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. Author manuscript; available in PMC: 2016 Jun 14.
Published in final edited form as: Stat Methods Med Res. 2014 Dec 14;26(2):914–930. doi: 10.1177/0962280214562146

Table 3.

Estimates of bias (BIAS), standard errors (SE), model-based standard errors (MBSE) and coverage probabilities (CP) of estimates in 5, 000 simulations, with study size = 50 for each simulation. The data are generated from models ℳ2 ~ ℳ4, respectively. True values of model parameters are: sensitivity = 70.0, specificity = 80.0, LR+ = 3.50, and LR− = 0.38. All entries for sensitivity and specificity are multiplied by 100.

SL method CL method*


ρ BIAS SE MBSE CP(%) BIAS SE MBSE CP(%)
2 0.0 Se −0.2 4.0 3.9 93.8 −0.2 4.0 3.9 94.1
Sp −0.3 3.1 3.0 94.2 −0.3 3.1 3.1 94.8
LR+ 0.02 0.59 0.57 93.6 0.01 0.57 0.57 93.9
LR− 0.01 0.05 0.05 94.0 0.01 0.05 0.05 94.7

−0.3 Se −0.3 4.1 3.9 93.7 −0.2 4.0 3.9 94.0
Sp −0.3 3.1 3.0 94.0 −0.4 3.1 3.1 94.5
LR+ 0.01 0.53 0.52 93.5 −0.01 0.52 0.52 93.1
LR− 0.01 0.05 0.05 93.9 0.01 0.05 0.05 94.5

−0.6 Se −0.2 4.0 4.0 94.0 −0.4 4.0 4.0 94.0
Sp −0.3 3.1 3.1 94.2 −0.2 3.1 3.0 93.9
LR+ 0.02 0.46 0.46 93.5 0.01 0.47 0.46 93.8
LR− 0.00 0.04 0.04 94.1 0.01 0.04 0.04 94.5

3 0.0 Se −0.9 6.3 6.1 90.9 −0.7 6.3 6.4 93.3
Sp −1.2 5.7 5.4 89.0 −1.1 5.6 5.7 93.9
LR+ 0.02 1.15 1.03 86.5 0.06 1.14 0.78 78.7
LR− 0.02 0.09 0.08 92.5 0.02 0.09 0.08 91.5

−0.3 Se −0.7 6.1 4.4 62.6 −0.7 6.4 6.4 93.6
Sp −1.1 6.0 3.8 61.0 −1.1 5.6 5.7 93.6
LR+ 0.07 1.18 0.66 55.9 0.02 1.04 0.72 81.8
LR− 0.01 0.08 0.06 63.2 0.01 0.08 0.07 91.5

−0.6 Se −0.8 6.5 3.6 49.4 −0.7 6.4 6.4 93.5
Sp −1.0 5.9 3.0 49.5 −1.0 5.7 5.7 93.2
LR+ 0.04 1.00 0.51 45.7 0.03 0.98 0.67 81.4
LR− 0.01 0.07 0.05 49.7 0.01 0.07 0.06 92.2

4 (0.0, −0.3) Se −0.3 4.6 3.1 81.0 0.0 3.2 3.2 94.1
Sp −0.2 3.4 2.4 81.7 −0.1 2.5 2.4 93.7
LR+ 0.04 0.64 0.44 82.0 0.03 0.45 0.44 93.6
LR− 0.01 0.06 0.04 80.9 0.00 0.04 0.04 93.8

(0.0, −0.6) Se −0.3 4.6 3.1 81.1 −0.1 3.2 3.2 94.3
Sp −0.2 3.3 2.4 83.4 −0.1 2.5 2.4 94.2
LR+ 0.04 0.58 0.42 83.8 0.02 0.42 0.42 94.1
LR− 0.00 0.06 0.04 81.0 0.00 0.04 0.04 94.7

(−0.3, −0.6) Se −0.3 4.6 3.1 81.1 −0.1 3.2 3.2 94.0
Sp −0.2 3.4 2.4 81.8 −0.1 2.5 2.4 94.0
LR+ 0.04 0.57 0.39 82.1 0.02 0.40 0.40 93.6
LR− 0.00 0.05 0.04 80.7 0.00 0.04 0.04 94.0

SL method: standard maximum likelihood method based on the BGLMM

CL method*: proposed composite likelihood method