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Limits of agreement (Bland-Altman method)

Authors: Philip, Sedgwick;

Limits of agreement (Bland-Altman method)

Abstract

Researchers investigated the agreement between primary care and daytime ambulatory monitoring in blood pressure measurement. Study participants were patients with newly diagnosed high or borderline high blood pressure or those receiving treatment for hypertension but with poor control. In total, 179 patients were recruited from three general practices, and eight doctors were involved in measuring blood pressure. Daytime ambulatory monitoring was undertaken between 0700 and 2300 hours.1 A significant correlation was found between the systolic blood pressure measured by the general practitioner and daytime ambulatory systolic pressure ( r =0.46; P<0.05). The measurements made by the doctors exceeded those obtained by ambulatory monitoring by an average of 18.9 mm Hg. The Bland-Altman method was used to plot the difference in systolic blood pressure for each patient (GP measurement minus daytime ambulatory monitoring measurement) against the mean of the two measurements (fig 1⇓). The limits of agreement are indicated by the red broken lines—that is, the interval of two standard deviations of the measurement differences either side of the mean difference. Fig 1 Bland-Altman plot of difference in systolic blood pressure (general practitioner measurement minus daytime ambulatory monitoring measurement) against the mean of the two measurements Which of the following statements, if any, are true?

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Keywords

General Practitioners, Statistics as Topic, Humans, Reproducibility of Results, Blood Pressure Determination, Blood Pressure Monitoring, Ambulatory

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Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
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.
BIP!Impulse provided by BIP!
73
Top 10%
Top 10%
Top 10%
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