Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus

Abstract Antibodies testing in the coronavirus era is frequently promoted, but the underlying statistics behind their validation has come under more scrutiny in recent weeks. We provide calculations, interpretations, and plots of positive and negative predictive values under a variety of scenarios....

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Autores principales: Naomi C. Brownstein, Yian Ann Chen
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/b305edd24a86475f98c58df64eca8c51
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spelling oai:doaj.org-article:b305edd24a86475f98c58df64eca8c512021-12-02T13:19:28ZPredictive values, uncertainty, and interpretation of serology tests for the novel coronavirus10.1038/s41598-021-84173-12045-2322https://doaj.org/article/b305edd24a86475f98c58df64eca8c512021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84173-1https://doaj.org/toc/2045-2322Abstract Antibodies testing in the coronavirus era is frequently promoted, but the underlying statistics behind their validation has come under more scrutiny in recent weeks. We provide calculations, interpretations, and plots of positive and negative predictive values under a variety of scenarios. Prevalence, sensitivity, and specificity are estimated within ranges of values from researchers and antibodies manufacturers. Illustrative examples are highlighted, and interactive plots are provided in the Supplementary Information. Implications are discussed for society overall and across diverse locations with different levels of disease burden. Specifically, the proportion of positive serology tests that are false can differ drastically from up to 3%–88% for people from different places with different proportions of infected people in the populations while the false negative rate is typically under 10%.Naomi C. BrownsteinYian Ann ChenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Naomi C. Brownstein
Yian Ann Chen
Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
description Abstract Antibodies testing in the coronavirus era is frequently promoted, but the underlying statistics behind their validation has come under more scrutiny in recent weeks. We provide calculations, interpretations, and plots of positive and negative predictive values under a variety of scenarios. Prevalence, sensitivity, and specificity are estimated within ranges of values from researchers and antibodies manufacturers. Illustrative examples are highlighted, and interactive plots are provided in the Supplementary Information. Implications are discussed for society overall and across diverse locations with different levels of disease burden. Specifically, the proportion of positive serology tests that are false can differ drastically from up to 3%–88% for people from different places with different proportions of infected people in the populations while the false negative rate is typically under 10%.
format article
author Naomi C. Brownstein
Yian Ann Chen
author_facet Naomi C. Brownstein
Yian Ann Chen
author_sort Naomi C. Brownstein
title Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
title_short Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
title_full Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
title_fullStr Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
title_full_unstemmed Predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
title_sort predictive values, uncertainty, and interpretation of serology tests for the novel coronavirus
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/b305edd24a86475f98c58df64eca8c51
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