A note on Youden's Jand its cost ratio

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A note on Youden's J and its cost ratio

BACKGROUND The Youden index, the sum of sensitivity and specificity minus one, is an index used for setting optimal thresholds on medical tests. DISCUSSION When using this index, one implicitly uses decision theory with a ratio of misclassification costs which is equal to one minus the prevalence proportion of the disease. It is doubtful whether this cost ratio truly represents the decision m...

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ژورنال

عنوان ژورنال: BMC Medical Research Methodology

سال: 2010

ISSN: 1471-2288

DOI: 10.1186/1471-2288-10-89