Evidence map›Paper›PMID 24593920›Full record

ArticleEpidemics2014

Probabilistic uncertainty analysis of epidemiological modeling to guide public health intervention policy.

Jennifer A Gilbert, Lauren Ancel Meyers, Alison P Galvani, Jeffrey P Townsend

Open access · hybridAbstract read
In one paragraph

Article in Epidemics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  4. Decoding uncertainty for clinical decision-making.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Jennifer A GilbertDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
Lauren Ancel MeyersSection of Integrative Biology, University of Texas at Austin, Austin, TX, USA; Santa Fe Institute, Santa Fe, NM, USA.
Alison P GalvaniDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA; Program in Computational Biology and Bioinformatics, Yale University, New Haven, CT, USA.
Jeffrey P TownsendProgram in Computational Biology and Bioinformatics, Yale University, New Haven, CT, USA; Department of Biostatistics, Yale University, New Haven, CT, USA. Electronic address: jeffrey.townsend@yale.edu.
Yale University · USThe University of Texas at Austin · US

Funding

Impacts of Individual and Social Behavior on Influenza Dynamics and ControlU01GM087719 · NIGMS · YALE UNIVERSITY · PI GALVANI, ALISON P, MEYERS, LAUREN ANCEL · 2009 to 2018
$6.3M
Optional Influenza Vaccine And Population AdherenceR01AI072706 · NIAID · YALE UNIVERSITY · PI GALVANI, ALISON P · 2007 to 2009
$618k
NIAID NIH HHS 1R01AI072706-01NIAID NIH HHS R01 AI072706NIGMS NIH HHS U01 GM087719
6 · The paper itself

Abstract

Mathematical modeling of disease transmission has provided quantitative predictions for health policy, facilitating the evaluation of epidemiological outcomes and the cost-effectiveness of interventions. However, typical sensitivity analyses of deterministic dynamic infectious disease models focus on model architecture and the relative importance of parameters but neglect parameter uncertainty when reporting model predictions. Consequently, model results that identify point estimates of intervention levels necessary to terminate transmission yield limited insight into the probability of success. We apply probabilistic uncertainty analysis to a dynamic model of influenza transmission and assess global uncertainty in outcome. We illustrate that when parameter uncertainty is not incorporated into outcome estimates, levels of vaccination and treatment predicted to prevent an influenza epidemic will only have an approximately 50% chance of terminating transmission and that sensitivity analysis alone is not sufficient to obtain this information. We demonstrate that accounting for parameter uncertainty yields probabilities of epidemiological outcomes based on the degree to which data support the range of model predictions. Unlike typical sensitivity analyses of dynamic models that only address variation in parameters, the probabilistic uncertainty analysis described here enables modelers to convey the robustness of their predictions to policy makers, extending the power of epidemiological modeling to improve public health.

Indexed as

Health PolicyModels, TheoreticalPublic HealthVaccinationCost-Benefit AnalysisHumansInfluenza, HumanInfluenza VaccinesMathematical ComputingStochastic ProcessesUncertaintyUnited StatesInfluenza VaccinesEpidemiologyHealth policyInfectious diseaseMathematical modelingUncertainty

Identifiers

PMID24593920
PMCPMC4316830
OpenAlexW2109378009

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.