Question: The table below displays data taken from a study comparing self-reported smoking status with measured serum cotinine level. As part of the study, cotinine level
- The table below displays data taken from a study comparing self-reported smoking status with measured serum cotinine level. As part of the study, cotinine level was used as a diagnostic tool for predicting smoking status; the self-reported status was considered to be true. For a number of different cutoff points, the observed sensitivities and specificities are given below.
Cotinine Level (ng/ml) | Sensitivity | Specificity |
5 | 0.971 | 0.898 |
7 | 0.964 | 0.931 |
9 | 0.960 | 0.946 |
11 | 0.954 | 0.951 |
13 | 0.950 | 0.954 |
14 | 0.949 | 0.956 |
15 | 0.945 | 0.960 |
17 | 0.939 | 0.963 |
19 | 0.932 | 0.965 |
- As the cutoff point is raised, how does the probability of a false positive result change? How does the probability of a false negative result change?
- Use these data to construct a receiver operator characteristic curve.
- Based on this graph, what value of serum cotinine level would you choose as an optimal cutoff point for predicting smoking status? Why?
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