PMID- 22445830 OWN - NLM STAT- MEDLINE DCOM- 20120904 LR - 20151119 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 413 IP - 13-14 DP - 2012 Jul 11 TI - Reference interval computation: which method (not) to choose? PG - 1107-14 LID - 10.1016/j.cca.2012.03.005 [doi] AB - BACKGROUND: When different methods are applied to reference interval (RI) calculation the results can sometimes be substantially different, especially for small reference groups. If there are no reliable RI data available, there is no way to confirm which method generates results closest to the true RI. METHODS: We randomly drawn samples obtained from a public database for 33 markers. For each sample, RIs were calculated by bootstrapping, parametric, and Box-Cox transformed parametric methods. Results were compared to the values of the population RI. RESULTS: For approximately half of the 33 markers, results of all 3 methods were within 3% of the true reference value. For other markers, parametric results were either unavailable or deviated considerably from the true values. The transformed parametric method was more accurate than bootstrapping for sample size of 60, very close to bootstrapping for sample size 120, but in some cases unavailable. CONCLUSIONS: We recommend against using parametric calculations to determine RIs. The transformed parametric method utilizing Box-Cox transformation would be preferable way of RI calculation, if it satisfies normality test. If not, the bootstrapping is always available, and is almost as accurate and precise as the transformed parametric method. CI - Copyright (c) 2012 Elsevier B.V. All rights reserved. FAU - Pavlov, Igor Y AU - Pavlov IY AD - ARUP Institute for Clinical and Experimental Pathology, Department of Pathology, University of Utah School of Medicine, Salt Lake City, Utah 84108, USA. igor.pavlov@aruplab.com FAU - Wilson, Andrew R AU - Wilson AR FAU - Delgado, Julio C AU - Delgado JC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120314 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Biomarkers) SB - IM MH - Adult MH - Biomarkers MH - Computer Simulation MH - *Data Interpretation, Statistical MH - Databases, Factual MH - Humans MH - Middle Aged MH - Random Allocation MH - Reference Values MH - Young Adult EDAT- 2012/03/27 06:00 MHDA- 2012/09/05 06:00 CRDT- 2012/03/27 06:00 PHST- 2012/02/07 00:00 [received] PHST- 2012/03/02 00:00 [revised] PHST- 2012/03/07 00:00 [accepted] PHST- 2012/03/27 06:00 [entrez] PHST- 2012/03/27 06:00 [pubmed] PHST- 2012/09/05 06:00 [medline] AID - S0009-8981(12)00115-5 [pii] AID - 10.1016/j.cca.2012.03.005 [doi] PST - ppublish SO - Clin Chim Acta. 2012 Jul 11;413(13-14):1107-14. doi: 10.1016/j.cca.2012.03.005. Epub 2012 Mar 14.