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An iterative method for improved estimation of the mean of peer-group distributions in proficiency testing

  • Kiyoshi Ichihara and Tadashi Kawai
Published/Copyright: September 21, 2011

Abstract

In proficiency testing (PT), the peer-group mean is conventionally computed after twice removing values exceeding the mean±3 SD. However, this adjustment fails if there are many outliers. In this study an iterative method was evaluated as a more robust way to estimate the means. The methodology repeatedly removes a proportion of the population (usually those exceeding the mean±1.6 SD), assuming the presence of a Gaussian distribution in the central portion, and reinflates the SD to compensate for the trimming. A computer simulation revealed that the estimated mean of a known Gaussian distribution was less affected by a subpopulation that overlaps the main population than was the conventional method. When the overlapping portions were removed, the iterative method predicted the true mean correctly. The method was applied to external PT results for 44 analytes. Although most peer-group distributions were clearly non-Gaussian, the segment included by the predicted mean±1.6 SD was regarded as Gaussian in 85.9% by the new method and 73.4% by the conventional method. The proposed methodology appears to be an improved way of estimating peer-group means.


Corresponding author: Kiyoshi Ichihara, MD, PhD, Department of Clinical Laboratory Sciences, Faculty of Health Sciences, Yamaguchi University School of Medicine, Minami-Kogushi 1-1-1, Ube, 755-8505 Japan Phone/Fax: +81-836-22-2884,

References

1 Shahangian S. Proficiency testing in laboratory medicine: uses and limitations. Arch Pathol Lab Med 1998; 122: 15–30. Search in Google Scholar

2 Tholen DW. Reference values and participant means as targets in proficiency testing. Arch Pathol Lab Med 1993; 117: 885–9. Search in Google Scholar

3 Usui T. Selection of truncation factors for the iterative cutadjust method win Japanesex. Jpn J Clin Pathol 1981; 29: 219–22. Search in Google Scholar

4 Daniel WW. Biostatistics: a foundation for analysis in the health sciences, 4th ed. New York: John Wiley & Sons, 1987. Search in Google Scholar

5 Ichihara K, Kawai T. Determination of reference intervals for 13 plasma proteins based on IFCC international reference preparation (CRM470) and NCCLS proposed guideline (C28-P, 1992): trial to select reference individuals by results of screening tests and application of maximal likelihood method. J Clin Lab Anal 1996; 10: 110–7. 10.1002/(SICI)1098-2825(1996)10:2<110::AID-JCLA9>3.0.CO;2-GSearch in Google Scholar

6 Itoh Y, Ichihara K. Standardization of immunoassay for CRM470-related proteins in Japan: from evaluating CRM470 to setting reference intervals. Clin Chem Lab Med 2001; 39: 1054–61. 10.1515/CCLM.2001.182Search in Google Scholar

7 Emerson JD, Strenio J. Box plots and batch comparison. In: Hoaglin DC, editor. Understanding robust and exploratory data analysis. New York: John Wiley & Sons, 1983:58–96. Search in Google Scholar

8 Healy MJR. Outliers in clinical chemistry quality-control schemes. Clin Chem 1979; 25: 675–7. 10.1093/clinchem/25.5.675Search in Google Scholar

Received: 2004-8-27
Accepted: 2005-2-11
Published Online: 2011-9-21
Published in Print: 2005-4-1

© by Walter de Gruyter Berlin New York

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