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January 1, 1973Clinical Chemistry265 citationsOpen Access

Use and Interpretation of Common Statistical Tests in Method-Comparison Studies

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JWJames O. WestgardMHMarian R. Hunt

Key Points

  • The aim is to assess how various statistical tests perform in method comparison studies, focusing on error detection.
  • Simulated different error types in data sets to evaluate sensitivity of statistical parameters.
  • Analyzed least-squares parameters and t-test parameters for their ability to estimate errors.
  • Emphasized the importance of graphical data presentation to identify issues like nonlinearity.
  • Least-squares analysis effectively estimates proportional error, aiding t-test interpretations.
  • t-test parameters are reliable for constant and random errors only in the absence of proportional error.
  • Correlation coefficient (r) primarily reflects random error but is difficult to interpret.

Abstract

Abstract We have studied the usefulness of common statistical tests as applied to method comparison studies. We simulated different types of errors in test sets of data to determine the sensitivity of different statistical parameters. Least-squares parameters (slope of least-squares line, its y intercept, and the standard error of estimate in the y direction) provide specific estimates of proportional, constant, and random errors, but comparison data must be presented graphically to detect limitations caused by nonlinearity and errant points. t-test parameters ( bias, standard deviation of difference) provide estimates of constant and random errors, but only when proportional error is absent. Least-squares analysis can estimate proportional error and should be considered a prerequisite to t-test analysis. The correlation coefficient (r) is sensitive only to random error, but is not easily interpreted. Values for r, t, and F are not useful in making decisions on the acceptability of performance. These decisions should be judgments on the errors that are tolerable. Statistical tests can be applied in a manner that provides specific estimates of these errors

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Cite This Study

Westgard et al. (1973) studied this question.

synapsesocial.com/papers/6a152b3479ff98d0de4e3078https://doi.org/10.1093/clinchem/19.1.49
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