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Bland–Altman图原理和画法简介

2016-07-13 静哥哥 MedSta

前言Bland–Altman图由J. Martin Bland和Douglas G. Altman于1986年首先提出,以图形的方式展示更多的信息,便于同时结合统计和临床标准,进行两种检测方法一致性的判断。问题在临床研究中常常面临两种检测方法比较的问题,比如A是经典方法,B是新方法,A、B两种方法的检测效果是否一致?或者对于相同研究对象的相同指标进行两次重复测量,前后测量结果是否一致?实验设计对相

前言 Bland–Altman图由J. Martin Bland和Douglas G. Altman于1986年首先提出,以图形的方式展示更多的信息,便于同时结合统计和临床标准,进行两种检测方法一致性的判断。 问题 在临床研究中常常面临两种检测方法比较的问题,比如A是经典方法,B是新方法,A、B两种方法的检测效果是否一致?或者对于相同研究对象的相同指标进行两次重复测量,前后测量结果是否一致? 实验设计 对相同研究对象的相同指标分别使用两种方法检测,比较两种检测结果。这里以水银柱血压计和电子血压计对50个研究对象收缩压的测量值为例,比较两种检测方法的一致性,测量结果见表1。 表1.两种血压计的收缩压测量值 数据分析 配对t检验+相关性系数,这样的分析足够了吗?相关性(correlation)不能代替一致性(agreement)。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1058288, encodeId=dd2e1058288b4, content=只有几句前言是怎么回事?, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab945627020, createdName=ms7000000918227391, createdTime=Thu Oct 07 12:09:32 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953005, encodeId=59dc9530055d, content=花了积分查看,本来以为会介绍得更加详细些……, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06b25474545, createdName=SeanWong, createdTime=Thu Apr 01 10:12:45 CST 2021, time=2021-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=910234, encodeId=b9ff910234ce, content=赞! , beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4ab5446852, createdName=五条团子, createdTime=Tue Dec 22 23:20:13 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1861065, encodeId=d72c18610654a, content=<a href='/topic/show?id=401a23e102' target=_blank style='color:#2F92EE;'>#ALT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2371, encryptionId=401a23e102, topicName=ALT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Tue Oct 18 07:08:00 CST 2016, time=2016-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=189863, encodeId=f40a18986349, content=bangbangbang棒棒哒, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCSvgHPvuQp0g9YLQuk8Dv2mWuYFQXy09AK9oNRmQryAhfR8hOnpwuyxHLIv9YRRJLFMP9JEnJYCMRbPfPcib9vmUTNcOP9p5Lg/0, createdBy=63de2048613, createdName=纽扣, createdTime=Sun Apr 23 11:26:43 CST 2017, time=2017-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2084051, encodeId=19382084051c6, content=<a href='/topic/show?id=2489351ea4' target=_blank style='color:#2F92EE;'>#Bland–Altman#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3517, encryptionId=2489351ea4, topicName=Bland–Altman)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Thu Oct 20 15:08:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=93034, encodeId=e201930348f, content=赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160804/IMG57A2EF131ACE72300.jpg, createdBy=a2811610046, createdName=黄庆, createdTime=Thu Jul 14 09:04:00 CST 2016, time=2016-07-14, status=1, ipAttribution=)]
    2021-10-07 ms7000000918227391

    只有几句前言是怎么回事?

    0

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    2021-04-01 SeanWong

    花了积分查看,本来以为会介绍得更加详细些……

    0

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    2020-12-22 五条团子

    赞!

    0

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    2016-10-18 shizhenshan
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    2017-04-23 纽扣

    bangbangbang棒棒哒

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1058288, encodeId=dd2e1058288b4, content=只有几句前言是怎么回事?, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab945627020, createdName=ms7000000918227391, createdTime=Thu Oct 07 12:09:32 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953005, encodeId=59dc9530055d, content=花了积分查看,本来以为会介绍得更加详细些……, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06b25474545, createdName=SeanWong, createdTime=Thu Apr 01 10:12:45 CST 2021, time=2021-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=910234, encodeId=b9ff910234ce, content=赞! , beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4ab5446852, createdName=五条团子, createdTime=Tue Dec 22 23:20:13 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1861065, encodeId=d72c18610654a, content=<a href='/topic/show?id=401a23e102' target=_blank style='color:#2F92EE;'>#ALT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2371, encryptionId=401a23e102, topicName=ALT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Tue Oct 18 07:08:00 CST 2016, time=2016-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=189863, encodeId=f40a18986349, content=bangbangbang棒棒哒, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCSvgHPvuQp0g9YLQuk8Dv2mWuYFQXy09AK9oNRmQryAhfR8hOnpwuyxHLIv9YRRJLFMP9JEnJYCMRbPfPcib9vmUTNcOP9p5Lg/0, createdBy=63de2048613, createdName=纽扣, createdTime=Sun Apr 23 11:26:43 CST 2017, time=2017-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2084051, encodeId=19382084051c6, content=<a href='/topic/show?id=2489351ea4' target=_blank style='color:#2F92EE;'>#Bland–Altman#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3517, encryptionId=2489351ea4, topicName=Bland–Altman)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Thu Oct 20 15:08:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=93034, encodeId=e201930348f, content=赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160804/IMG57A2EF131ACE72300.jpg, createdBy=a2811610046, createdName=黄庆, createdTime=Thu Jul 14 09:04:00 CST 2016, time=2016-07-14, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1058288, encodeId=dd2e1058288b4, content=只有几句前言是怎么回事?, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab945627020, createdName=ms7000000918227391, createdTime=Thu Oct 07 12:09:32 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953005, encodeId=59dc9530055d, content=花了积分查看,本来以为会介绍得更加详细些……, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=06b25474545, createdName=SeanWong, createdTime=Thu Apr 01 10:12:45 CST 2021, time=2021-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=910234, encodeId=b9ff910234ce, content=赞! , beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4ab5446852, createdName=五条团子, createdTime=Tue Dec 22 23:20:13 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1861065, encodeId=d72c18610654a, content=<a href='/topic/show?id=401a23e102' target=_blank style='color:#2F92EE;'>#ALT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2371, encryptionId=401a23e102, topicName=ALT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Tue Oct 18 07:08:00 CST 2016, time=2016-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=189863, encodeId=f40a18986349, content=bangbangbang棒棒哒, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCSvgHPvuQp0g9YLQuk8Dv2mWuYFQXy09AK9oNRmQryAhfR8hOnpwuyxHLIv9YRRJLFMP9JEnJYCMRbPfPcib9vmUTNcOP9p5Lg/0, createdBy=63de2048613, createdName=纽扣, createdTime=Sun Apr 23 11:26:43 CST 2017, time=2017-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2084051, encodeId=19382084051c6, content=<a href='/topic/show?id=2489351ea4' target=_blank style='color:#2F92EE;'>#Bland–Altman#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3517, encryptionId=2489351ea4, topicName=Bland–Altman)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Thu Oct 20 15:08:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=93034, encodeId=e201930348f, content=赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160804/IMG57A2EF131ACE72300.jpg, createdBy=a2811610046, createdName=黄庆, createdTime=Thu Jul 14 09:04:00 CST 2016, time=2016-07-14, status=1, ipAttribution=)]
    2016-07-14 黄庆

    赞!

    0

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