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10.1186/s12874-020-01037-4

http://scihub22266oqcxt.onion/10.1186/s12874-020-01037-4
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32505172!7275354!32505172
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suck abstract from ncbi


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pmid32505172      BMC+Med+Res+Methodol 2020 ; 20 (1): 146
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  • Towards reduction in bias in epidemic curves due to outcome misclassification through Bayesian analysis of time-series of laboratory test results: case study of COVID-19 in Alberta, Canada and Philadelphia, USA #MMPMID32505172
  • Burstyn I; Goldstein ND; Gustafson P
  • BMC Med Res Methodol 2020[Jun]; 20 (1): 146 PMID32505172show ga
  • BACKGROUND: Despite widespread use, the accuracy of the diagnostic test for SARS-CoV-2 infection is poorly understood. The aim of our work was to better quantify misclassification errors in identification of true cases of COVID-19 and to study the impact of these errors in epidemic curves using publicly available surveillance data from Alberta, Canada and Philadelphia, USA. METHODS: We examined time-series data of laboratory tests for SARS-CoV-2 viral infection, the causal agent for COVID-19, to try to explore, using a Bayesian approach, the sensitivity and specificity of the diagnostic test. RESULTS: Our analysis revealed that the data were compatible with near-perfect specificity, but it was challenging to gain information about sensitivity. We applied these insights to uncertainty/bias analysis of epidemic curves under the assumptions of both improving and degrading sensitivity. If the sensitivity improved from 60 to 95%, the adjusted epidemic curves likely falls within the 95% confidence intervals of the observed counts. However, bias in the shape and peak of the epidemic curves can be pronounced, if sensitivity either degrades or remains poor in the 60-70% range. In the extreme scenario, hundreds of undiagnosed cases, even among the tested, are possible, potentially leading to further unchecked contagion should these cases not self-isolate. CONCLUSION: The best way to better understand bias in the epidemic curves of COVID-19 due to errors in testing is to empirically evaluate misclassification of diagnosis in clinical settings and apply this knowledge to adjustment of epidemic curves.
  • |*Bayes Theorem[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |Alberta/epidemiology[MESH]
  • |Betacoronavirus/*isolation & purification/pathogenicity[MESH]
  • |Bias[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/*methods/standards[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/virology[MESH]
  • |Humans[MESH]
  • |Philadelphia/epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Sensitivity and Specificity[MESH]


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  • suck abstract from ncbi

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