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 Release 22.0, Sept. 2008
 
Chapter : ch39. Decisional Analysis Section : Performance Measures
  Positive Predictive Value (PPV)

  Online Excel Reference
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Overview :

The positive predictive value is true-positive test results divided by all positive test results. This is also referred to as the predictive value of a positive test.

 

positive predictive value =

= (a / (a + b))

 

where:

• a = true positives

• (a + b ) = sum of (true positives and false positives) = all positive test results

 

If the prevalence of disease in a study is similar to that in the population [prevalence in the population = (a + c) / (a + b + c + d)], then the PPV is equivalent to Bayes's formula for post-test probability given a positive result.

 

  References:

Braunwald E, Isselbacher KJ, et al (editors). Harrison's Principles of Internal Medicine, 11th edition. McGraw-Hill Book Publishers. 1987. page 7

Goldman L. Chapter 10: Quantitative aspects of clinical reasoning. pages 43-48. IN: Isselbacher KJ, Braunwald E, et al. Harrison's Principles of Internal Medicine, Thirteenth Edition. McGraw-Hill. 1994.

Panzer RJ, Black ER, Griner PF. Interpretation of diagnostic tests and strategies for their use in quantitative decision making. pages 17-28. IN: Panzer RJ, Black ER, et al. Diagnostic Strategies for Common Medical Problems. American College of Physicians. 1991.

Speicher C, Smith JW Jr.. Choosing Effective Laboratory Tests. WB Saunders. 1983. pages 50-51, and 210

 

 

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