Categories
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.

Categories
Science

Visualizing Sensitivity and Specificity of a Test

In my university course on Psychological Assessment, I recently explained the different quality criteria of a test used for dichotomous decisions (yes/no, positive/negative, healthy/sick, …). A quite popular example in textbooks is the case of cancer screenings, where an untrained reader might be surprised by the low predictive value of a test. I created a small Shiny app to visualize different scenarios of this example. Read on for an explanation or go directly to the app here.