Estimating the decision curve and its precision from three study designs

The decision curve plots the net benefit of a risk model for making decisions over a range of risk thresholds, corresponding to different ratios of misclassification costs. We discuss three methods to estimate the decision curve, together with corresponding methods of inference and methods to compare two risk models at a given risk threshold. One method uses risks ( R ) and a binary event indicator ( Y ) on the entire validation cohort. This...