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Agreement between methods of measurement with multiple observations per individual
J Martin Bland1, Douglas G Altman
1Department of Health Sciences, University of York, York, UK. mb55@york.ac.uk
This study presents new methods for analyzing clustered agreement data when measurements are repeated. These methods accommodate situations where the true value changes or remains constant over time.
Area of Science:
- Biostatistics
- Medical Statistics
- Quantitative Methods
Background:
- Limits of agreement assess agreement between measurement methods.
- Standard calculations assume independent observations, which is not always the case.
- Repeated measurements introduce complexity due to potential changes in the true value or the underlying quantity.
Purpose of the Study:
- To develop and describe methods for analyzing clustered agreement data.
- To address situations with repeated measurements on the same subject.
- To account for scenarios where the underlying quantity may be changing or constant.
Main Methods:
- Analysis of clustered observations in agreement studies.
- Methods for handling repeated pairs of measurements.
- Statistical approaches for changing and unchanging underlying quantities.
Main Results:
- The paper details analytical methods for clustered agreement data.
- The proposed methods are applicable to various repeated measurement designs.
- The techniques are suitable for both dynamic and static underlying quantities.
Conclusions:
- New methods are provided for analyzing agreement with clustered data.
- These methods extend the application of limits of agreement to complex designs.
- The study offers practical solutions for researchers dealing with repeated measurements.
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