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The relationship between measurement uncertainty and reporting interval
Tony Badrick1, Robert C Hawkins2
1Faculty of Health Science and Medicine, Bond University, Australia tbadrick@bond.edu.au.
Background:
Measurement uncertainty (MU) estimates can be used by clinicians in result interpretation for diagnosis and monitoring and by laboratories in assessing assay fitness for use and analytical troubleshooting. However, MU is not routinely used to assess the appropriateness of the analyte reporting interval. We describe the relationship between MU and the analyte reporting interval.
Methods And Results:
The reporting interval R is the smallest unit of measurement chosen for clinical reporting. When choosing the appropriate value for R, it is necessary that the reference change values and expanded MU values can be meaningfully calculated. Expanded MU provides the tighter criterion for defining an upper limit for R. This limit can be determined as R ≤ k·SDa/1.9, where SDa is the analytical standard deviation and k is the coverage factor (usually 2).
Conclusion:
Using MU estimates to determine the reporting interval for quantitative laboratory results ensures that reporting practices match local analytical performance and recognizes the inherent error of the measurement process.
Insights
Measurement uncertainty (MU) is crucial for interpreting lab results. This study shows how MU can optimize the reporting interval, ensuring accuracy and reflecting analytical performance for better clinical decisions.
Area of Science:
- Clinical Chemistry
- Laboratory Medicine
- Measurement Science
Background:
- Measurement uncertainty (MU) is vital for clinical interpretation and laboratory quality control.
- MU is not commonly used to set appropriate analyte reporting intervals.
- This study explores the link between MU and analyte reporting intervals.
Purpose of the Study:
- To establish the relationship between measurement uncertainty and analyte reporting intervals.
- To propose a method for optimizing reporting intervals based on MU.
Main Methods:
- Defined reporting interval (R) as the smallest clinical reporting unit.
- Established that reference change values and expanded MU must be calculable.
- Determined the upper limit for R using expanded MU: R ≤ k·SDa/1.9.
Main Results:
- Expanded MU offers a stricter criterion for setting the upper limit of the reporting interval.
- The formula R ≤ k·SDa/1.9 provides a quantitative method for determining the appropriate reporting interval.
Conclusions:
- Utilizing MU estimates for reporting intervals aligns practices with analytical capabilities.
- This approach acknowledges the inherent error in laboratory measurements.
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