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  • Method comparison / Agreement

Limits of agreement (LoA)

Limits of agreement estimate the interval within which a proportion of the differences between measurements lie.

The limits of agreement includes both systematic (bias) and random error (precision), and provide a useful measure for comparing the likely differences between individual results measured by two methods. When one of the methods is a reference method, the limits of agreement can be used as a measure of the total error of a measurement procedure (Krouwer, 2002).

Limits of agreement can be derived using parametric method given the assumption of normality of the differences. or using non-parametric percentiles when such assumptions do not hold.

Related concepts
Difference plot (Bland-Altman plot)
Fit differences
Related tasks
Plotting the Bland-Altman limits of agreement
Related information
Altman, D. G., & Bland, J. M. (1983). Measurement in medicine: the analysis of method comparison studies. The statistician, 307-317.
Bland, J., & Altman, D. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet, 327(8476), 307-310.
Bland, J. M., & Altman, D. G. (1999). Measuring agreement in method comparison studies. Statistical methods in medical research, 8(2), 135-160.
Carstensen, B. (2011). Comparing clinical measurement methods: a practical guide. John Wiley & Sons.
Krouwer, J. S. (2002). Setting performance goals and evaluating total analytical error for diagnostic assays. Clinical Chemistry, 48(6), 919-927.
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Version 6.15
Published 18-Apr-2023
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