Specificity versus Sensitivity

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The page below is a sample from the LabCE course Quality Control. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Specificity versus Sensitivity

Notes on specificity versus sensitivity:

  • Specificity is "disease-focused." The more specific a test is, the fewer false-positive results will occur.
  • Remember that a false-positive result can lead to a misdiagnosis with the possible consequence of unnecessary diagnostic procedures and therapies.
  • Sensitivity, on the other hand, is "wellness or normal focused." The more sensitive a test, the fewer false-negative results it produces.
Important note: For many reasons, it is nearly impossible to eliminate all false positive or false negative test results. In general, the cutoff set for an analyte - delineating a normal versus abnormal result - may be shifted accordingly (depending on the target population).