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As part of the Baltimore Eye Survey, various methods for screening for glaucoma were examined in terms of their sensitivity and specificity. Various cutoffs for

As part of the Baltimore Eye Survey, various methods for screening for

glaucoma were examined in terms of their sensitivity and specificity. Various cutoffs for intraocular pressure (IOP), as measured by tonometry, were considered as a screening test. The "gold standard" diagnosis of glaucoma was based on a "definitive examination," which included visual field tests, optic disc and nerve fiber layer findings, etc. (IOP was not considered when making the gold standard diagnosis.) At a cutoff of IOP > 20, the following "truth table" was obtained for males:

Gold Standard Finding

Glaucoma

No Glaucoma

Tonometry

Finding

Suspected Glaucoma

(IOP > 20)

106

186

No Glaucoma

(IOP 20)

90

1053

Answer each of the following questions using the Excel spreadsheets. and indicate on the hardcopy where you got your answers.

  1. Find a point estimate and an approximate 95% confidence interval for the true sensitivity of the IOP screening test.

2. Find a point estimate and an approximate 95% confidence interval for the true specificity of the IOP screening test.

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