Correctly using sensitivity, specificity, and predictive values in clinical practice: How to avoid three common pitfalls

American Journal of Roentgenology

Volumn 200, Issue 6, 2013, Pages

  Naeger, David M ^a   Kohi, Maureen P ^a   Webb, Emily M ^a   Phelps, Andrew ^a   Ordovas, Karen G ^a   Newman, Thomas B ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Clinical epidemiology; Evidence based diagnosis; Predictive values; Sensitivity; Specificity

Indexed keywords

BRAIN SCINTISCANNING; CEREBROSPINAL FLUID ANALYSIS; CLINICAL PRACTICE; CROSS-SECTIONAL STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; GALLSTONE; HUMAN; NUCLEAR MAGNETIC RESONANCE IMAGING; PREDICTIVE VALUE; PRIORITY JOURNAL; RADIODIAGNOSIS; REVIEW; SAMPLING; SCAPHOID FRACTURE; SENSITIVITY ANALYSIS; SENSITIVITY AND SPECIFICITY; THORAX RADIOGRAPHY; ARTICLE; CASE CONTROL STUDY; LABORATORY DIAGNOSIS; METHODOLOGY; RADIOLOGY; RISK ASSESSMENT; STANDARD;

CASE-CONTROL STUDIES; DIAGNOSTIC IMAGING; FALSE NEGATIVE REACTIONS; FALSE POSITIVE REACTIONS; HUMANS; PREDICTIVE VALUE OF TESTS; RADIOLOGY; RESEARCH DESIGN; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY;

MLCS; MLOWN;

EID: 84880927868     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.12.9888     Document Type: Review

References (16)

1. Newman TB, Kohn MA. Evidence-based diagnosis. New York, NY: Cambridge University Press, 2009
2. Evidence-Based Radiology Working Group. Evidence-based radiology: a new approach to the practice of radiology. Radiology 2001; 220:566-575
3. Dixon AK. Evidence-based diagnostic radiology. Lancet 1997; 350:509-512
4. Erturk SM, Ondategui-Parra S, Otero H, Ros PR. Evidence-based radiology. J Am Coll Radiol 2006; 3:513-519
5. Yee J, Akerkar GA, Hung RK, Steinauer-Gebauer AM, Wall SD, McQuaid KR. Colorectal neoplasia: performance characteristics of CT colonography for detection in 300 patients. Radiology 2001; 219:685-692
6. Altman DG, Bland JM. Diagnostic tests 2: predictive values. BMJ 1994; 309:102
7. Szklo M, Nieto FJ. Epidemiology: beyond the basics, 2nd ed. Sudbury, MA: Jones and Bartlett, 2007
8. Davis DP, Wold RM, Patel RJ, et al. The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. J Emerg Med 2004; 26:285-291
9. Zangwill KM, Hamilton DH, Perkins BA, et al. Cat scratch disease in Connecticut: epidemiology, risk factors, and evaluation of a new diagnostic test. N Engl J Med 1993; 329:8-13
10. Centers for Disease Control and Prevention. Rapid diagnostic testing for influenza: information for clinical laboratory directors. Centers for Disease Control and Prevention website. www.cdc.gov/flu/professionals/ diagnosis/rapidlab.htm. Published July 6, 20 Updated January 3, 20 Accessed August 27, 2012
11. Waner JL, Todd SJ, Shalaby H, Murphy P, Wall LV. Comparison of Directigen FLU-A with viral isolation and direct immunofluorescence for the rapid detection and identification of influenza A virus. J Clin Microbiol 1991; 29:479-482
12. Loong TW. Understanding sensitivity and specificity with the right side of the brain. BMJ 2003; 327:716-719
13. Deeks JJ, Altman DG. Diagnostic tests 4: likelihood ratios. BMJ 2004; 329:168-169
14. Altman DG, Bland JM. Diagnostic tests 3: receiver operating characteristic plots. BMJ 1994; 309:188
15. Altman DG, Bland JM. Diagnostic tests. 1: Sensitivity and specificity. BMJ 1994; 308:1552
16. Hulley SB. Designing clinical research, 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2007