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Assessment of the quality of tests for the detection of antibodies to Aujeszky's disease virus glycoprotein gE in a target population by the use of receiver operating characteristic curves
Authors:JA Stegeman  MCM De Jong  HMJF Van Der Heijden  ARW Elbers  TG Kimman
Institution:Animal Health Service, Boxtel, The Netherlands;Department of Pathobiology and Epidemiology, ID-DLO, Lelystad, The Netherlands;Animal Health Service, Boxtel, The Netherlands;Department of Virology, ID-DLO, Lelystad, The Netherlands
Abstract:The performance of tests for the detection of antibodies to Aujeszky's disease virus glycoprotein E (ge) in a target population was evaluated by constructing and analysing receiver operating characteristic (roc) curves. These curves assess the discriminating ability of a test over the entire range of test signals. The advantages of applying the analysis to a sample of the target population (all commercial pigs in the Netherlands), as compared to using a panel of test sera, are that the estimates of sensitivity and specificity, the comparisons between tests and the choices of the cut-off values are all relevant for the target population. The results of a gE-elisa in colostrum (test A) and in a single droplet of whole blood (test B) were compared with the results obtained with the same elisa in serum (gold standard). The area under the ROC curve, which is a quantitative measure of test performance, was significantly (P<0·01) smaller with test A than test B or the gold standard, indicating that test B performed better than test A. No significant difference was observed between test B and the gold standard.
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