Evidence-appraisal glossary

Negative likelihood ratio

How likely a negative test result is in people who have the condition compared with people who do not; it equals (1 minus sensitivity) divided by specificity.

Also called: LR-, negative LR.

The negative likelihood ratio measures how much a negative result lowers the probability of disease, and smaller values are better for ruling a condition out. As a rough guide, a value below 0.1 produces a large drop in probability, while a value near 1 means a negative result is nearly uninformative. It is prevalence-independent, but a reassuring negative result still leaves meaningful risk when the pre-test probability was high to begin with.

This is a plain-language methodology definition for reading research. It is general education, not medical advice.

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