PMID- 19068120 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20100623 LR - 20211020 IS - 1742-7622 (Electronic) IS - 1742-7622 (Linking) VI - 5 DP - 2008 Dec 9 TI - Interpreting results of cluster surveys in emergency settings: is the LQAS test the best option? PG - 25 LID - 10.1186/1742-7622-5-25 [doi] AB - Cluster surveys are commonly used in humanitarian emergencies to measure health and nutrition indicators. Deitchler et al. have proposed to use Lot Quality Assurance Sampling (LQAS) hypothesis testing in cluster surveys to classify the prevalence of global acute malnutrition as exceeding or not exceeding the pre-established thresholds. Field practitioners and decision-makers must clearly understand the meaning and implications of using this test in interpreting survey results to make programmatic decisions. We demonstrate that the LQAS test--as proposed by Deitchler et al.--is prone to producing false-positive results and thus is likely to suggest interventions in situations where interventions may not be needed. As an alternative, to provide more useful information for decision-making, we suggest reporting the probability of an indicator's exceeding the threshold as a direct measure of "risk". Such probability can be easily determined in field settings by using a simple spreadsheet calculator. The "risk" of exceeding the threshold can then be considered in the context of other aggravating and protective factors to make informed programmatic decisions. FAU - Bilukha, Oleg O AU - Bilukha OO AD - Division of Emergency and Environmental Health Services, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. obilukha1@cdc.gov FAU - Blanton, Curtis AU - Blanton C LA - eng PT - Editorial DEP - 20081209 PL - England TA - Emerg Themes Epidemiol JT - Emerging themes in epidemiology JID - 101232986 PMC - PMC2632626 EDAT- 2008/12/11 09:00 MHDA- 2008/12/11 09:01 PMCR- 2008/12/09 CRDT- 2008/12/11 09:00 PHST- 2008/08/25 00:00 [received] PHST- 2008/12/09 00:00 [accepted] PHST- 2008/12/11 09:00 [pubmed] PHST- 2008/12/11 09:01 [medline] PHST- 2008/12/11 09:00 [entrez] PHST- 2008/12/09 00:00 [pmc-release] AID - 1742-7622-5-25 [pii] AID - 10.1186/1742-7622-5-25 [doi] PST - epublish SO - Emerg Themes Epidemiol. 2008 Dec 9;5:25. doi: 10.1186/1742-7622-5-25.