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How to calculate positive predictive value? Background: Suppose an accurate diag

ID: 3204560 • Letter: H

Question

How to calculate positive predictive value?

Background: Suppose an accurate diagnositic test is available to detect a rare disease. Let D denote a person with the disease. Let T denote a positive result.

If a person has the disease, the conditional probability of a positive result is .99

If a person does not have the disease, the conditioned probability of a negative result is .99.

Using the information answer the following:

a) Assume a prevalence of .02. What is the positive predictive value?

b) Assume a prevalance of .01. What is the positive prdictive value?

Explanation / Answer

From information given, sensitivity of the test is: 0.99, and specificity of the test is: 0.99.

a. For a prevalence value of 0.02, the PPV is as follows:

PPV=(sensitivity*prevalence)/{sensitivity*prevalence+(1-specificity)*(1-prevalence)}

=(0.99*0.02)/{(0.99*0.02+(1-0.99)*(1-0.02)}

=0.6689 (ans)

b. PPV=(0.99*0.01)/{(0.99*0.01+(1-0.99)*(1-0.01)}

=0.5 (ans)

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