回顾参考间隔:基于人口的参考间隔的新型模型,使用小样本大小和生物变异数据
Abdurrahman Coşkun1,2, Sverre Sandberg3,4,5, Ibrahim Unsal1
1Acibadem Labmed Clinical Laboratories, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Clinical chemistry
|August 26, 2024
概括
一个新的基于生物变异 (BV) 的模型,用于基于人群的参考间隔 (popRIs),使用更少的个体提供了可靠的结果. 这种方法为建立临床实验室参考间隔提供了一种更有效的方法.
科学领域:
- 临床化学 临床化学
- 血液学 血液学 血液学
- 生物统计学 生物统计学
背景情况:
- 传统的基于人口的参考区间 (popRIs) 依赖于大样本大小 (≥120个个体).
- 建立准确的popRI对于解释实验室测试结果至关重要.
研究的目的:
- 探索一种利用生物变异 (BV) 数据的popRI新型模型.
- 用不同的样本大小将基于BV的popRI与传统的popRI进行比较.
主要方法:
- 基于BV的模型是使用人口设定点 (PSP) 和总变化 (BV + 分析变化) 开发的.
- 基于BV的popRI计算了48个测量项,采用n=16,n=30和n=120的样本大小.
- 模拟研究估计了所需的最低参考个体数量.
主要成果:
- 基于BV的常规RI范围的中位数比为0.98.
- 基于BV的popRI在不同样本大小中相似,并且通常满足90%覆盖率标准.
- 与传统方法相比,需要较少的人来估计大多数测量项的PSP.
结论:
- 基于BV的popRI模型为大多数测量结果提供了可靠的参考间隔.
- 这种模型需要比传统的popRI更小的参考组.
- 有了可靠的生物变异数据,实施是可行的.
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