Analytical goal-setting for monitoring patients when two analytical methods are used.

Abstract:

:Serial results from an individual are often obtained using more than one method. Results should be transferable over time and locale. Every method has inherent analytical error, and goals are required to delineate the maximum allowable random (imprecision) and systematic (inaccuracy, bias) errors to facilitate optimal patient care. Based on Harris's proposal [Am J Clin Pathol 1979;72:374-82] that desirable imprecision should be less than or equal to one-half the within-subject biological variation, if the methods have negligible imprecision, then the maximum allowable bias between two methods used for monitoring is one-third of the within-subject biological variation. A more general model has been developed that relates the analytical imprecisions of two methods, and the bias between them, to biological variation. Applying the general formula derived in specific clinical monitoring situations in which a known change in serial results (occurring at a stated probability) stimulates clinical action allows goals for the imprecisions of the two methods and allows the difference in bias between them to be determined quantitatively.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Petersen PH,Fraser CG,Westgard JO,Larsen ML

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

2256-60

issue

11

eissn

0009-9147

issn

1530-8561

journal_volume

38

pub_type

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