Addressing misclassification bias in vaccine effectiveness studies with an application to Covid-19

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  • Paolo Eusebi
  • Niko Speybroeck
  • Sonja Hartnack
  • Jacob Stærk-Østergaard
  • Denwood, Matt
  • Polychronis Kostoulas

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.

Original languageEnglish
Article number55
JournalBMC Medical Research Methodology
Volume23
ISSN1471-2288
DOIs
Publication statusPublished - 2023

Bibliographical note

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).

    Research areas

  • Covid-19, RT-PCR, Sensitivity, Specificity, Test-negative design

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