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Youden Index and Optimal Cut‐Point Estimated from Observations Affected by a Lower Limit of Detection

Youden Index and Optimal Cut‐Point Estimated from Observations Affected by a Lower Limit of Detection

The receiver operating characteristic (ROC) curve is used to evaluate a biomarker's ability for classifying disease status. The Youden Index (J), the maximum potential effectiveness of a biomarker, is a common summary measure of the ROC curve. In biomarker development, levels may be unquantifiable below a limit of detection (LOD) …