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A study of the impact of seeking a second opinion about a medical condition is described in the paper "Evaluation of Outcomes from a National Patient- Initiated Second-Opinion Program". Based on a review of 6791 patient-initiated second opinions, the paper states the following: "Second opinions often resulted in changes in diagnosis (14.8\%), treatment \((37.4 \%),\) or changes in both \((10.6 \%)\)." Consider the following two events: \(D=\) event that second opinion results in a change in diagnosis \(T=\) event that second opinion results in a change in treatment a. What are the values of \(P(D), P(T),\) and \(P(D \cap T) ?\) b. Use the given probability information to set up a hypothetical 1000 table with columns corresponding to \(D\) and \(D^{C}\) and rows corresponding to \(T\) and \(T^{C}\). c. What is the probability that a second opinion results in neither a change in diagnosis nor a change in treatment? d. What is the probability that a second opinion results is a change in diagnosis or a change in treatment?

Short Answer

Expert verified
The probability of a change in diagnosis is 14.8% (P(D) = 0.148), a change in treatment is 37.4% (P(T) = 0.374), and both changes occur is 10.6% (P(D ∩ T) = 0.106). In the hypothetical 1000 table, there would be 106 cases of both changes, 42 cases of a diagnosis change only, 268 cases of treatment change only, and 584 cases of no changes. The probability of neither change occurring is 58.4% (P(D^C ∩ T^C) = 0.584), and the probability of a change in diagnosis or a change in treatment is 41.6% (P(D ∪ T) = 0.416).

Step by step solution

01

Determine the probability of each event.

P(D) = 14.8% = 0.148 P(T) = 37.4% = 0.374 P(D ∩ T) = 10.6% = 0.106 #Step 2: Create the 1000 Table#
02

Set up a hypothetical 1000 table with columns corresponding to D and D^C and rows corresponding to T and T^C.

We have a table like this: D | D^C ----------------|--------- T | 106 | 268 ----------------|--------- T^C | 42 | 584 Here, the values in the table are calculated as follows: - Total cases = 1000 - D and T: 10.6% of 1000 = 106 - D and T^C: 14.8% - 10.6% = 4.2% of 1000 = 42 - D^C and T: 37.4% - 10.6% = 26.8% of 1000 = 268 - D^C and T^C: 1000 - (106 + 42 + 268) = 584 #Step 3: Probability of Neither Change in Diagnosis Nor Change in Treatment#
03

Determine the probability that a second opinion results in neither a change in diagnosis nor a change in treatment.

Looking at the 1000 table, we find that there are 584 cases where neither D nor T occur. Therefore, the probability is: \(P(D^C \cap T^C) = \frac{584}{1000} = 0.584\) #Step 4: Probability of Change in Diagnosis or Change in Treatment#
04

Determine the probability that a second opinion results in a change in diagnosis or a change in treatment.

Using the formula for the probability of the union of two events: \(P(D \cup T) = P(D) + P(T) - P(D \cap T)\) Then we get: \(P(D \cup T) = 0.148 + 0.374 - 0.106 = 0.416\) So, the probability that a second opinion results in a change in diagnosis or a change in treatment is 41.6%.

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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 an important concept in probability theory. It helps us understand how the probability of one event changes when we know another event has occurred. In simple terms, it answers the question: "Given that event A has happened, what is the probability that event B will happen too?"
The formula for conditional probability is given by \( P(B|A) = \frac{P(B \cap A)}{P(A)} \), where:
  • \( P(B|A) \) is the probability of event B happening given that event A has happened.
  • \( P(B \cap A) \) is the probability that both events A and B occur together.
  • \( P(A) \) is the probability that event A occurs.

Conditional probability is particularly useful in making predictions and informed decisions under uncertainty. For instance, in the context of the exercise, if we were to ask about the likelihood of a change in treatment given there was a change in diagnosis (or vice versa), we'd use conditional probability. It tells us how one factor statistically influences or changes another in the real world.
Joint Probability
Joint probability involves the likelihood of two or more events occurring simultaneously. This is calculated as \( P(A \cap B) \), which represents the probability that both event A and event B happen. Joint probability is a foundational concept when analyzing scenarios where multiple events might affect each other.
Think of it as a way of assessing the interdependence between two events. In our exercise, we calculate the joint probability of a second opinion resulting in a change in both diagnosis and treatment, which is given by \( P(D \cap T) = 0.106 \). This means there is a 10.6% chance that both changes occur simultaneously.
When working with joint probabilities, its usefulness is evident when you're looking to understand the relationship and co-occurrence of different events. It's a necessary component for further calculations, such as determining conditional probabilities and the probability of the union of events.
Probability of Union
The probability of the union of two events refers to the likelihood that at least one of the events occurs. This is represented as \( P(A \cup B) \). It can be thought of as a combination of the probabilities of individual events, without double-counting the events that occur simultaneously.
The formula for calculating this is given by:
  • \( P(A \cup B) = P(A) + P(B) - P(A \cap B) \)

In simpler terms, it adds up the probability of each event and subtracts the probability of both events occurring together, as this would otherwise be counted twice. In our specific exercise, the probability that a second opinion results in either a change in diagnosis or a change in treatment is 41.6%.
This measure is especially useful when considering scenarios where multiple outcomes might satisfy a success condition, making it essential for broader probability calculations in many real-world applications.

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Most popular questions from this chapter

a. Suppose events \(E\) and \(F\) are mutually exclusive with \(P(E)=0.64\) and \(P(F)=0.17\) i. What is the value of \(P(E \cap F)\) ? ii. What is the value of \(P(E \cup F)\) ? b. Suppose that \(A\) and \(B\) are events with \(P(A)=0.3, P(B)=0.5\), and \(P(A \cap B)=0.15 .\) Are \(A\) and \(B\) mutually exclusive? How can you tell? c. Suppose that \(A\) and \(B\) are events with \(P(A)=0.65\) and \(P(B)=0.57 .\) Are \(A\) and \(B\) mutually exclusive? How can you tell?

A large cable company reports the following: \(80 \%\) of its customers subscribe to cable TV service \(42 \%\) of its customers subscribe to Internet service \(32 \%\) of its customers subscribe to telephone service \(25 \%\) of its customers subscribe to both cable TV and Internet service \(21 \%\) of its customers subscribe to both cable TV and phone service \(23 \%\) of its customers subscribe to both Internet and phone service \(15 \%\) of its customers subscribe to all three services Consider the chance experiment that consists of selecting one of the cable company customers at random. In Exercise \(5.53,\) you constructed a hypothetical 1000 table to calculate the following probabilities. Now use the probability formulas of this section to find these probabilities. a. \(P(\) cable TV only) b. \(P\) (Internet \(\mid\) cable TV) c. \(P(\) exactly two services \()\) d. \(P\) (Internet and cable TV only)

What does it mean to say that the probability that a coin toss will land head side up is \(0.5 ?\)

5.65 The authors of the paper "Do Physicians Know When Their Diagnoses Are Correct?" (Journal of General Internal Medicine [2005]: 334-339) presented detailed case studies to medical students and to faculty at medical schools. Each participant was asked to provide a diagnosis in the case and also to indicate whether his or her confidence in the correctness of the diagnosis was high or low. Define the events \(C\), \(I,\) and \(H\) as follows: \(C=\) event that diagnosis is correct \(I=\) event that diagnosis is incorrect \(H=\) event that confidence in the correctness of the diagnosis is high a. Data appearing in the paper were used to estimate the following probabilities for medical students: $$ \begin{array}{r} P(C)=0.261 \\ P(I)=0.739 \\ P(H \mid C)=0.375 \\ P(H \mid I)=0.073 \end{array} $$ Use Bayes' Rule to calculate the probability of a correct diagnosis given that the student's confidence level in the correctness of the diagnosis is high. b. Data from the paper were also used to estimate the following probabilities for medical school faculty: $$ \begin{array}{r} P(C)=0.495 \\ P(I)=0.505 \\ P(H \mid C)=0.537 \\ P(H \mid I)=0.252 \end{array} $$ Calculate \(P(C \mid H)\) for medical school faculty. How does the value of this probability compare to the value of \(P(C \mid H)\) for students calculated in Part (a)?

The article "Scrambled Statistics: What Are the Chances of Finding Multi-Yolk Eggs?" (Significance [August 2016]: 11) gives the probability of a double-yolk egg as 0.001 . a. Give a relative frequency interpretation of this probability. b. If 5000 eggs were randomly selected, about how many double-yolk eggs would you expect to find?

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