Exam aid · Calculations and formulas
Biostatistics & Epidemiology
The 2 × 2 table, risk measures and test selection on one page.
Tables to memorise
Cover the right-hand column and test yourself before checking.
Diagnostic tests (2 × 2 table)
| Measure | Formula |
|---|---|
| Sensitivity | TP / (TP + FN) |
| Specificity | TN / (TN + FP) |
| Positive predictive value | TP / (TP + FP) |
| Negative predictive value | TN / (TN + FN) |
| Accuracy | (TP + TN) / total |
Risk and effect
| Measure | Formula |
|---|---|
| Relative risk | Risk exposed / risk unexposed (cohort, RCT) |
| Odds ratio | (a × d) / (b × c) (case–control) |
| Absolute risk reduction | Control risk − treatment risk |
| Relative risk reduction | ARR / control risk |
| NNT | 1 / ARR |
| NNH | 1 / absolute risk increase |
| Incidence | New cases / population at risk over time |
| Prevalence | All cases / population at a point in time |
| Case fatality rate | Deaths / cases × 100 |
| Herd immunity threshold | 1 − 1/R0 |
Which test?
| Data / question | Test |
|---|---|
| Two means, normal data | Student's t-test (paired if same subjects) |
| Three or more means | ANOVA |
| Two groups, non-normal | Mann–Whitney U (Wilcoxon if paired) |
| Proportions / categories | Chi-square (Fisher's exact if small) |
| Linear association | Pearson (Spearman if non-normal) |
| Time to event | Kaplan–Meier with log-rank test |
| Predict binary outcome | Logistic regression |
One-liners examiners love
- Sensitive tests rule OUT (SnNout); specific tests rule IN (SpPin).
- PPV rises with prevalence; NPV falls with prevalence.
- A 95% CI for RR or OR that includes 1 means no significant difference.
- Type I error (α) = false positive; type II (β) = false negative; power = 1 − β.
- Median and IQR describe skewed data; mean and SD describe normal data.
Memory aids
- SnNout and SpPin
- Sensitive test Negative rules out; Specific test Positive rules in.
Now turn it into marks
Attempt MCQs on these topics while the sheet is fresh. Anything you get wrong goes to your incorrect list for the next round.
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