Sensitive/specificity/PPV/NPV/incidence/prevelance Flashcards

0
Q

Sensitivity is also called

A

True positive rate

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1
Q

Fixed properties of a test

A
  1. Sensitivity

2. Specificity

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2
Q

Evaluation of a diagnostic test

A

Uses 2X2 table comparing test results with te actual presence of disease (vertical: TEST: + - / horizontal: disease: + -)

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3
Q

Sensitivity equation

A

TP/(TP+FN)=1-FN rate

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4
Q

Sensitivity - definition

A

Proportion of all people with disease who test positive or,

The probability that a test detects disease when disease is present

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5
Q

Value approaching 100% sensitivity is desirable for ruling …. disease
It indicates

A

OUT

A low false negative rate

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6
Q

High sensitivity test used for screening in disease with ….. prevalence

A

LOW

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7
Q

Specificity is also called

A

TN rate

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8
Q

Specificity

A

Proportion of people without disease who test negative
or,
The probability that a test indicates non disease when disease is absent

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9
Q

Value approaching 100% specificity is desirable for ruling …. disease
and indicates a

A

IN

Low false positive rate

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10
Q

High specificity test used for

A

Confirmation after a positive screening test

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12
Q

Positive predictive value

A
  1. Proportion positive test that are true postive

2. Probability that person actually has the disease given a positive test result

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12
Q

Positive predictive value equation

A

TP/(TP+FP)

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13
Q

PPV varies directly with

A

Prevalence or pretest probability

High pretest –> high PPV

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14
Q

Negative predictive value

A
  1. Proportion of negative test results that are true negative
  2. Probability that person actually is disease free given negative test result
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15
Q

Negative predictive value equation

A

TN/(FN+TN)

16
Q

NPV varies inversely with

A
  1. Prevalence
  2. Pretest probability
    High pretest probability –> low NPV
17
Q

Prevalence

A

Number of existing cases/number of people at risk

At a point in time

18
Q

Incidence rate

A

(Number of new cases in a specified time of period)/(population at risk during same time)

19
Q

Prevalence directly reversible

A
  1. Incidence

2. Average disease dutation

20
Q

Incidence and prevalence in common cold. Bigger?

A

Very similar because duration is short

21
Q

Incidence and prevalence in chronic diseases. Bigger?

A

Prevalence. Long duration

22
Q

Posspitive and negative predictive value vary depending on

A

Disease prevalence

23
Q

Specificity equation

A

TN=TN/TN+FP

= 1-FP

25
Q

High sensitivity test used for

A

SCREENING in diseases with LOW prevalence

26
Q

town population is 7.500. In 2011, 200 residents diagnosed with RA. in 2012, 100 more residents are discovered by RA. incidence, prevalence?

A
incidence = 100/7300
prevelance = 300/7500
27
Q

fixed properties of a test and properties that vary

A

fixed: specificity, sensitivity
vary: PPV, NPV (depending on disease prevalence)

28
Q

association between PPV, NPV, sensitivity, specificity

A

high sensitivity –> high NPV

high specificity –> high PPV