Evidence map›Paper›PMID 28507121›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

Essential information: Uncertainty and optimal control of Ebola outbreaks.

Shou-Li Li, Ottar N Bjørnstad, Matthew J Ferrari, Riley Mummah, Michael C Runge, Christopher J Fonnesbeck, Michael J Tildesley, William J M Probert, Katriona Shea

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

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  6. Multiple models for outbreak decision support in the face of uncertainty.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  7. Article
  8. Vote-processing rules for combining control recommendations from multiple models.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2022
    Article
  9. Article
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  15. Rational policymaking during a pandemic.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  16. Article
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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

9 authors.

Shou-Li LiDepartment of Biology, The Pennsylvania State University, University Park, PA 16802; sxl5716@psu.edu k-shea@psu.edu.ORCID 0000-0001-8536-8194
Ottar N BjørnstadDepartment of Biology, The Pennsylvania State University, University Park, PA 16802.
Matthew J FerrariDepartment of Biology, The Pennsylvania State University, University Park, PA 16802.
Riley MummahDepartment of Biology, The Pennsylvania State University, University Park, PA 16802.
Michael C RungePatuxent Wildlife Research Center, US Geological Survey, Laurel, MD 20708.ORCID 0000-0002-8081-536X
Christopher J FonnesbeckDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN 37203.
Michael J TildesleyZeeman Institute for Systems Biology & Infectious Disease Epidemiology Research, School of Life Sciences and Mathematics Institute, University of Warwick, Coventry CV4 7AL, United Kingdom.
William J M ProbertZeeman Institute for Systems Biology & Infectious Disease Epidemiology Research, School of Life Sciences and Mathematics Institute, University of Warwick, Coventry CV4 7AL, United Kingdom.
Katriona SheaDepartment of Biology, The Pennsylvania State University, University Park, PA 16802; sxl5716@psu.edu k-shea@psu.edu.

Funding

Linking models and policy: Using active adaptive management for optimal control of disease outbreaksR01GM105247 · NIGMS · PENNSYLVANIA STATE UNIVERSITY, THE · PI FERRARI, MATTHEW · 2012 to 2016
$1.3M
Biotechnology and Biological Sciences Research Council BB/K010972/4NIGMS NIH HHS R01 GM105247
6 · The paper itself

Abstract

Early resolution of uncertainty during an epidemic outbreak can lead to rapid and efficient decision making, provided that the uncertainty affects prioritization of actions. The wide range in caseload projections for the 2014 Ebola outbreak caused great concern and debate about the utility of models. By coding and running 37 published Ebola models with five candidate interventions, we found that, despite this large variation in caseload projection, the ranking of management options was relatively consistent. Reducing funeral transmission and reducing community transmission were generally ranked as the two best options. Value of information (VoI) analyses show that caseloads could be reduced by 11% by resolving all model-specific uncertainties, with information about model structure accounting for 82% of this reduction and uncertainty about caseload only accounting for 12%. Our study shows that the uncertainty that is of most interest epidemiologically may not be the same as the uncertainty that is most relevant for management. If the goal is to improve management outcomes, then the focus of study should be to identify and resolve those uncertainties that most hinder the choice of an optimal intervention. Our study further shows that simplifying multiple alternative models into a smaller number of relevant groups (here, with shared structure) could streamline the decision-making process and may allow for a better integration of epidemiological modeling and decision making for policy.

Indexed as

Case ManagementDecision MakingDisease ManagementAfrica, WesternComputer SimulationEpidemicsHemorrhagic Fever, EbolaHumansModels, Theoreticaldecision makingepidemiological outbreak managementvalue of informationVoI

Identifiers

PMID28507121
PMCPMC5465899

What OpenQuestion holds

Textmetadata
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.