exam 1 (EBM) Flashcards
what is EBSM
- the best research evidence available
- clinical experience
- patient values
what is EBSM a balance of
art and science
what is the formula for sensitivity
True positive/(true positive + False Negative)
what is the formula for Specificity
True Negative/(true negative + False positive)
what does the values range from for Sn and Sp and what does the higher values represent
range from 0-1 and the higher values represent better test
test with high sensitivity are good at ruling?
Out a condition
test with high specificity are good at ruling
In a condition
what does a (+LR) exprss?
the PROBABILITY a condition is PRESENT when an exam is POSITIVE
what is the formula for +LR
sensitivity/(1-specificity)
what does (-LR) express
the PROBABILITY a condition is PRESENT although the exam is NEGATIVE
what is the formula for -LR
(1- sensitivity)/ specificity
what does an exam with +LR of 6 mean
a positive test inidicates the patient is 6 times more likely to have the condition than someone with a negative result
what does an exam with -LR of 0.1 mean
a negative exam is found in only 1 in 10 patients
whats the probability that a condition is present if its between (+ LR > 10 or –LR
large
whats the probability that a condition is present if its between (+LR of 5-10 or – LR 0.1-0.2)
moderate