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Clinical Chemistry
Article . 2003 . Peer-reviewed
License: OUP Standard Publication Reuse
Data sources: Crossref
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Clinical Chemistry
Article
Data sources: UnpayWall
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Problems with High-Sensitivity C-Reactive Protein

Authors: David Kanowski; Tony Badrick; Robert Flatman; Bruce Campbell;

Problems with High-Sensitivity C-Reactive Protein

Abstract

Last year, Ockene et al. (1) published a report in this journal that made the claim that high-sensitivity C-reactive protein (hs-CRP) has a degree of measurement stability that is similar to that of total cholesterol and that this provides further evidence of the potential clinical utility of hs-CRP screening as a novel tool for vascular risk prediction. The key evidence that Ockene et al. (1) present to justify their claim is a histogram showing an almost identical agreement in terms of group classification between first and second measurements for hs-CRP and total cholesterol. This apparent agreement is spurious and is attributable to the way in which Ockene et al. partitioned the hs-CRP data. Although the total cholesterol data in the histogram are divided into quartiles, the hs-CRP data are partitioned into arbitrary intervals that contain ∼15%, 20%, 30%, and 35%, respectively, of the sample. Ockene et al. (1) provide two graphs showing the data for all 113 patients for serial cholesterol and CRP values ranked by mean concentration. These values are different for the two analytes. For cholesterol, the average intraindividual variation is 18.2%, and the intraindividual variation is roughly constant across all the range of data. For CRP, the average intraindividual variation is higher, at 44.2%. It is lowest at low CRP concentrations and then increases as the … [↵][1]aAuthor for correspondence. [1]: #xref-corresp-2-1

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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!
12
Average
Top 10%
Average
hybrid