An Estimand-Focused Approach for AUC Generalization and Cross-Study Benchmarking
以估计目标为中心的 AUC 推广与跨研究比较
The area under the ROC curve (AUC) is the standard measure of a biomarker's discriminatory accuracy; however, AUC is rarely treated as a population-specific estimand. When validation cohorts differ from the intended target population in case mix, Naïve AUC estimates can mislead both generalization and cross-study comparison. We develop an estimand-focused framework that anchors biomarker AUC inference to a prespecified target population, aligning with the ICH E9(R1) estimand…