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JAMA
Article . 1975 . Peer-reviewed
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JAMA
Article . 1976
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Reliability of SMA-12

Authors: Claude O. Burdick;

Reliability of SMA-12

Abstract

To the Editor.— I believe the answer given by Dr Barnett to the question of inaccurate automated chemical analysis (SMA 12) results was insufficient (233:911,1975). The problem described concerned a proportion of values that fell outside normal ranges: when second specimens were repeated by hand methods, they were found to be normal. Whenever a normal range is defined as 95% of a subject population's values, one must expect that one value in 20 will be abnormal. Since there are 12 channels for each patient, most panels will have at least one value outside the normal range. If these tests are repeated on a second specimen, whether by a specific method or by the same method, the results will very likely fall within the normal range. This statistical phenomenon is called "regression toward the mean" and probably accounts for much of the discrepancy noted. The hospital's clinical pathologist should make this

Keywords

Humans, Blood Chemical Analysis

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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