Description

If a test with a certain sensitivity and specificity is used in a population with a certain disease prevalence, then a certain percentage of patients in the population will be misclassified.


 

NOTE: This is a variation on the content in 39.01.13 (above).

 

Population

Expression

percent true positives

(percent prevalent) * (sensitivity)

percent false negatives

(percent prevalent) * (1 - (sensitivity))

percent true negatives

(100 - (percent prevalent)) * (specificity)

percent false positives

(100 - (percent prevalent)) * (1 - (specificity))

 

percent of patients in a population misclassified =

= (percent false negative) + (percent false positive)

 

ratio of true positives to false positives =

= (percent prevalent) * (sensitivity) / ((100 - (percent prevalent)) * (1 - (specificity)))

 

ratio of true negatives to false negatives =

= (percent prevalent) * (1 - (sensitivity)) / ((100 - (percent prevalent)) * (specificity))

 


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