Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Oct;10(10):YE01-YE06.
doi: 10.7860/JCDR/2016/18129.8744. Epub 2016 Oct 1.

Requirements for Minimum Sample Size for Sensitivity and Specificity Analysis

Affiliations
Review

Requirements for Minimum Sample Size for Sensitivity and Specificity Analysis

Mohamad Adam Bujang et al. J Clin Diagn Res. 2016 Oct.

Abstract

Sensitivity and specificity analysis is commonly used for screening and diagnostic tests. The main issue researchers face is to determine the sufficient sample sizes that are related with screening and diagnostic studies. Although the formula for sample size calculation is available but concerning majority of the researchers are not mathematicians or statisticians, hence, sample size calculation might not be easy for them. This review paper provides sample size tables with regards to sensitivity and specificity analysis. These tables were derived from formulation of sensitivity and specificity test using Power Analysis and Sample Size (PASS) software based on desired type I error, power and effect size. The approaches on how to use the tables were also discussed.

Keywords: Diagnostic; Screening; Type I error.

PubMed Disclaimer

Figures

[Table/Fig-1]:
[Table/Fig-1]:
Sample size calculation for sensitivity and specificity analysis for prevalence of disease from 5% to 20%.  Prev = prevalence of disease  Ho = Hypothesis null  Ha = Hypothesis alternative N1 = The minimum number of sample size for positive disease  N = The minimum number of sample size requirement for total
[Table/Fig-2]:
[Table/Fig-2]:
Sample size calculation for sensitivity and specificity analysis for prevalence of disease from 30% to 60%. Prev = prevalence of disease  Ho = Hypothesis null  Ha = Hypothesis alternative N1 = The minimum number of sample size for positive disease  N = The minimum number of sample size requirement for total
[Table/Fig-3]:
[Table/Fig-3]:
Sample size calculation for sensitivity and specificity analysis for prevalence of disease from 70% to 90%. Prev = prevalence of disease  Ho = Hypothesis null  Ha = Hypothesis alternative  N1 = The minimum number of sample size for positive disease  N = The minimum number of sample size requirement for total

Similar articles

Cited by

References

    1. David L Simel, Gregory P Samsa, David B Matchar. Likelihood ratios with confidence: sample size estimation for diagnostic test studies. J Clin Epidmiol. 1991;44(8):763–70. - PubMed
    1. Buderer NM. Statistical Methodology: I. Incorporating the prevalence of disease into the sample size calculation for sensitivity and specificity. Acad Emerg Med. 1996;3(9):895–900. - PubMed
    1. Enøe C, Georgiadis MP, Johnson WO. Estimation of sensitivity and specificity of diagnostic tests and disease prevalence when the true disease state is unknown. Prev Vet Med. 2000;45(1-2):61–81. - PubMed
    1. Netzer NC, Stoohs SA, Netzer CM, Clark K, Strohl KP. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;131:485–91. - PubMed
    1. Yunus A, Seet W, Mohamad Adam B, Haniff J. Validation of the Malay version of Berlin questionaire to identify Malaysian patients for obstructive sleep apnea. Malaysian Family Physician. 2013;8(1):03–09. - PMC - PubMed

LinkOut - more resources