Evidence map›Paper›PMID 32627172›Full record

ArticleBiometrics2021

Estimation of incubation period and generation time based on observed length-biased epidemic cohort with censoring for COVID-19 outbreak in China.

Yuhao Deng, Chong You, Yukun Liu, Jing Qin, Xiao-Hua Zhou

Abstract readComment
In one paragraph

Article in Biometrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Flexible Bayesian estimation of incubation times.American journal of epidemiology · 2025
    Article
  5. Article
  6. Update on Omicron variant and its threat to vulnerable populations.Public health in practice (Oxford, England) · 2024
    Review
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  16. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Yuhao DengSchool of Mathematical Sciences, Peking University, Beijing, China.ORCID 0000-0003-0331-6070
Chong YouBeijing International Center for Mathematical Research, Peking University, Beijing, China.ORCID 0000-0003-1309-9620
Yukun LiuKLATASDS-MOE, School of Statistics, East China Normal University, Shanghai, China.ORCID 0000-0002-9743-9276
Jing QinBiostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institute of Health, Rockville, Maryland.ORCID 0000-0003-2817-6326
Xiao-Hua ZhouBeijing International Center for Mathematical Research, Peking University, Beijing, China.ORCID 0000-0001-7935-1222

Funding

National Natural Science Foundation of China 11771144National Natural Science Foundation of China 11871287National Natural Science Foundation of China 11971300National Natural Science Foundation of China 82041023
6 · The paper itself

Abstract

The incubation period and generation time are key characteristics in the analysis of infectious diseases. The commonly used contact-tracing-based estimation of incubation distribution is highly influenced by the individuals' judgment on the possible date of exposure, and might lead to significant errors. On the other hand, interval censoring-based methods are able to utilize a much larger set of traveling data but may encounter biased sampling problems. The distribution of generation time is usually approximated by observed serial intervals. However, it may result in a biased estimation of generation time, especially when the disease is infectious during incubation. In this paper, the theory from renewal process is partially adopted by considering the incubation period as the interarrival time, and the duration between departure from Wuhan and onset of symptoms as the mixture of forward time and interarrival time with censored intervals. In addition, a consistent estimator for the distribution of generation time based on incubation period and serial interval is proposed for incubation-infectious diseases. A real case application to the current outbreak of COVID-19 is implemented. We find that the incubation period has a median of 8.50 days (95% confidence interval [CI] [7.22; 9.15]). The basic reproduction number in the early phase of COVID-19 outbreak based on the proposed generation time estimation is estimated to be 2.96 (95% CI [2.15; 3.86]).

Indexed as

COVID-19EpidemicsInfectious Disease Incubation PeriodChinaDisease OutbreaksHumansSARS-CoV-2deconvolutioninterval censoringmixture distributionrenewal processserial interval

Identifiers

PMID32627172
PMCPMC7362037

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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.