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. 2020 Apr 2;18:84. doi: 10.1186/s12916-020-01531-y

Table 3.

Variation in goodness of fit and optimal change point based on different models for the proportion of infective endocarditis cases associated with streptococcal organisms. For each model type, the month of change which gives the best model fit is shown, with best overall models shown in bold italics. AIC measures model goodness of fit (the lower the value the better the fit, within each set of inclusion criteria)

Inclusion criteria Model type AIC Month of change (uncertainty interval)
Proportion of cases with a HES streptococcal code (including mixtures), out of all cases with any HES organism code Criteria A (Sensitivity/PPV) One change in trend, with step 1494.8 Oct 2008 (Dec 2005–Oct 2015)
One change in trend, no step 1498.3 Apr 2002 (Oct 1997–Sep 2016)
Single overall trend 1498.7 NA
No trend, with step 1493.4 Oct 2008 (Mar 2006Apr 2010)
Criteria B (Specificity/PPV) One change in trend, with step 1415.1 Oct 2015 (Aug 2005Dec 2015)
One change in trend, no step 1417.0 Sep 2011 (Oct 1997–Sep 2016)
Single overall trend 1416.2 NA
No trend, with step 1413.3 Jun 2013 (Oct 1997Sep 2016)
Criteria C (Prior study) One change in trend, with step 1508.4 Dec 2012 (Nov 2012Oct 2013)
One change in trend, no step 1516.5 Dec 2010 (Oct 1997–Sep 2016)
Single overall trend 1516.6 NA
No trend, with step 1511.6 Dec 2012 (Apr 1999–May 2016)
Proportion of cases matched to an SGSS oral streptococcus sample (including mixtures), out of cases matched to any SGSS organism sample Criteria A (Sensitivity/PPV) One change in trend, with step 952.5 Mar 2008 (Mar 2007–Oct 2013)
One change in trend, no step 951.6 Dec 2008 (Jun 2007Sep 2012)
Single overall trend 970.4 NA
No trend, with step 960.1 Aug 2015 (Apr 2003–Oct 2015)
Criteria B (Specificity/PPV) One change in trend, with step 894.0 Sep 2013 (Mar 2006–Oct 2015)
One change in trend, no step 892.9 May 2009 (Jan 2007–Feb 2015)
Single overall trend 902.5 NA
No trend, with step 892.6 Aug 2015 (Sep 2013Nov 2015)
Criteria C (Prior study) One change in trend, with step 907.3 Oct 2013 (Mar 2007–Oct 2015)
One change in trend, no step 906.6 Jun 2012 (May 2007Jun 2014)
Single overall trend 919.2 NA
No trend, with step 907.0 Sep 2015 (Sep 2013–Nov 2015)