Optimizing the Precision of Case Fatality Ratio Estimates Under the Surveillance Pyramid Approach
Identifieur interne : 000012 ( PascalFrancis/Corpus ); précédent : 000011; suivant : 000013Optimizing the Precision of Case Fatality Ratio Estimates Under the Surveillance Pyramid Approach
Auteurs : Camille Pelat ; Neil M. Ferguson ; Peter J. White ; Carrie Reed ; Lyn Finelli ; Simon Cauchemez ; Christophe FraserSource :
- American journal of epidemiology [ 0002-9262 ] ; 2014.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
In the management of emerging infectious disease epidemics, precise and accurate estimation of severity indices, such as the probability of death after developing symptoms-the symptomatic case fatality ratio (sCFR)-is essential. Estimation of the sCFR may require merging data gathered through different surveillance systems and surveys. Since different surveillance strategies provide different levels of precision and accuracy, there is need for a theory to help investigators select the strategy that maximizes these properties. Here, we study the precision of sCFR estimators that combine data from several levels of the severity pyramid. We derive a formula for the standard error, which helps us find the estimator with the best precision given fixed resources. We further propose rules of thumb for guiding the choice of strategy: For example, should surveillance of a particular severity level be started? Which level should be preferred? We derive a formula for the optimal allocation of resources between chosen surveillance levels and provide a simple approximation that can be used in thinking more heuristically about planning surveillance. We illustrate these concepts with numerical examples corresponding to 3 influenza pandemic scenarios. Finally, we review the equally important issue of accuracy.
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Format Inist (serveur)
NO : | PASCAL 15-0008688 INIST |
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ET : | Optimizing the Precision of Case Fatality Ratio Estimates Under the Surveillance Pyramid Approach |
AU : | PELAT (Camille); FERGUSON (Neil M.); WHITE (Peter J.); REED (Carrie); FINELLI (Lyn); CAUCHEMEZ (Simon); FRASER (Christophe) |
AF : | MRC Centre for Outbreak Analysis and Modelling and National Institute for Health Research Health Protection Research Unit in Modelling Methodology at Imperial College London, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 6 aut., 7 aut.); Modelling and Economics Unit, Public Health England/London/Royaume-Uni (3 aut.); Influenza Division, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention/Atlanta, Georgia/Etats-Unis (4 aut., 5 aut.); Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur/Paris/France (6 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | American journal of epidemiology; ISSN 0002-9262; Coden AJEPAS; Etats-Unis; Da. 2014; Vol. 180; No. 10; Pp. 1036-1046; Bibl. 32 ref. |
LA : | Anglais |
EA : | In the management of emerging infectious disease epidemics, precise and accurate estimation of severity indices, such as the probability of death after developing symptoms-the symptomatic case fatality ratio (sCFR)-is essential. Estimation of the sCFR may require merging data gathered through different surveillance systems and surveys. Since different surveillance strategies provide different levels of precision and accuracy, there is need for a theory to help investigators select the strategy that maximizes these properties. Here, we study the precision of sCFR estimators that combine data from several levels of the severity pyramid. We derive a formula for the standard error, which helps us find the estimator with the best precision given fixed resources. We further propose rules of thumb for guiding the choice of strategy: For example, should surveillance of a particular severity level be started? Which level should be preferred? We derive a formula for the optimal allocation of resources between chosen surveillance levels and provide a simple approximation that can be used in thinking more heuristically about planning surveillance. We illustrate these concepts with numerical examples corresponding to 3 influenza pandemic scenarios. Finally, we review the equally important issue of accuracy. |
CC : | 002B30A01A1; 002B05C02C |
FD : | Maladie émergente; Infection; Méthodologie; Surveillance sanitaire; Homme; Taux de létalité; Estimation; Grippe; Santé publique; Monde; Statistique; Planification; Epidémiologie; Pandémie |
FG : | Virose |
ED : | Emerging disease; Infection; Methodology; Sanitary surveillance; Human; Case fatality rate; Estimation; Influenza; Public health; World; Statistics; Planning; Epidemiology |
EG : | Viral disease |
SD : | Enfermedad emergente; Infección; Metodología; Vigilancia sanitaria; Hombre; Tasa de letalidad; Estimación; Gripe; Salud pública; Mundo; Estadística; Planificación; Epidemiología |
LO : | INIST-663.354000502527180090 |
ID : | 15-0008688 |
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<front><div type="abstract" xml:lang="en">In the management of emerging infectious disease epidemics, precise and accurate estimation of severity indices, such as the probability of death after developing symptoms-the symptomatic case fatality ratio (sCFR)-is essential. Estimation of the sCFR may require merging data gathered through different surveillance systems and surveys. Since different surveillance strategies provide different levels of precision and accuracy, there is need for a theory to help investigators select the strategy that maximizes these properties. Here, we study the precision of sCFR estimators that combine data from several levels of the severity pyramid. We derive a formula for the standard error, which helps us find the estimator with the best precision given fixed resources. We further propose rules of thumb for guiding the choice of strategy: For example, should surveillance of a particular severity level be started? Which level should be preferred? We derive a formula for the optimal allocation of resources between chosen surveillance levels and provide a simple approximation that can be used in thinking more heuristically about planning surveillance. We illustrate these concepts with numerical examples corresponding to 3 influenza pandemic scenarios. Finally, we review the equally important issue of accuracy.</div>
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<server><NO>PASCAL 15-0008688 INIST</NO>
<ET>Optimizing the Precision of Case Fatality Ratio Estimates Under the Surveillance Pyramid Approach</ET>
<AU>PELAT (Camille); FERGUSON (Neil M.); WHITE (Peter J.); REED (Carrie); FINELLI (Lyn); CAUCHEMEZ (Simon); FRASER (Christophe)</AU>
<AF>MRC Centre for Outbreak Analysis and Modelling and National Institute for Health Research Health Protection Research Unit in Modelling Methodology at Imperial College London, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 6 aut., 7 aut.); Modelling and Economics Unit, Public Health England/London/Royaume-Uni (3 aut.); Influenza Division, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention/Atlanta, Georgia/Etats-Unis (4 aut., 5 aut.); Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur/Paris/France (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>American journal of epidemiology; ISSN 0002-9262; Coden AJEPAS; Etats-Unis; Da. 2014; Vol. 180; No. 10; Pp. 1036-1046; Bibl. 32 ref.</SO>
<LA>Anglais</LA>
<EA>In the management of emerging infectious disease epidemics, precise and accurate estimation of severity indices, such as the probability of death after developing symptoms-the symptomatic case fatality ratio (sCFR)-is essential. Estimation of the sCFR may require merging data gathered through different surveillance systems and surveys. Since different surveillance strategies provide different levels of precision and accuracy, there is need for a theory to help investigators select the strategy that maximizes these properties. Here, we study the precision of sCFR estimators that combine data from several levels of the severity pyramid. We derive a formula for the standard error, which helps us find the estimator with the best precision given fixed resources. We further propose rules of thumb for guiding the choice of strategy: For example, should surveillance of a particular severity level be started? Which level should be preferred? We derive a formula for the optimal allocation of resources between chosen surveillance levels and provide a simple approximation that can be used in thinking more heuristically about planning surveillance. We illustrate these concepts with numerical examples corresponding to 3 influenza pandemic scenarios. Finally, we review the equally important issue of accuracy.</EA>
<CC>002B30A01A1; 002B05C02C</CC>
<FD>Maladie émergente; Infection; Méthodologie; Surveillance sanitaire; Homme; Taux de létalité; Estimation; Grippe; Santé publique; Monde; Statistique; Planification; Epidémiologie; Pandémie</FD>
<FG>Virose</FG>
<ED>Emerging disease; Infection; Methodology; Sanitary surveillance; Human; Case fatality rate; Estimation; Influenza; Public health; World; Statistics; Planning; Epidemiology</ED>
<EG>Viral disease</EG>
<SD>Enfermedad emergente; Infección; Metodología; Vigilancia sanitaria; Hombre; Tasa de letalidad; Estimación; Gripe; Salud pública; Mundo; Estadística; Planificación; Epidemiología</SD>
<LO>INIST-663.354000502527180090</LO>
<ID>15-0008688</ID>
</server>
</inist>
</record>
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