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Table 3 Analyses of data in an example by Sackett et al [8 (Table 4–10, pp. 95–98)].

From: New patient-oriented summary measure of net total gain in certainty for dichotomous diagnostic tests

 

Patient A: High prior suspicion of coronary disease

Patient B: Low prior suspicion of coronary disease

Patient C: Intermediate prior suspicion of coronary disease

Prevalence

90%

5%

50%

A

540

30

300

B

9

86

45

C

360

20

200

D

91

864

455

PPV

540/549 = 98.36%

30/116 = 25.86%

300/345 = 87%

NPV

91/451 = 20.18%

864/884 = 97.74%

455/655 = 69.47%

FPR

9/549 = 1.64%

86/116 = 74.14%

45/345 = 13.04%

FNR

360/451 = 79.82%

20/884 = 2.26%

200/655 = 30.53

PLR

6.67

6.67

6.67

J = sensitivity+specificity-1

51.41%

51.41%

51.41%

NND = 1/J

1.95

1.95

1.95

PSI = Ψ = PPV+NPV-1 =

= [PPV-Prevalence]+ [NPV-(1-Prevalence)]

18.54%

23.60%

56.47%

NNP = 1/PSI = 1/Ψ

5.4

4.2

1.8

  1. The use of exercise ECG with three types of patients with prior coronary disease probability of 5%, 90% and 50%, using angiogram as a gold standard.