Epidemiology and Pan-Systemic Flashcards
What is an odd’s ratio
Measure of association between an exposure and an outcome
OR = (A/B)/(C/D)
OR= 1 –> variable does not correlate to disease
OR > 1 –> variable increases odds of disease
OR < 1 –> variable decreases odds of disease
Sensitivity
Ability of a test to correctly identify patients with a disease
Sn = [a/(a+c)]x100
Specificity
ability of a test to correct identify patients without disease
Sp = [d/(b+d)]x100
Positive Predictive Value
The probability that a patient with a positive (abnormal) test result will actually have the disease
PPV = [a/(a+b)]x100
Negative Predictive Value
The likelihood that a patient who has a negative test result does not have the disease
NPV = [d/(c+d)]x100
Calculating Incidence
(new cases)/(populations at risk in time period)
If an animal is going to be euthanized based on results, do you have a test with high specificity or sensitivity?
Want a test with very high specificity
- specific tests have few false positives, will confirm the disease
Does a good screening test have high specificity or sensitivity?
Want high sensitivity
Does a good diagnostic/confirmatory test have good specificity or sensitivity?
Has high specificity
How are prevalence and positive predictive values related?
As prevalence decreases, the PPV of the test decreases