Accommodating Covariates In Roc Analysis
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Author Listed: Holly Janes () (Fred Hutchinson Cancer Research Center) Gary Longton () (Fred Hutchinson Cancer Research Center) Margaret S. Pepe () (Fred Hutchinson Cancer Research Center) Abstract Classification accuracy is the ability of a marker or diagnostic test to discriminate between two groups of individuals, cases and controls, and is com- monly summarized by using the receiver operating characteristic (ROC) curve. In studies of classification accuracy, there are often covariates that should be incorporated into the ROC analysis. We describe three ways of using covariate information. For factors that affect marker observations among controls, we present a method for covariate adjustment. For factors that affect discrimination (i. e., the ROC curve), we describe methods for modeling the ROC curve as a function of covariates. Finally, for factors that contribute to discrimination, we propose combining the marker and covariate information, and we ask how much discriminatory accuracy improves (in incremental value) with the addition of the marker to the covariates.