Likelihood Ratios in Diagnostic Testing - Estimation of Pre- and Post-test Probability

Estimation of Pre- and Post-test Probability

Further information: Pre- and post-test probability

The likelihood ratio of a test provides a way to estimate the pre- and post-test probabilities of having a condition.

With pre-test probability and likelihood ratio given, then, the post-test probabilities can be calculated by the following three steps:

  • Pretest odds = (Pretest probability / (1 - Pretest probability)
  • Posttest odds = Pretest odds * Likelihood ratio

In equation above, positive post-test probability is calculated using the likelihood ratio positive, and the negative post-test probability is calculated using the likelihood ratio negative.

  • Posttest probability = Posttest odds / (Posttest odds + 1)

In fact, post-test probability, as estimated from the likelihood ratio and pre-test probability, is generally more accurate than if estimated from the positive predictive value of the test, if the tested individual has a different pre-test probability than what is the prevalence of that condition in the population.

Read more about this topic:  Likelihood Ratios In Diagnostic Testing

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