RE: Read here12 Nov 2020 11:27
So here is the real data in the study:
They have sensitivity at 92.5% based on confirmed PCR tests. However 17/268 or 6% of the sample had a positive test less than 21 days ago. This could be 1 day or 21 days. We know antibody tests are more accurate after 21 and 30 days due to the time taken to develop. They also say sensitivity is lower in those that didn't have symptoms. How do we know these people did not return a false positive PCR test? I think all this shows is that you will come up with different sensitivity and specificity and can even manipulate the outcome based on your sample selection. Do we expect an antibody test to be 100% accurate within 21 days, no. Are PCR tests 100% accurate, no some anywhere between 50 and 90%. All this really proves is no test is accurate and different sample criteria produce different results. What is the fairest sample criteria for assessing a test, perhaps the one that takes the most variables out. Tests that perform the best in the lab will stand up the best against tests that perform less well in the lab which will have the same inconsistencies in such a peer review. Am i worried about the ABC test not being what it was made out to be.... no.
"Among 268 (9.4%) EDSAB-HOME participants who had had a positive PCR test for SARS-CoV-2, test sensitivity was 92.5% (88.8% to 95.1%) (table 2). In this group, the first positive PCR test had occurred a median of 59 days previously. Days since first positive test was 21 or more in 251/268 cases. Sensitivity was estimated to be substantially lower among the 12 participants who reported no symptoms (sensitivity 58.3%, 32.0% to 80.7%) than among the 256 who reported symptoms (sensitivity 94.1%, 90.6% to 96.4%), and may decline slightly in PCR positive people with longer times between symptoms and blood sampling (table 2; figure S1)."