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Youden Index and the optimal threshold for markers with mass at zero

Open access
Schisterman, Enrique F., Faraggi, David, Reiser, Benjamin, Hu, Jessica·2008·Statistics in Medicine

Abstract

The Youden Index is often used as a summary measure of the receiver operating characteristic curve. It measures the effectiveness of a diagnostic marker and permits the selection of an optimal threshold value or cutoff point for the biomarker of interest. Some markers, while basically continuous and positive, have a spike or positive mass of probability at the value zero. We provide a flexible modeling approach for estimating the Youden Index and its associated cutoff point for such spiked data and compare it with the standard empirical approach. We show how this modeling approach can be adjusted to take covariate information into account. This approach is applied to data on the Coronary Calcium Score, a marker for atherosclerosis. Published in 2007 by John Wiley & Sons, Ltd.

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Metadata

Authors
Schisterman, E. F., Faraggi, D., Reiser, B., & Hu, J.
Venue
Statistics in Medicine
Publisher
Wiley
Published
2007-07-11
Volume
27
Issue
2
Pages
297-315
ISSN
  • 0277-6715 (ISSN-L)
  • 1097-0258
OpenAlex
W2098860390
Cited by
207
References
1
FWCI
2.10
Type
journal article
Language
en
Open access
green

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