module 2 sensitivity and specificity Flashcards
Sensitivity
The number of positive results for individuals who actually have the disease (true positives)
TP/TP + FN
Specificity
The number of negative results for individuals without the disease (true negatives)
TN/FP+TN
high sensitivity is good for a
screening test
- low false negatives
high specificity is good for a
confirmatory test
- low false positives
Positive predictive value
number of people with positive test who actually have the disease
TP/ TP + FP
Negative predictive value
number of people with negative test who dont have the disease
TN/ TN + FN
NPV and PPV depend on
prevalence of disease
- inc. prevalence -> inc. PPV and Dec. NPV
- inc. prevalence -> dec. FP
- dec. prevalence -> inc. FP
Primary prevention
prevention of developing a disease/problem
- immunizations
- seatbelts
Secondary prevention
screening
- early detection
Tertiary prevention
treatment for a diagnosed disease
- prevent co-morbidities/ secondary problems
Prevalence
the burden of a disease in a population at a given time
- captures old and new cases
Incidence
number of new cases relative to those at risk
Morbidity
incidence rates and prevalence rates are measures of morbidity
- who has the disease
Mortality
number of death/numbers at risk x 1000
Endemic
local