Dong Qunfeng, Gao Xiang
Department of Medicine, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA.
Center for Biomedical Informatics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA.
JAMIA Open. 2020 Nov 23;3(4):496-499. doi: 10.1093/jamiaopen/ooaa049. eCollection 2020 Dec.
Accurate estimations of the seroprevalence of antibodies to severe acute respiratory syndrome coronavirus 2 need to properly consider the specificity and sensitivity of the antibody tests. In addition, prior knowledge of the extent of viral infection in a population may also be important for adjusting the estimation of seroprevalence. For this purpose, we have developed a Bayesian approach that can incorporate the variabilities of specificity and sensitivity of the antibody tests, as well as the prior probability distribution of seroprevalence. We have demonstrated the utility of our approach by applying it to a recently published large-scale dataset from the US CDC, with our results providing entire probability distributions of seroprevalence instead of single-point estimates. Our Bayesian code is freely available at https://github.com/qunfengdong/AntibodyTest.
准确估计严重急性呼吸综合征冠状病毒2抗体的血清流行率需要适当考虑抗体检测的特异性和敏感性。此外,人群中病毒感染程度的先验知识对于调整血清流行率的估计也可能很重要。为此,我们开发了一种贝叶斯方法,该方法可以纳入抗体检测特异性和敏感性的变异性,以及血清流行率的先验概率分布。我们通过将该方法应用于美国疾病控制与预防中心最近发布的一个大规模数据集,证明了我们方法的实用性,我们的结果提供了血清流行率的完整概率分布,而不是单点估计。我们的贝叶斯代码可在https://github.com/qunfengdong/AntibodyTest上免费获取。