SigmaAnalytics & Tech
G3SPSSAdvancedAbout 35 min to complete

Diagnostic accuracy and ROC curves

The 2x2 diagnostic table.

Slides · Dataset

About 35 minutes to complete

Enrol to open the slides and download the data.

What this module covers

the 2x2 diagnostic table; sensitivity, specificity, PPV, NPV and likelihood ratios, each with the clinical question it answers; why PPV depends on prevalence and sensitivity does not; the ROC curve and what a point on it represents; AUC and its interpretation; choosing a cut-off with the Youden index, and why the best cut-off depends on the cost of each error; the SPSS ROC path; comparing two tests; how to report diagnostic accuracy.

By the end of it

  • The 2x2 diagnostic table
  • Sensitivity, specificity, PPV, NPV and likelihood ratios, each with the clinical question it answers
  • Why PPV depends on prevalence and sensitivity does not
  • The ROC curve and what a point on it represents
  • AUC and its interpretation
  • Choosing a cut-off with the Youden index, and why the best cut-off depends on the cost of each error
  • Comparing two tests
  • How to report diagnostic accuracy

The dataset

TB symptom screening score against Xpert — Sigma teaching dataset

A teaching dataset of 600 cases, generated from a fixed seed so every figure in the module reproduces exactly.

  • CodebookIncluded
  • Dataset (CSV)Included
  • Dataset (CSV)Included
  • SPSS syntaxIncluded