The purpose of this paper is to show that the sensitivity and specificity estimates obtained by 'discrepant analysis' are biased. Discrepant analysis is a widely used technique that attempts to provide estimates of sensitivity and specificity in the presence of an imperfect gold standard. Many resea
A new gold standard for the detection of Chlamydia trachomatis?
β Scribed by Gilles R.G. Monif
- Publisher
- Hindawi Publishing Corporation
- Year
- 1998
- Tongue
- English
- Weight
- 40 KB
- Volume
- 6
- Category
- Article
- ISSN
- 1064-7449
No coin nor oath required. For personal study only.
β¦ Synopsis
C ell-culture techniques have long been consid- ered the ''gold standard'' for the detection of Chlamydia trachomatis. The major advantage of cellculture isolation is the specificity, which approaches 100%; however, even in experienced laboratories, its sensitivity is only 70-80%. 1-3 Its primary use has been in detecting symptomatic carriers in low-prevalence populations. Nonculture objective methods, such as enzyme immunoassay, DNA probe, polymerase chain reaction (PCR), and ligase chain reaction (LCR), have been used primarily in symptomatic or high-risk, highprevalence asymptomatic populations (Table 1).
π SIMILAR VOLUMES
## Objective: To compare the reliability of ligase chain reaction (lcr) to polymerase chain reaction (pcr) in detecting chlamydia trachomatis endocervical infections. ## Methods: We conducted a prospective study of 486 patients at risk for chlamydial infection of the endocervix. we obtained two e
Hadgu raises concerns about how diagnostic tests for detecting Chlamydia trachomatis are evaluated and states that 'discrepant analysis strongly biases evaluations in favour of the new test'. He questions the sensitivity and specificity figures that are generated by discrepant analysis. It may be us