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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: AIDS. 2019 Jun 1;33(7):1231–1240. doi: 10.1097/QAD.0000000000002190

Table 1.

Performance of previously published Fiebig and 4th gen staging systems

Model and stage Specimens Predicted and observed times after first viremia (DDI100) for each stage
Predicted time Distribution of actual times observed Error in model estimates
N/n Median [25th,75th] IQR RMS difference
(predicted-observed)
Fiebig (after Fiebig, et al., 2003)2
Stage 1 RNA+ p24− 3G− 30/62 9 days 9 days [8,12] days 3.5 days
Stage 2 RNA+ p24+ 3G− 29/55 15 16 [14,19] 3.1
Stage 3 RNA+ p24+ 3G+ 2G/WB− 15/27 19 20 [20,23] 4.5
Stage 4 RNA+ WB indeterminate 10/18 23 27 [22,30] 6.8
Stage 5 RNA+ WB+ (p31−) 8/54 61 35 [30,41] 26.2
Stage 1-2* RNA+ 3G− 31/117 12 13 [9,16] 7.7
Stage 1-3* RNA + Ab rapid test− 31/144 13 14 [10,20] 7.8
Stage 1-4* RNA + unspecified Ab− 31/162 17 15 [11,21] 10.5
4th Gen (after Ananworanich, et al. 2013)1
Stage 1 RNA+ 4G− 3G− 30/64 9 9 [8,12] 3.4
Stage 2 RNA+ 4G+ 3G− 28/53 19 16 [14,19] 4.0
Stage 3 RNA+ 4G+ 3G+ WB indeterminate 18/45 22 23 [21,27] 5.4

Abbreviations: 3G = 3rd Generation (IgM-sensitive antibody assays); 4G = 4th Generation (p24 antigen/antibody assays); RMS = root mean square; IQR = interquartile range; DDI100 = days since detectable infection on a 100-copy viral load; N = unique individuals; n = specimens from distinct timepoints

*

Because it is often impossible to determine the precise Fiebig stage, examples are also given for the infection times seen for combinations of stages which can sometimes be inferred from ‘incomplete’ staging information