/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 27 It's never lupus. \(\stackrel{\c... [FREE SOLUTION] | 91Ó°ÊÓ

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It's never lupus. \(\stackrel{\circ}{ }^{\circ}\). Lupus is a medical phenomenon where antibodies that are supposed to attack foreign cells to prevent infections instead see plasma proteins as foreign bodies, leading to a high risk of blood clotting. It is believed tha t \(2 \%\) of the population suffer from this disease. The test is \(98 \%\) accurate if a person actually has the disease. The test is \(74 \%\) accurate if a person does not have the disease. There is a line from the Fox television show House that is often used after a patient tests positive for lupus: "It's never lupus." Do you think there is truth to this statement? Use appropriate probabilities to support your answer.

Short Answer

Expert verified
The probability of having lupus given a positive test is about 7.14%.

Step by step solution

01

Define the Probabilities

Given information is \( P(L) = 0.02 \) (probability of having lupus), the test accuracy if a person has lupus is \( P(+|L) = 0.98 \), and the test accuracy if a person does not have lupus is \( P(-|L^c) = 0.74 \). We need to find \( P(L|+) \), the probability that a person has lupus given a positive test result.
02

Understand Conditional Probability Formula

Use Bayes' theorem to find the probability of having lupus given a positive test result: \[ P(L|+) = \frac{P(+|L)P(L)}{P(+)} \] where \( P(+) \) can be found using total probability: \[ P(+) = P(+|L)P(L) + P(+|L^c)P(L^c) \].
03

Calculate Component Probabilities

Let's calculate \( P(+|L^c) = 1 - P(-|L^c) = 1 - 0.74 = 0.26 \). Also calculate \( P(L^c) = 1 - P(L) = 1 - 0.02 = 0.98 \).
04

Calculate Total Probability of Positive Test

Substitute components into total probability formula: \[ P(+) = (0.98)(0.02) + (0.26)(0.98) = 0.0196 + 0.2548 = 0.2744 \].
05

Calculate Probability of Lupus Given Positive Test

Now use Bayes' theorem to find \( P(L|+) \): \[ P(L|+) = \frac{0.0196}{0.2744} \approx 0.0714 \] or about \( 7.14\% \).
06

Interpret the Results

With \( 7.14\% \) being the probability of having lupus given a positive test result, it is indeed more likely not to have lupus, supporting the statement "It's never lupus."

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Conditional Probability
Conditional probability is a way of finding the likelihood of an event occurring given that another event has already happened. It is a key concept in probability theory, especially when dealing with complex real-world problems. In our scenario, we want to find the probability of having lupus, denoted as \( P(L|+) \), given that a test result is positive.

To calculate this, we start by using Bayes' Theorem, which provides a formula to reverse conditional probabilities. Bayes' Theorem is expressed as:
  • \( P(A|B) = \frac{P(B|A)P(A)}{P(B)} \)
This formula helps us adjust our understanding of \( P(A) \) based on \( B \) having occurred, considering this updated scenario.

In medical testing, conditional probability helps us to understand the accuracy and implications of the test results. This is crucial, as tests can sometimes yield misleading results due to inherent limitations in their accuracy.
Disease Testing
Disease testing involves assessing whether a person has a specific disease based on the results provided by a medical test. In our example, the test is designed to detect lupus with a certain accuracy. Two important probabilities are:
  • The probability of testing positive given the person has lupus: \( P(+|L) = 0.98 \)
  • The probability of testing negative given the person does not have lupus: \( P(-|L^c) = 0.74 \)
These values indicate how effectively the test identifies positive cases and correctly dismisses negative cases, respectively.

However, medical tests can still produce false positives and false negatives. A false positive occurs when a person tests positive even though they do not have the disease. A false negative occurs when a person tests negative despite having the disease. These probabilities must be considered to effectively interpret the results.

Ultimately, disease testing helps us manage health outcomes by identifying individuals who need further medical attention early. Advanced statistical tools, like Bayes' Theorem, help refine our understanding of these probabilities.
Probability Interpretation
Interpreting probability in medical testing can unveil important insights about disease prevalence and test reliability. When we calculated \( P(L|+) = 0.0714 \) (or about 7.14%), it tells us that even if the test is positive, the actual probability of having lupus is relatively low.

Key factors influencing this interpretation include:
  • Prevalence of the disease in the population: In this case, lupus has a prevalence of only 2%.
  • Test accuracy: While relatively high, the test is not foolproof, with imperfections in identifying both positive and negative cases.
This example shows how low disease prevalence can often result in low post-test probabilities, despite the test's good accuracy. Therefore, medical prognosis often requires a more holistic approach, considering both test results and clinical assessments.

Through careful interpretation of these probabilities, healthcare providers can make more informed decisions, balancing the test outcomes against other clinical information to decide the best course of action for patient care. This ensures that decisions aren't based solely on test results, but rather on a comprehensive view of all available data.

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Most popular questions from this chapter

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