Continuous-data diagnostic tests for paratuberculosis as a multistage disease

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

We devised a general method for interpretation of multistage diseases using continuous-data diagnostic tests. As an example, we used paratuberculosis as a multistage infection with 2 stages of infection as well as a noninfected state. Using data from a Danish research project, a fecal culture testing scheme was linked to an indirect ELISA and adjusted for covariates (parity, age at first calving, and days in milk). We used the log-transformed optical densities in a Bayesian network to obtain the probabilities for each of the 3 infection stages for a given optical density (adjusted for covariates). The strength of this approach was that the uncertainty associated with a test was imposed directly on the individual test result rather than aggregated into the population-based measures of test properties (i.e., sensitivity and specificity)
OriginalsprogEngelsk
TidsskriftJournal of Dairy Science
Vol/bind88
Udgave nummer11
Sider (fra-til)3923-3931
Antal sider9
ISSN0022-0302
DOI
StatusUdgivet - 2005

ID: 12211983