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To address the "comparability" problem in utilizing these "simple" indicators above directly to compare horizontally among different hospitals, PKU-DRGs – the locally developed Case-Mix system of Beijing – was used as a tool for risk adjustment, to match the data environment of Beijing.
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Due to this comparability problem for sensitivity and specificity, interest is usually focussed on the summary receiver operating characteristic (SROC) curve consisting of the pairs (1− q(t), p(t)) where q(t)= P(T< t| D=0) and p(t)= P(T≥ t| D=1) for a continuous test T with potential value t.
It is not yet known whether such strategies can successfully remedy the bulk of comparability problems across settings or over time.
Different medical terminologies, inaccurate completion of the death certificates, misinterpretation or misapplication of the coding rules for selection of the underlying cause of death can cause comparability problems between different geographical areas and/or different periods of time.
However for monitoring population health over time, and particularly for analyses of socioeconomic disparities, the overall SRH question may create comparability problems [ 16].
In summary, the 2010 roundtable agreed that a move toward the development and use of traceability approaches is the best way to deal with accuracy and comparability problems in NHANES biomarker measurements.
Lack of detail on origins for residents of the Atlantic provinces and Territories in several years and comparability problems across years made use of aggregated categories necessary.
Moreover, comparability problems are still in place as to the definitions of road traffic injuries [8] and behaviors, while a common definition is applied, in most countries, for road traffic fatalities [25].
Examination of the question wording and responses categories revealed missing questions or comparability problems in some countries [ 10].
Analyses of socioeconomic disparities that use self-rated health may be particularly vulnerable to comparability problems, as inconsistencies are most pronounced among the lowest education group.
In addition, the majority of the studies lacked of a clear epidemiological definition of diabetes which also lead to comparability problems [ 59].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com