RE: The Lack of Detail...............23 Jul 2020 08:42
AlwaysSwimming ...
Working through maths - deriving equations for NPV and PPV in terms of Sensitivity, Specificity and Prevalence for a better understanding of the trade-offs that Avacta may be considering.
What the mathematical modelling tells me is interesting:
The critical importance of high SENS to achieve high NPV, with high SPEC being less critical,
although still important.
The critical importance of high SPEC to achieve high PPV, with high SENS being less critical,
although still important.
High PPV is important to avoid False Positives.
Increasing PPV is associated with decreasing Sensitivity. No explanation for this behaviour, however, it is consistent with the expression for (required) SENS that has been derived.
If Prevalence is high then the expression for PPV shows that Specificity can be very close to 0.
Interesting conclusions so far.
Still validating the model. No doubt lots of trade offs and benefits to consider ...
Perhaps Required Sensitivity and Specificity will depend on the purpose of the test?
As I said interesting conclusions purely from the maths!!
Test, test, test