One of the most commonly observational study designs employed in veterinary is the cross-sectional study with binary outcomes. To measure an association with exposure, the use of prevalence ratios (PR) or odds ratios (OR) are possible. In human epidemiology, much has been discussed about the use of the OR exclusively for case–control studies and some authors reported that there is no good justification for fitting logistic regression when the prevalence of the disease is high, in which OR overestimate the PR. Nonetheless, interpretation of OR is difficult since confusing between risk and odds can lead to incorrect quantitative interpretation of data such as “the risk is X times greater,” commonly reported in studies that use OR. The aims of this study were (1) to review articles with cross-sectional designs to assess the statistical method used and the appropriateness of the interpretation of the estimated measure of association and (2) to illustrate the use of alternative statistical methods that estimate PR directly. An overview of statistical methods and its interpretation using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted and included a diverse set of peer-reviewed journals among the veterinary science field using PubMed as the search engine. From each article, the statistical method used and the appropriateness of the interpretation of the estimated measure of association were registered. Additionally, four alternative models for logistic regression that estimate directly PR were tested using our own dataset from a cross-sectional study on bovine viral diarrhea virus. The initial search strategy found 62 articles, in which 6 articles were excluded and therefore 56 studies were used for the overall analysis. The review showed that independent of the level of prevalence reported, 96% of articles employed logistic regression, thus estimating the OR. Results of the multivariate models indicated that logistic regression was the method that most overestimated the PR. The findings of this study indicate that although there are methods that directly estimate PR, many studies in veterinary science do not use these methods and misinterpret the OR estimated by the logistic regression.
Investments in biosecurity practices are made by producers to reduce the likelihood of introducing pathogens such as porcine reproductive and respiratory syndrome virus (PRRSv). The assessment of biosecurity practices in breeding herds is usually done through surveys. The objective of this study was to evaluate the use of machine-learning (ML) algorithms to identify key biosecurity practices and factors associated with breeding herds self-reporting (yes or no) a PRRS outbreak in the past 5 years. In addition, we explored the use of the positive predictive value (PPV) of these models as an indicator of risk for PRRSv introduction by comparing PPV and the frequency of PRRS outbreaks reported by the herds in the last 5 years. Data from a case control study that assessed biosecurity practices and factors using a survey in 84 breeding herds in U.S. from 14 production systems were used. Two methods were developed, method A identified 20 variables and accurately classified farms that had reported a PRRS outbreak in the previous 5 years 76% of the time. Method B identified six variables which 5 of these had already been selected by model A, although model B outperformed the former model with an accuracy of 80%. Selected variables were related to the frequency of risk events in the farm, swine density around the farm, farm characteristics, and operational connections to other farms. The PPVs for methods A and B were highly correlated to the frequency of PRRSv outbreaks reported by the farms in the last 5 years (Pearson r = 0.71 and 0.77, respectively). Our proposed methodology has the potential to facilitate producer's and veterinarian's decisions while enhancing biosecurity, benchmarking key biosecurity practices and factors, identifying sites at relatively higher risk of PRRSv introduction to better manage the risk of pathogen introduction.
RESUMO: Foi realizado um levantamento nos arquivos do Laboratório de Patologia Veterinária (LPV) da Universidade Federal de Mato Grosso (UFMT) das doenças de bovinos registradas entre os anos 2005 a 2014. Foram revisados 1124 casos. Destes, 27,6% foram amostras obtidas de necropsias realizadas por técnicos do LPV-UFMT e 72,3% foram amostras encaminhadas ao LPV-UFMT por veterinários de campo. Em 49,38% dos casos (555/1124) o diagnóstico da doença foi feito através da análise morfológica de lesões e/ou através de exames complementares. Raiva foi a principal causa de morte de bovinos neste estudo (7,82%). As doenças inflamatórias e parasitárias foram as mais prevalentes sendo diagnosticadas em 27,49% dos casos, seguida das doenças tóxicas e toxiinfecções com 9,78%. As demais categorias foram distribuídas em ordem decrescente em: neoplasmas e lesões tumoriformes (4%), doenças degenerativas (3,02%), distúrbios causados por agentes físicos (2,84%), distúrbios metabólicos e nutricionais (1,42%) e outras categorias (0,71%).
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