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1/ Hey #medtwitter, what do you know about diagnostic odds ratios and how they are used?

It’s time for another round of #statswithCoreIM!

Let’s start by considering dichotomous test characteristics:
2/ Diagnostic Odds Ratios are different, and special, because they allow us to use one single number to describe how good a diagnostic test is.
3/ For example, let’s consider the DORs of some diagnostic tests of the flu:
😷Cough - 2.8
😷Fever - 4.5
😷Rapid flu swab ~ 15
😷Flu PCR ~ 100

(And stay tuned for another Steve & Janine podcast on the flu next Wednesday!)
4/ What’s the point? A DOR is useful to compare tests to each other - for example, in a meta-analysis.

However, when interpreting your patient’s test results, you must consider the test result, the test’s properties and the local disease prevalence.
5/ Or, as @AdamRodmanMD might say: test characteristics matter, as we need to know them.

Check out all the graphics for this post and all our other posts on our website: coreimpodcast.com/2020/02/11/dia…

Happy learning!

/fin
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