Addressing misclassification bias in vaccine effectiveness studies with an application to Covid-19
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Addressing misclassification bias in vaccine effectiveness studies with an application to Covid-19. / Eusebi, Paolo; Speybroeck, Niko; Hartnack, Sonja; Stærk-Østergaard, Jacob; Denwood, Matthew J.; Kostoulas, Polychronis.
I: BMC Medical Research Methodology, Bind 23, 55, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Addressing misclassification bias in vaccine effectiveness studies with an application to Covid-19
AU - Eusebi, Paolo
AU - Speybroeck, Niko
AU - Hartnack, Sonja
AU - Stærk-Østergaard, Jacob
AU - Denwood, Matthew J.
AU - Kostoulas, Polychronis
N1 - Funding Information: This work was funded by COST Action CA18208: HARMONY-Novel tools for test evaluation and disease prevalence estimation https://harmony-net.eu . Publisher Copyright: © 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - Safe and effective vaccines are crucial for the control of Covid-19 and to protect individuals at higher risk of severe disease. The test-negative design is a popular option for evaluating the effectiveness of Covid-19 vaccines. However, the findings could be biased by several factors, including imperfect sensitivity and/or specificity of the test used for diagnosing the SARS-Cov-2 infection. We propose a simple Bayesian modeling approach for estimating vaccine effectiveness that is robust even when the diagnostic test is imperfect. We use simulation studies to demonstrate the robustness of our method to misclassification bias and illustrate the utility of our approach using real-world examples.
AB - Safe and effective vaccines are crucial for the control of Covid-19 and to protect individuals at higher risk of severe disease. The test-negative design is a popular option for evaluating the effectiveness of Covid-19 vaccines. However, the findings could be biased by several factors, including imperfect sensitivity and/or specificity of the test used for diagnosing the SARS-Cov-2 infection. We propose a simple Bayesian modeling approach for estimating vaccine effectiveness that is robust even when the diagnostic test is imperfect. We use simulation studies to demonstrate the robustness of our method to misclassification bias and illustrate the utility of our approach using real-world examples.
KW - Covid-19
KW - RT-PCR
KW - Sensitivity
KW - Specificity
KW - Test-negative design
U2 - 10.1186/s12874-023-01853-4
DO - 10.1186/s12874-023-01853-4
M3 - Journal article
C2 - 36849911
AN - SCOPUS:85148966991
VL - 23
JO - B M C Medical Research Methodology
JF - B M C Medical Research Methodology
SN - 1471-2288
M1 - 55
ER -
ID: 339002946