How to assess the relative range of two consecutive laboratory measurements to monitor patients.

Abstract:

:An integral part of routine health checkups involves laboratory measurements on various analytes in the blood. It is then common to compare the value of two consecutive measurements sampled at different times from the same patient. A "significant" change requires an action (additional sample and/or clinical action). The current rule is to check whether the relative range of measurement is larger than a certain critical threshold. This rule should guarantee a specified confidence level (e.g., 95%), but its derivation was based on an approximation. We derive the exact distribution and show that it is related to the doubly noncentral F distribution. The currently used threshold values are compared with the exact ones, and some limited power calculations are presented to detect changes in the patient condition.

journal_name

J Biopharm Stat

authors

Cohen A,Doveh E,Umansky T

doi

10.1081/BIP-100107656

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

177-91

issue

3

eissn

1054-3406

issn

1520-5711

journal_volume

11

pub_type

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