Diagnostic accuracy of clinical illness for bovine respiratory disease (BRD) diagnosis in beef cattle placed in feedlots: A systematic literature review and hierarchical Bayesian latent-class meta-analysis
Diagnosis of bovine respiratory disease (BRD) in feedlots is based on clinical illness (CI) detected by pen-checkers. Diagnostic accuracy of CI was evaluated using lung lesions at slaughter as an imperfect reference test. A hierarchical Bayesian latent-class meta-analysis (7 studies included) was used to model test accuracy. Pooled estimates of CI’s sensitivity and specificity were low (0.27; 0.12-0.65) and high (0.92; 0.72-0.98), respectively. Diagnostic accuracy of CI was highly heterogeneous among studies.