Clinical performance characteristics of a laboratory test. A practical approach in the autoimmune laboratory

Autoimmun Rev. 2009 Jun;8(7):543-8. doi: 10.1016/j.autrev.2009.01.013. Epub 2009 Feb 5.

Abstract

Background: This review aims to make laboratory professionals and clinicians more familiar with the basic concepts that deal with the clinical performance characteristics of a laboratory test.

Content: Basic measures of the clinical performance characteristics of a laboratory test, such as sensitivity, specificity, likelihoods, likelihood ratio, post-test probability, odds, Bayes theorem, and receiver-operator characteristic curve are explained. The concepts are illustrated with examples (anti-CCP antibodies) that are worked out in a spreadsheet.

Summary: This review seeks to provide laboratory professionals and clinicians with a better understanding of the clinical performance characteristics of a laboratory test and of evidence-based laboratory medicine. The manuscript emphasizes a strong link between clinical statistics and evidence-based laboratory medicine.

Publication types

  • Review

MeSH terms

  • Autoimmune Diseases / diagnosis*
  • Bayes Theorem
  • Humans
  • Immunologic Tests / standards
  • Immunologic Tests / statistics & numerical data*
  • Likelihood Functions
  • Predictive Value of Tests
  • ROC Curve
  • Sensitivity and Specificity