Free tool · Biostatistics

Likelihood Ratio Calculator

Enter a test's sensitivity and specificity to get LR+ and LR−, with interpretation.

LR+ (positive test)

6.00

Moderate increase in disease probability

LR− (negative test)

0.12

Moderate decrease in disease probability

What a likelihood ratio tells you

A likelihood ratio tells you how much a test result should shift your estimate of disease probability. LR+ (positive test) and LR− (negative test) are properties of the test itself — unlike predictive values, they don't change with disease prevalence, which is what makes them useful for applying a test's performance to a specific patient's pretest probability.

The formulas

LR+ = sensitivity / (1 − specificity) — how much more likely a positive result is in someone with the disease versus without.
LR− = (1 − sensitivity) / specificity — how much less likely a negative result is in someone with the disease versus without.

Using it: pretest to posttest probability

A likelihood ratio is most useful combined with a pretest probability to get a posttest probability — see the pretest/posttest probability calculator to take the LR from here and apply it.