Document Detail


Estimating reference ranges in clinical pathology: an objective approach.
MedLine Citation:
PMID:  3358017     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Conventional reference ranges evolve from subjective criteria for health and disease. We offer an objective method for distinguishing typical from atypical values by purely statistical criteria. We define typical values as those exhibiting a linear relationship with percentiles on a value versus percentile plot. Identification of percentiles at which deviation from linearity occurs results from calculation of correlation coefficients between values and percentiles over centrally expanding ranges of percentiles. One selects arbitrarily some minimum value for these correlation coefficients, for example, 0.990, as the criterion for deviation from linearity. Values encompassed by these percentiles of deviation constitute an objective reference range. Identification of any correlations between atypical values and symptoms of disease requires clinical follow-up studies.
Authors:
S Merkouriou; D Dix
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Statistics in medicine     Volume:  7     ISSN:  0277-6715     ISO Abbreviation:  Stat Med     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-05-16     Completed Date:  1988-05-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8215016     Medline TA:  Stat Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  377-85     Citation Subset:  IM    
Affiliation:
Department of Biology and Health Science, University of Hartford, CT 06117.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Enzyme Tests
Creatine Kinase / blood
Erythrocyte Count
Female
Humans
Male
Pathology, Clinical / methods*
Reference Values*
Statistics as Topic
Chemical
Reg. No./Substance:
EC 2.7.3.2/Creatine Kinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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