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10.1093/aje/kwab093

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33823529!8083455!33823529
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suck abstract from ncbi


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pmid33823529      Am+J+Epidemiol 2021 ; 190 (8): 1689-1695
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  • Diagnostic Accuracy Estimates for COVID-19 Real-Time Polymerase Chain Reaction and Lateral Flow Immunoassay Tests With Bayesian Latent-Class Models #MMPMID33823529
  • Kostoulas P; Eusebi P; Hartnack S
  • Am J Epidemiol 2021[Aug]; 190 (8): 1689-1695 PMID33823529show ga
  • Our objective was to estimate the diagnostic accuracy of real-time polymerase chain reaction (RT-PCR) and lateral flow immunoassay (LFIA) tests for coronavirus disease 2019 (COVID-19), depending on the time after symptom onset. Based on the cross-classified results of RT-PCR and LFIA, we used Bayesian latent-class models, which do not require a gold standard for the evaluation of diagnostics. Data were extracted from studies that evaluated LFIA (immunoglobulin G (IgG) and/or immunoglobulin M (IgM)) assays using RT-PCR as the reference method. The sensitivity of RT-PCR was 0.68 (95% probability interval (PrI): 0.63, 0.73). IgG/M sensitivity was 0.32 (95% PrI :0.23; 0.41) for the first week and increased steadily. It was 0.75 (95% PrI: 0.67; 0.83) and 0.93 (95% PrI: 0.88; 0.97) for the second and third weeks after symptom onset, respectively. Both tests had a high to absolute specificity, with higher point median estimates for RT-PCR specificity and narrower probability intervals. The specificity of RT-PCR was 0.99 (95% PrI: 0.98; 1.00). and the specificity of IgG/IgM was 0.97 (95% PrI: 0.92, 1.00), 0.98 (95% PrI: 0.95, 1.00) and 0.98 (95% PrI: 0.94, 1.00) for the first, second, and third weeks after symptom onset. The diagnostic accuracy of LFIA varies with time after symptom onset. Bayesian latent-class models provide a valid and efficient alternative for evaluating the rapidly evolving diagnostics for COVID-19, under various clinical settings and different risk profiles.
  • |Antibodies, Viral/blood[MESH]
  • |Bayes Theorem[MESH]
  • |COVID-19 Nucleic Acid Testing/*statistics & numerical data[MESH]
  • |COVID-19 Serological Testing/*statistics & numerical data[MESH]
  • |COVID-19/*diagnosis/immunology[MESH]
  • |Humans[MESH]
  • |Immunoassay/*statistics & numerical data[MESH]
  • |Latent Class Analysis[MESH]
  • |Real-Time Polymerase Chain Reaction/*statistics & numerical data[MESH]
  • |SARS-CoV-2/genetics/immunology[MESH]
  • |Sensitivity and Specificity[MESH]


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