低测试数量对慢性衰竭疾病明显患病率的影响
Jameson J Mori1, Nelda A Rivera1, William M Brown1
1Illinois Natural History Survey, Prairie Research Institute, University of Illinois Urbana-Champaign, Champaign, IL, USA.
Prion
|July 11, 2025
概括
慢性衰竭疾病 (CWD) 的明显患病率 (AP) 可以在有限的测试下误导性地高. 增加CWD测试,特别是当很少进行时,对于精确的鹿类疾病监测至关重要.
科学领域:
- 兽医科学 兽医科学 兽医科学
- 野生动物生态生态学
- 流行病学 流行病学
背景情况:
- 慢性衰竭疾病 (CWD) 是一种致命的神经退行性疾病,影响宫动物.
- 有效的CWD管理在很大程度上依赖于准确的诊断测试和流行率估计.
- 表面患病率 (AP) 是一个常见的指标,但可能会误导,特别是在有限的测试中.
研究的目的:
- 调查CWD测试量,CWD病例和明显患病率之间的关系.
- 确定有限的测试如何影响CWD监测中AP估计的准确性.
- 为解释和改进CWD监测数据提供建议.
主要方法:
- 美国伊利诺伊州和威斯康星州CWD监测数据的分析.
- 利用贝叶斯的多层次零膨胀β回归模型AP.
- 模拟AP作为CWD测试和CWD病例的函数,包括非线性转换.
主要成果:
- 高AP值 (≥50%) 仅在测试少于23只鹿时才观察到.
- 在AP和CWD测试数量之间发现了统计学上显著的负相关性.
- 这种负面关系被一个积极的非线性测试共变量所修改,表明随着测试的增加,影响正在减少.
结论:
- 估计明显流行率为50%或更高的估计应谨慎解释,特别是基于有限的测试时.
- 增加CWD测试的数量对于可靠的疾病监测至关重要,特别是当初始监测结果很少时.
- 该研究强调了在评估CWD流行数据时考虑测试量的重要性.
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