Final Flashcards
test threshold
probability below which a diagnostic test will not be ordered or performed b/c the possibility of the diagnosis is so remote
treatment threshold
probability above which a diagnostic test will not be ordered b/c the possibility of the diagnosis is so great that immediate treatment is indicated
sensitivity
correctly IDs people who have the disorder - true positives
- SN-NOUT - if a test is highly sensitive, then a negative test means you can rule out the disorder
specificity
correctly IDs people without the disorder - true negative
- SP-PIN - of a test is highly specific, then a positive test means you can rule in the disorder
positive predictive value
ability of the test to correctly determine the % of people WITH the disorder from all the people with + test results
negative predictive value
ability of the test to correctly determine the % of people WITHOUT the disorder from all the people with a - test result
LR + and what numbers would indicate a LR +
likelihood that a POSITIVE test result was observed in a person WITH the disorder vs a person WITHOUT the disorder
- how the probability of disease shifts when the finding is +
- LR+ > 1, closer to 1 means it is closer to chance
LR - and what numbers would indicate a LR -
likelihood that a NEGATIVE test result was observed in a person WITH the disorder vs a person WITHOUT the disorder
- how probability of disease shifts when the finding is -, disease is absent
- LR - < 1, closer to 1 means it is closer to chance
LR + chart numbers to know
2 - 15% increase
5 - 30% increase
10 - 45% increase
LR - chart numbers to know
1/2 (0.5) - 15% decrease
1/5 (0.2) - 30% decrease
1/10 (0.1) - 45% decrease
P-value
probability that the result occurred due to chance
- lower the better
- 1 means it was 50/50
case control study
- retrospective
- 1 group w/ disorder and 1 group w/o
- look at proportion of each group who had the risk factor or prognostic indicator of interest
cohort study
- prospective
- 2 or more groups before they have the disorder
- monitor to see who develops the disorder
what is a survival curve
looks at mortality rate in people w/ or w/o certain quality
- ex: knee extensor strength of < or > 40% on survival in people who undergo dialysis
odds ratio
the odds that an individual w/ the prognostic or risk factor will develop the outcome of interest