Wireless-Doc (the Weblog)
Bill Koslosky, M.D. examines the state of wireless technology and medical applications.

 
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Thursday, June 10, 2004
 

iDOC

These posters advertising the latest issue of New York Magazine are starting to pop up around the news stands here in NYC.

Makes you wonder why an electronic stethescope was never developed.

(Treo 600 photo)


11:20:09 AM    

Car Talk Puzzler

There's a discussion on the National Association of Science Writers (NASW) listserv about the use of statistics for predicting events. This reminded me of the latest Car Talk puzzler I heard last Saturday. If I heard it correctly, the question is, given that a clinical test is 99% specific and sensitive, what is the probability that a positive result will indicate an actual case of disease (positive predictive value)?

I couldn't think of the equation into which I could plug in these values and get the answer, so I drew up a roman square and eventually derived an equation that would do the job. Below is a gif showing what I came up with.

The answer is 9%. In reality, I haven't seen a clinical test with a specificity as low as 99%. You'd expect to see at least 99.9% or 99.99%. You can see how this generates a large number of false positives given the low prevalence of 0.001.

For the Palm OS platform, I think MedMath 2.0 will do this calculation; I'll have to check.


9:38:31 AM    


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