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False Positive Paradox Calculator

Explore the false positive paradox and compute positive predictive value from prevalence, sensitivity, and specificity.

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What Is the False Positive Paradox?

The false positive paradox shows that a positive test result can still mean you probably do not have the disease when the condition is rare. Even a 98% accurate test produces mostly false alarms at low prevalence. This is a classic example of base rate fallacy. Use the Bayes Theorem Calculator for general conditional probability.

Positive Predictive Value Formula

$$\text{PPV} = \frac{SE \times BR}{SE \times BR + (1 - SP) \times (1 - BR)}$$

Where $SE$ is sensitivity, $SP$ is specificity, and $BR$ is prevalence (base rate).

Example: Rare Disease Screening

A disease affects 1% of people. A test is 98% sensitive and 98% specific. After a positive result, the chance you actually have the disease is only about 33%, not 98%. Most positive results are false alarms because healthy people vastly outnumber sick ones.

Frequently Asked Questions

Why does a 98% accurate test give low confidence?

Accuracy ignores base rate. With 1% prevalence, 99% of people are healthy. Even 2% of them testing positive creates more false positives than true positives from the 1% who are sick.

What is positive predictive value?

PPV is the probability you have the disease given a positive test. It depends on prevalence, sensitivity, and specificity.

How can we reduce false positives?

Increase test specificity, or screen higher-risk groups where prevalence is higher, which raises PPV.

Does sample size fix the paradox?

No. PPV depends on rates, not sample size. Larger samples scale true and false positives proportionally.

What is base rate fallacy?

Ignoring how common a condition is in the population and focusing only on test accuracy. The false positive paradox is the most famous example.

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