirements for the selection of cases and controls, and for ensuring a correct reference standard are now clarified. Our objective was to provide tables for sample size determination in this c...

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Veröffentlicht in:Journal of clinical epidemiology 2005-08, Vol.58 (8), p.859-862
Hauptverfasser: Flahault, Antoine, Cadilhac, Michel, Thomas, Guy
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container_title Journal of clinical epidemiology
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creator Flahault, Antoine
Cadilhac, Michel
Thomas, Guy
description Guidelines for conducting studies and reading medical literature on diagnostic tests have been published: Requirements for the selection of cases and controls, and for ensuring a correct reference standard are now clarified. Our objective was to provide tables for sample size determination in this context. In the usual situation, where the prevalence Prev of the disease of interest is
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Our objective was to provide tables for sample size determination in this context. In the usual situation, where the prevalence Prev of the disease of interest is &lt;0.50, one first determines the minimal number N cases of cases required to ensure a given precision of the sensitivity estimate. Computations are based on the binomial distribution, for user-specified type I and type II error levels. The minimal number N controls of controls is then derived so as to allow for representativeness of the study population, according to N controls = N cases [(1 − Prev)/Prev]. Tables give the values of N cases corresponding to expected sensitivities from 0.60 to 0.99, acceptable lower 95% confidence limits from 0.50 to 0.98, and 5% probability of the estimated lower confidence limit being lower than the acceptable level. 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When designing diagnostic test studies, sample size calculations should be performed in order to guarantee the design accuracy.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16018921</pmid><doi>10.1016/j.jclinepi.2004.12.009</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete; ProQuest Central UK/Ireland
subjects Accuracy
Binomial distribution
Biological and medical sciences
Biomedical Research - methods
Confidence intervals
Diagnostic test
Diagnostic tests
Diagnostic Tests, Routine - standards
Disease
Epidemiology
General aspects
Humans
Hypotheses
Medical sciences
Methodology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research Design
Sample Size
Sensitivity
Sensitivity and Specificity
Specificity
Studies
title Sample size calculation should be performed for design accuracy in diagnostic test studies
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