Stat Med. 1988 Mar;7(3):403-16. doi: 10.1002/sim.4780070306.

Assessing diagnostic reliability and estimating incidence rates associated with a strictly progressive disease: dental caries.

Statistics in medicine

M A Espeland, W C Murphy, D H Leverett

PMID: 3358020 DOI: 10.1002/sim.4780070306

Abstract

This paper presents a general approach for simultaneously assessing, from serial data, diagnostic consistency, interrater reliability and incidence of a strictly progressive disease. Observed data are viewed as incomplete: diagnostic errors are not distinguished from true diagnoses. We introduce a broad class of models to separate rater errors from underlying patterns of disease incidence. The analysis can include covariates and risk factors. We provide variance expressions for parameter estimates. Categorical data for estimating the incidence of dental caries serve as an example.

MeSH terms

• Dental Caries / diagnosis
• Dental Caries / epidemiology
• Diagnostic Errors
• Female
• Humans
• Male
• Models, Theoretical
• Risk Factors
• Statistics as Topic

Publication Types

• Journal Article
• Research Support, Non-U.S. Gov't
• Research Support, U.S. Gov't, P.H.S.

Grant support

• 1 P50 DE07003/DE/NIDCR NIH HHS/United States
• DEO6418/DE/NIDCR NIH HHS/United States

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