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Table 5 Description of the data generation mechanism of the unpaired and paired design in the simulation study (Bin: binomial distribution, MVBin: multivariate binomial distribution, k: number of trials, p: success probability, ρ: dependence between both tests, N: total sample size, nDE: diseased individuals in experimental group, nDC: diseased individuals in comparator group)

From: Blinded sample size re-estimation in a comparative diagnostic accuracy study

 

Unpaired design

Paired design

Diseased individuals (nD) according to

reference standard

\({n}_{D_E}\;\sim\;Bin(k = N, p = \pi_\mathrm{true})\)

\(n_{D_C}\,\sim\,Bin(k = N, p = \pi_\mathrm{true})\)

nBin(k = N, p = πtrue)

True Positive

Results (TP)

\(TP_{E}\,\sim Bin(k = n_{D_E}, p = Se_{E})\)

\(TP_{C}\,\sim Bin(k = n_{D_C}, p = Se_{C})\)

\((TP_{E}, TP_{C})\,\sim MVBin(k_\mathrm{E} = n_{D_E}, k_\mathrm{C} = n_{D_C},\)  

pE = SeE, pC = SeC, ρ = TPPR)

True Negative

Results (TN)

\(TN_{E}\,\sim Bin(k = N - n_{D_E}, p = Sp_{E})\)

\(TN_{C}\,\sim Bin(k = N - n_{D_C}, p = Sp_{C})\)

\((TN_{E}, TN_{C})\,\sim MVBin(k_\mathrm{E} = N - n_{D_E}, k_\mathrm{C} = N - n_{D_C},\)

pE = SpE, pC = SpC, ρ = TNNR)