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The predictive value of microbiologic diagnostic tests if asymptomatic carriers are present

Gunnarsson, RK and Lanke, Jan LU (2002) In Statistics in Medicine 21(12). p.1773-1785
Abstract
If a proper gold standard is not available, then the predictive value of a test cannot be estimated. In this paper the concept of etiologic predictive value (EPV) is introduced. It is a quantity that will yield the predictive value of a test to predict presence of a specified disease in situations for which no proper gold standard is available. This is achieved by using information obtained from a healthy control population. This quantity requires that the marker in our test is present in all individuals having the specified disease, as in the case where the marker is the aetiologic factor for the specified disease. Furthermore this quantity requires that asymptomatic carriers are present. This means that not all individuals with the... (More)
If a proper gold standard is not available, then the predictive value of a test cannot be estimated. In this paper the concept of etiologic predictive value (EPV) is introduced. It is a quantity that will yield the predictive value of a test to predict presence of a specified disease in situations for which no proper gold standard is available. This is achieved by using information obtained from a healthy control population. This quantity requires that the marker in our test is present in all individuals having the specified disease, as in the case where the marker is the aetiologic factor for the specified disease. Furthermore this quantity requires that asymptomatic carriers are present. This means that not all individuals with the marker has the specified disease. EPV is developed with special reference to the evaluation of bacterial cultures, or rapid tests to detect a bacterium, but the quantity might be used in other circumstances as well. EPV is applied to an example in which conventional throat culture is evaluated. Further information concerning EPV can be found at http://www.infovice.se/fou/epv. Copyright (C) 2002 John Wiley Sons, Ltd. (Less)
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author
and
organization
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type
Contribution to journal
publication status
published
subject
keywords
infections/diagnosis, streptococcal infections/diagnosis, respiratory tract, streptococcus pyogenes/isolation and purification, tonsillitis/diagnosis, predictive value of tests, carrier state
in
Statistics in Medicine
volume
21
issue
12
pages
1773 - 1785
publisher
John Wiley & Sons Inc.
external identifiers
  • wos:000176360000009
  • pmid:12111911
  • scopus:0037198995
ISSN
1097-0258
DOI
10.1002/sim.1119
language
English
LU publication?
yes
id
9924dd1e-1e93-4d6b-8813-380196e155d7 (old id 334665)
date added to LUP
2016-04-01 15:58:15
date last changed
2022-01-28 08:22:28
@article{9924dd1e-1e93-4d6b-8813-380196e155d7,
  abstract     = {{If a proper gold standard is not available, then the predictive value of a test cannot be estimated. In this paper the concept of etiologic predictive value (EPV) is introduced. It is a quantity that will yield the predictive value of a test to predict presence of a specified disease in situations for which no proper gold standard is available. This is achieved by using information obtained from a healthy control population. This quantity requires that the marker in our test is present in all individuals having the specified disease, as in the case where the marker is the aetiologic factor for the specified disease. Furthermore this quantity requires that asymptomatic carriers are present. This means that not all individuals with the marker has the specified disease. EPV is developed with special reference to the evaluation of bacterial cultures, or rapid tests to detect a bacterium, but the quantity might be used in other circumstances as well. EPV is applied to an example in which conventional throat culture is evaluated. Further information concerning EPV can be found at http://www.infovice.se/fou/epv. Copyright (C) 2002 John Wiley Sons, Ltd.}},
  author       = {{Gunnarsson, RK and Lanke, Jan}},
  issn         = {{1097-0258}},
  keywords     = {{infections/diagnosis; streptococcal infections/diagnosis; respiratory tract; streptococcus pyogenes/isolation and purification; tonsillitis/diagnosis; predictive value of tests; carrier state}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{1773--1785}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Statistics in Medicine}},
  title        = {{The predictive value of microbiologic diagnostic tests if asymptomatic carriers are present}},
  url          = {{http://dx.doi.org/10.1002/sim.1119}},
  doi          = {{10.1002/sim.1119}},
  volume       = {{21}},
  year         = {{2002}},
}