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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Positive. Again.

Positive. Again.

Scheduled Pinned Locked Moved General Discussion
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  • J Jolly
    13 Apr 2020, 17:42

    There has been a lot of talk about false positives and false negatives in the testing process. Frankly, I wish we had a bit better test, period.

    L Offline
    L Offline
    LuFins Dad
    wrote on 13 Apr 2020, 18:35 last edited by
    #8

    @Jolly said in Positive. Again.:

    There has been a lot of talk about false positives and false negatives in the testing process. Frankly, I wish we had a bit better test, period.

    Good-Fast-Cheap... Need I go on?

    The Brad

    J 1 Reply Last reply 13 Apr 2020, 18:49
    • L LuFins Dad
      13 Apr 2020, 18:35

      @Jolly said in Positive. Again.:

      There has been a lot of talk about false positives and false negatives in the testing process. Frankly, I wish we had a bit better test, period.

      Good-Fast-Cheap... Need I go on?

      J Offline
      J Offline
      Jolly
      wrote on 13 Apr 2020, 18:49 last edited by
      #9

      @LuFins-Dad said in Positive. Again.:

      @Jolly said in Positive. Again.:

      There has been a lot of talk about false positives and false negatives in the testing process. Frankly, I wish we had a bit better test, period.

      Good-Fast-Cheap... Need I go on?

      George has taught you well, Padawan...

      “Cry havoc and let slip the DOGE of war!”

      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

      1 Reply Last reply
      • K Online
        K Online
        Klaus
        wrote on 13 Apr 2020, 18:54 last edited by
        #10

        Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

        J 1 Reply Last reply 13 Apr 2020, 19:09
        • M Offline
          M Offline
          Mik
          wrote on 13 Apr 2020, 18:56 last edited by
          #11

          That would be my guess.

          “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

          1 Reply Last reply
          • K Klaus
            13 Apr 2020, 18:54

            Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

            J Offline
            J Offline
            Jolly
            wrote on 13 Apr 2020, 19:09 last edited by
            #12

            @Klaus said in Positive. Again.:

            Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

            NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

            “Cry havoc and let slip the DOGE of war!”

            Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

            R K 2 Replies Last reply 13 Apr 2020, 19:21
            • J Jolly
              13 Apr 2020, 19:09

              @Klaus said in Positive. Again.:

              Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

              NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

              R Offline
              R Offline
              Rainman
              wrote on 13 Apr 2020, 19:21 last edited by
              #13

              @Jolly said in Positive. Again.:

              @Klaus said in Positive. Again.:

              Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

              NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

              Jolly, is it evenly spread? In other words, are false positives as common as false negatives? How do you prove a false negative, if a certain amount of time (week) has passed before the re-test?

              J 1 Reply Last reply 13 Apr 2020, 19:41
              • R Rainman
                13 Apr 2020, 19:21

                @Jolly said in Positive. Again.:

                @Klaus said in Positive. Again.:

                Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

                NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

                Jolly, is it evenly spread? In other words, are false positives as common as false negatives? How do you prove a false negative, if a certain amount of time (week) has passed before the re-test?

                J Offline
                J Offline
                Jolly
                wrote on 13 Apr 2020, 19:41 last edited by
                #14

                @Rainman said in Positive. Again.:

                @Jolly said in Positive. Again.:

                @Klaus said in Positive. Again.:

                Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

                NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

                Jolly, is it evenly spread? In other words, are false positives as common as false negatives? How do you prove a false negative, if a certain amount of time (week) has passed before the re-test?

                Depends on the methodology of the test and the person running it. Sometimes, you can have an adequate test, but a lousy tester.

                An example: Monoclonal antibody tests for pregnancy are ubiquitous. You can buy them for $1/each at the dollar store. A study was done with known specimens comparing everyday folks with lab testing personnel. Average people got the right answer around 80% of the time. The lab people were right about 95% of the time, with their accuracy equaling the stated accuracy of the test.

                It's all about technique, specificity and sensitivity. The more sensitive a test, the less specific. The more specific, the less the sensitivity. Sloppy technique equals sloppy results. And any test with a manual component such as pipetting, is more accurate with somebody who has done the test many, many times.

                And don't forget, you have to have a good sample, to get a good test.

                Another factor...Sometimes the test is collected correctly, done correctlyand reported erroneously. Doesn't happen much anymore because most things are interfaced, but guys have been known to type in the wrong answer.

                So errors occur in three phases - pre-analytical, analytical and post-analytical, with the majority of problems usually occurring in the pre-analytical phase( collection and everything before actual testing).

                “Cry havoc and let slip the DOGE of war!”

                Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                1 Reply Last reply
                • H Offline
                  H Offline
                  Horace
                  wrote on 13 Apr 2020, 19:50 last edited by
                  #15

                  In the tests I've been involved with designing, for use with the droplet digital pcr instruments I work with, a lot of effort goes into the "no answer" category. If the data does not look good enough to the results algorithm, the algorithm refuses to give an answer.

                  Education is extremely important.

                  1 Reply Last reply
                  • J Jolly
                    13 Apr 2020, 19:09

                    @Klaus said in Positive. Again.:

                    Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

                    NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

                    K Online
                    K Online
                    Klaus
                    wrote on 13 Apr 2020, 21:08 last edited by
                    #16

                    @Jolly said in Positive. Again.:

                    @Klaus said in Positive. Again.:

                    Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

                    NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

                    If that test would have a 10% false positive rate, then it would be mostly useless, no? From what I understand, the number of tests with positive results is around or below 10%. At a 10% false positive rate, most of those "positive" cases would in fact be negative.

                    J 1 Reply Last reply 13 Apr 2020, 21:18
                    • K Klaus
                      13 Apr 2020, 21:08

                      @Jolly said in Positive. Again.:

                      @Klaus said in Positive. Again.:

                      Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

                      NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

                      If that test would have a 10% false positive rate, then it would be mostly useless, no? From what I understand, the number of tests with positive results is around or below 10%. At a 10% false positive rate, most of those "positive" cases would in fact be negative.

                      J Offline
                      J Offline
                      Jolly
                      wrote on 13 Apr 2020, 21:18 last edited by
                      #17

                      @Klaus said in Positive. Again.:

                      @Jolly said in Positive. Again.:

                      @Klaus said in Positive. Again.:

                      Do we have false positive/false negative rates on the test? Maybe this is merely due to false test results.

                      NO clinical test is accurate 100% of the time. I've heard error rates of 10% on the current COVID tests. 5% is around minimum for many tests, even less for others.

                      If that test would have a 10% false positive rate, then it would be mostly useless, no? From what I understand, the number of tests with positive results is around or below 10%. At a 10% false positive rate, most of those "positive" cases would in fact be negative.

                      I don't know if that is the actual number, I'm working off of gossip, hearsay and the news media. But you would be much better off with false positives than false negatives.

                      “Cry havoc and let slip the DOGE of war!”

                      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

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