Behavior of test specificity under an imperfect gold standard: findings from a simulation study and analysis of real-world oncology data

Abstract Background Gold standards used in validation of new tests may be imperfect, with sensitivity or specificity less than 100%. The impact of imperfection in a gold standard on measured test attributes has been demonstrated formally, but its relevance in real-world oncology research may not be...

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Bibliographic Details
Main Authors: Mark S. Walker, Lukas Slipski, Yanina Natanzon
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:https://doi.org/10.1186/s12874-025-02603-4
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