3 ms·
It's particularly bad because the baseline rate for cancer is pretty low. The incidence rate for men and women in the US from [1] is 439 per 100k. So taking int
by x1798DE 8y ago
It's particularly bad because the baseline rate for cancer is pretty low. The incidence rate for men and women in the US from [1] is 439 per 100k. So taking into account the baseline rate:
Of 439 people with new cancers, 395 (90%) will get a positive result.
Of 99,561 people without cancer, 9,956 (10%) will get a positive result.
So a total of 10,351 people will get positive results, and 96% of those people will not have cancer, so a positive result means that you have (to a first approximation) a 4% chance of having cancer. If the breakdown from [2] is roughly accurate, taking into account no other risk factors, someone under 50 can expect an even lower baseline rate, the "true positive" rate of a test with 90% sensitivity would range from 0.1% in infants to 25% in people 90+ years of age.
1. https://www.cancer.gov/about-cancer/understanding/statistics https://www.cancer.gov/about-cancer/understanding/statistics
2. https://www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/age#heading-Zero https://www.cancerresearchuk.org/health-professional/cancer-...
- cuchoi 8y agoThat's a great point but I imagine doctors won't start running this test in a random sample of the population. They would probably run it in people with symptoms --> makes them a lot more likely to have cancer.