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The prostate surface antigen test (PSA) is commonly used to detect early signs a

ID: 3065716 • Letter: T

Question

The prostate surface antigen test (PSA) is commonly used to detect early signs and symptoms of prostate cancer in men. However, the PSA test has come under quite a bit of public scrutiny for its relatively high false positive rate around 25%. Assume the prevalence of prostate cancer in men above the age over 65 is 47%. Investigators looking at the performance of the PSA test sample a group of 10,000 men over the age of 65, and come up with 5,500 positive results. What percent of men taking the test with prostate cancer will get a positive result? (Please really break this down for me).

Explanation / Answer

probabilty of having cancer P(C)=0.47

and not having cancer =P(Cc) =1--0.47=0.53

let probabilty of true +ve =P(TP) and false +ve =P(FP) =0.25

hence probabilty of +Ve result =P(C)*P(TP|C)*P(Cc)*P(FP|Cc)

5500/10000 =0.47*P(TP|C)+0.53*0.25

P(TP|C) =0.888298

hence 88.83% of men taking the test with prostate cancer will get a positive result