Evidence map›Paper›PMID 34702829›Full record

ArticleNature communications2021

Quantifying previous SARS-CoV-2 infection through mixture modelling of antibody levels.

C Bottomley, M Otiende, S Uyoga, K Gallagher, E W Kagucia, A O Etyang, D Mugo, J Gitonga, H Karanja, J Nyagwange and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Estimating SARS-CoV-2 seroprevalence.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2023
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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

15 authors.

C BottomleyInternational Statistics and Epidemiology Group, London School of Hygiene & Tropical Medicine, London, UK. christian.bottomley@lshtm.ac.uk.ORCID 0000-0002-5241-8412
M OtiendeDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
S UyogaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.ORCID 0000-0003-1746-7873
K GallagherDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
E W KaguciaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.ORCID 0000-0002-4481-8889
A O EtyangKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
D MugoKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
J GitongaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
H KaranjaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
J NyagwangeKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
I M O AdetifaDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-2556-9407
A AgweyuKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
D J NokesKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.ORCID 0000-0001-5426-1984
G M WarimweKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
J A G ScottDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-7533-5006

Funding

Medical Research Council MR/R010161/1Wellcome Trust 214320
6 · The paper itself

Abstract

As countries decide on vaccination strategies and how to ease movement restrictions, estimating the proportion of the population previously infected with SARS-CoV-2 is important for predicting the future burden of COVID-19. This proportion is usually estimated from serosurvey data in two steps: first the proportion above a threshold antibody level is calculated, then the crude estimate is adjusted using external estimates of sensitivity and specificity. A drawback of this approach is that the PCR-confirmed cases used to estimate the sensitivity of the threshold may not be representative of cases in the wider population-e.g., they may be more recently infected and more severely symptomatic. Mixture modelling offers an alternative approach that does not require external data from PCR-confirmed cases. Here we illustrate the bias in the standard threshold-based approach by comparing both approaches using data from several Kenyan serosurveys. We show that the mixture model analysis produces estimates of previous infection that are often substantially higher than the standard threshold analysis.

Indexed as

Antibodies, ViralBiasCOVID-19COVID-19 Serological TestingHumansKenyaModels, StatisticalSARS-CoV-2Sensitivity and SpecificitySeroepidemiologic StudiesAntibodies, Viral

Identifiers

PMID34702829
PMCPMC8548402

What OpenQuestion holds

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LicenceCC BY
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.