A Bayesian Hierarchical Summary Receiver Operating Characteristic Model for Network Meta-Analysis of Diagnostic Tests

Qinshu Lian, James S Hodges, Haitao Chu

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


In studies evaluating the accuracy of diagnostic tests, three designs are commonly used, crossover, randomized, and non-comparative. Existing methods for meta-analysis of diagnostic tests mainly consider the simple cases in which the reference test in all or none of the studies can be considered a gold standard test, and in which all studies use either a randomized or non-comparative design. The proliferation of diagnostic instruments and the diversity of study designs create a need for more general methods to combine studies that include or do not include a gold standard test and that use various designs. This paper extends the Bayesian hierarchical summary receiver operating characteristic model to network meta-analysis of diagnostic tests to simultaneously compare multiple tests within a missing data framework. The method accounts for correlations between multiple tests and for heterogeneity between studies. It also allows different studies to include different subsets of diagnostic tests and provides flexibility in the choice of summary statistics. The model is evaluated using simulations and illustrated using real data on tests for deep vein thrombosis, with sensitivity analyses.

Original languageEnglish (US)
Pages (from-to)949-961
Number of pages13
JournalJournal of the American Statistical Association
Issue number527
StatePublished - Jul 3 2019

Bibliographical note

Funding Information:
Research reported in this publication was supported in part by NIDCR R03 DE024750 (H.C.), NLM R21 LM012197 (H.C.), NLM R21 LM012744 (H.C., J.H.), NIDDK U01 DK106786 (H.C.), AHRQ R03HS024743 (H.C.), and NHLBI T32HL129956 (Q.L). The content is solely the responsibility of the authors and does not necessarily represent official views of the National Institutes of Health. The authors thank the editor Professor Joseph G. Ibrahim, an associate editor, and two anonymous reviewers for many constructive comments. Conflict of Interest: None declared.

Publisher Copyright:
© 2018, © 2018 American Statistical Association.


  • Bayesian hierarchical model
  • Diagnostic tests
  • Missing data
  • Multiple tests comparison
  • Network meta-analysis


Dive into the research topics of 'A Bayesian Hierarchical Summary Receiver Operating Characteristic Model for Network Meta-Analysis of Diagnostic Tests'. Together they form a unique fingerprint.

Cite this