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Science

Choosing Cut-Offs in Tests

My last blog post was on the difference between Sensitivity, Specificity and the Positive Predictive Value. While showing that a positive test result can represent a low probability of actually having a trait or a disease, this example used the values of Sensitivity and Specificity as pre-known input. For established tests and measures they indeed are often available in literature together with recommended cut-off values.1

In this post, I would like to show how the choice of a cut-off value influences quality criteria such as Sensitivity, Specificity and the like. If you just want a tool to play with, see my Shiny web application here.