**Source:**

The data are submitted on behalf of the Center for Clinical and Translational Research, Virginia Commonwealth University, a recipient of NIH CTSA grant UL1 TR00058 and a recipient of the CERNER data. John Clore (__jclore '@'vcu.edu__), Krzysztof J. Cios (

**Attribute Information:**

Detailed description of all the atrributes is provided in Table 1 Beata Strack, Jonathan P. DeShazo, Chris Gennings, Juan L. Olmo, Sebastian Ventura, Krzysztof J. Cios, and John N. Clore, “Impact of HbA1c Measurement on Hospital Readmission Rates: Analysis of 70,000 Clinical Database Patient Records,” BioMed Research International, vol. 2014, Article ID 781670, 11 pages, 2014.

[Web Link]

**Relevant Papers:**

Beata Strack, Jonathan P. DeShazo, Chris Gennings, Juan L. Olmo, Sebastian Ventura, Krzysztof J. Cios, and John N. Clore, “Impact of HbA1c Measurement on Hospital Readmission Rates: Analysis of 70,000 Clinical Database Patient Records,” BioMed Research International, vol. 2014, Article ID 781670, 11 pages, 2014.

[Web Link]

**Citation Request:**

Please cite:

Beata Strack, Jonathan P. DeShazo, Chris Gennings, Juan L. Olmo, Sebastian Ventura, Krzysztof J. Cios, and John N. Clore, “Impact of HbA1c Measurement on Hospital Readmission Rates: Analysis of 70,000 Clinical Database Patient Records,” BioMed Research International, vol. 2014, Article ID 781670, 11 pages, 2014.

The evaluation of this dataset is done using Area Under the ROC curve (AUC).

An example of its application are ROC curves. Here, the true positive rates are plotted against false positive rates. An example is below. The closer AUC for a model comes to 1, the better it is. So models with higher AUCs are preferred over those with lower AUCs.

Please note, there are also other methods than ROC curves but they are also related to the true positive and false positive rates, e. g. precision-recall, F1-Score or Lorenz curves.

AUC is used most of the time to mean AUROC, AUC is ambiguous (could be any curve) while AUROC is not.

The AUROC has several equivalent interpretations:

- The expectation that a uniformly drawn random positive is ranked before a uniformly drawn random negative.
- The expected proportion of positives ranked before a uniformly drawn random negative.
- The expected true positive rate if the ranking is split just before a uniformly drawn random negative.
- The expected proportion of negatives ranked after a uniformly drawn random positive.
- The expected false positive rate if the ranking is split just after a uniformly drawn random positive.

Assume we have a probabilistic, binary classifier such as logistic regression.

Before presenting the ROC curve (= Receiver Operating Characteristic curve), the concept ofconfusion matrix must be understood. When we make a binary prediction, there can be 4 types of outcomes:

- We predict 0 while we should have the class is actually 0: this is called a True Negative, i.e. we correctly predict that the class is negative (0). For example, an antivirus did not detect a harmless file as a virus .
- We predict 0 while we should have the class is actually 1: this is called a False Negative, i.e. we incorrectly predict that the class is negative (0). For example, an antivirus failed to detect a virus.
- We predict 1 while we should have the class is actually 0: this is called a False Positive, i.e. we incorrectly predict that the class is positive (1). For example, an antivirus considered a harmless file to be a virus.
- We predict 1 while we should have the class is actually 1: this is called a True Positive, i.e. we correctly predict that the class is positive (1). For example, an antivirus rightfully detected a virus.

To get the confusion matrix, we go over all the predictions made by the model, and count how many times each of those 4 types of outcomes occur:

In this example of a confusion matrix, among the 50 data points that are classified, 45 are correctly classified and the 5 are misclassified.

Since to compare two different models it is often more convenient to have a single metric rather than several ones, we compute two metrics from the confusion matrix, which we will later combine into one:

- True positive rate (TPR), aka. sensitivity, hit rate, and recall, which is defined as
TPTP+FN $\frac{TP}{TP+FN}$. Intuitively this metric corresponds to the proportion of positive data points that are correctly considered as positive, with respect to all positive data points. In other words, the higher TPR, the fewer positive data points we will miss. - False positive rate (FPR), aka. fall-out, which is defined as
FPFP+TN $\frac{FP}{FP+TN}$. Intuitively this metric corresponds to the proportion of negative data points that are mistakenly considered as positive, with respect to all negative data points. In other words, the higher FPR, the more negative data points we will missclassified.

To combine the FPR and the TPR into one single metric, we first compute the two former metrics with many different threshold (for example

The following figure shows the AUROC graphically:

In this figure, the blue area corresponds to the Area Under the curve of the Receiver Operating Characteristic (AUROC). The dashed line in the diagonal we present the ROC curve of a random predictor: it has an AUROC of 0.5. The random predictor is commonly used as a baseline to see whether the model is useful.

If you want to get some first-hand experience:

- Python: http://scikit-learn.org/stable/auto_examples/model_selection/plot_roc.html
- MATLAB: http://www.mathworks.com/help/stats/perfcurve.html

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