Table 3 Assumptions and the assessments of the simulated symptoms.

From: Diagnostic accuracy of symptoms for an underlying disease: a simulation study

Assumptions

1

2 diseases of interest: one disease directly related to the symptoms and the other associated with the disease only (unrelated to symptoms)

 

2

Similar baseline incidence rates among those not diseased and similar risk ratios for the symptoms

 

3

Accurate disease statuses; symptoms reported accurately by patients

 

4

The products of baseline incidence rates and risk ratios less than or equal to 1

 

5

Similar baseline correlations between symptoms among those diseased or not diseased

 

Epidemiological measures of symptom occurrence in simulations

1

Population sizes

10,000

2

Number of symptoms that can be caused by the disease

40

3

Correlations between the disease that caused symptoms and the other associated disease that did not cause symptoms

0, 0.3, and 0.7

4

Prevalence rates or proportions of the population with the disease that caused symptoms

0.05, 0.1, 0.2, 0.4, and 0.8

5

Baseline incidence rates of the symptoms, similar to all symptoms

0.05, 0.1, 0.2, 0.4, and 0.8

6

Risk ratios of developing symptoms if diseased

0.5, 1.0, 2.0, 10.0, and 25.0

7

Correlations between symptoms

0, 0.4, and 0.8

8

Number of simulations for each combination of the above measures 3 to 7

10

Statistics for assessment

 

Correlations between symptoms

 
 

Diagnostic test accuracy (sensitivities, specificities, and AUCs) of the symptoms for the detection of the disease

 
 

Diagnostic test accuracy (sensitivities, specificities, and AUCs) of the symptoms for the detection of the unrelated disease

 
  1. AUC area under curve.