The mnemonic
SnNout and SpPin
What each word stands for
- SnSensitivity
- NA negative result
- outRules the disease out
- SpSpecificity
- PA positive result
- inRules the disease in
Why it matters clinically
Guides interpretation: use a sensitive test to exclude disease, a specific one to confirm it.
Where it stops being reliable
Works best at extremes of sensitivity or specificity; it ignores disease prevalence and predictive values.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.