gms | German Medical Science

63. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V. (GMDS)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie

02. - 06.09.2018, Osnabrück

Dataset challenge – meta-analysis of diagnostic accuracy studies with multiple cutoff-values

Meeting Abstract

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  • Antonia Zapf - Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. 63. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e.V. (GMDS). Osnabrück, 02.-06.09.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. DocAbstr. 284

doi: 10.3205/18gmds187, urn:nbn:de:0183-18gmds1872

Veröffentlicht: 27. August 2018

© 2018 Zapf.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

In confirmatory diagnostic accuracy studies sensitivity and specificity are recommended as co-primary endpoints [1]. Therefore, approaches which can deal with a bivariate outcome should be applied to meta-analyses of diagnostic accuracy studies [2]. Furthermore, sensitivity and specificity depend on the chosen cutoff-value. To conduct a diagnostic meta-analysis properly, the respective cutoff-values of the individual studies have to be taken into account accordingly. To make things more complicated, some individual studies provide us even with the results for more than one cutoff-value. Recently, different approaches were proposed for the meta-analysis of diagnostic accuracy studies with such multiple cutoff-values in the individual studies. In this dataset challenge researchers are invited to apply their approach to an exemplary meta-analysis. The provided dataset is about the diagnostic accuracy of a biomarker (NGAL) for the diagnosis of renal damage with three cutoff-values and corresponding pairs of sensitivity and specificity per study (extension from [3]). The contributors will shortly present their approach, its advantages as well as limitations, and discuss their results. We hope to publish the results of the dataset challenge in an article with all contributors as authors. If you are interested in participating, please contact Antonia Zapf (a.zapf@uke.de).

The authors declare that they have no competing interests.

The authors declare that an ethics committee vote is not required.


References

1.
EMA. Guideline on clinical evaluation of diagnostic agents.Doc Ref CPMP/ EWP/1119/98/Rev.1. 2010. Available from: http://www.ema.europa.eu/docs/en_GB/ document _library/ Scientific_guideline/2009/09/WC500003580.pdf Externer Link
2.
Biondi-Zoccai G, Ed. Diagnostic meta-analysis: A useful tool for clinical decision making. Springer; 2018.
3.
Haase M, Bellomo R, Devarajan P, Schlattmann P, Haase-Fielitz A; NGAL Meta-analysis Investigator Group. Accuracy of neutrophil gelatinase-associated lipocalin (NGAL) in diagnosis and prognosis in acute kidney injury: a systematic review and meta-analysis. Am J Kidney Dis. 2009 Dec;54(6):1012-24. DOI: 10.1053/j.ajkd.2009.07.020 Externer Link