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Physical Sciences and Mathematics Commons

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COBRA

COBRA Preprint Series

Series

2022

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Full-Text Articles in Physical Sciences and Mathematics

A Simple And Robust Alternative To Bland-Altman Method Of Assessing Clinical Agreement, Abhaya Indrayan Prof Jan 2022

A Simple And Robust Alternative To Bland-Altman Method Of Assessing Clinical Agreement, Abhaya Indrayan Prof

COBRA Preprint Series

Clinical agreement between two quantitative measurements on a group of subjects is generally assessed with the help of the Bland-Altman (B-A) limits. These limits only describe the dispersion of disagreements in 95% cases and do not measure the degree of agreement. The interpretation regarding the presence or absence of agreement by this method is based on whether B-A limits are within the pre-specified externally determined clinical tolerance limits. Thus, clinical tolerance limits are necessary for this method. We argue in this communication that the direct use of clinical tolerance limits for assessing agreement without the B-A limits is more effective …