Table 3. Posterior distributions derived from two Bayesian latent class models (BLCMs) to estimate the sensitivity and specificity of five tests to diagnose pulmonary tuberculosis in 344 captive bears in Cambodia and Vietnam.
Test Parameter |
Posterior distributions median (95% Bayesian credible interval) | |
---|---|---|
Initial BLCM assuming conditional independency between the tests | Final BLCM allowing for dependency between BAL microscopy and BAL PCR | |
BAL microscopy | ||
Sensitivity | 0.56 (0.28, 0.83) | 0.49 (0.24, 0.77) |
Specificity | 0.997 (0.99, 1.00) | 0.998 (0.99, 1.00) |
BAL PCR | ||
Sensitivity | 0.59 (0.31, 0.86) | 0.50 (0.25, 0.78) |
Specificity | 0.99 (0.97, 1.00) | 0.99 (0.97, 1.00) |
BAL culture | ||
Sensitivity | 0.81 (0.51, 0.99) | 0.69 (0.38, 0.96) |
Specificity | 0.996 (0.99, 1.00) | 0.997 (0.99, 1.00) |
Thoracic radiography | ||
Sensitivity | 0.93 (0.75, 0.998) | 0.95 (0.76, 0.998) |
Specificity | 0.94 (0.91, 0.96) | 0.95 (0.91, 0.98) |
DPP (positive: strong reactions only) | ||
Sensitivity | 0.65 (0.38, 0.88) | 0.62 (0.36, 0.86) |
Specificity | 0.95 (0.92, 0.97) | 0.96 (0.93, 0.98) |
DPP (positive: strong and weak reactions) | ||
Sensitivity | 0.82 (0.55, 0.98) | 0.80 (0.53, 0.97) |
Specificity | 0.79 (0.74, 0.83) | 0.80 (0.75, 0.84) |
Covp | n/a | 0.18 (0.08, 0.24) |
Covn | n/a | 0.001 (0, 0.007) |
Prior distribution for all parameters was β (1;1)
BAL: bronchoalveolar lavage
DPP: Dual path platform VetTB serological assay
n/a: not applicable
Covp: covariance between the sensitivity of the tests among TB positive bears
Covn: covariance between the specificity of the tests among TB negative bears