Engineering Cluster, Singapore Institute of Technology, Singapore.
Flinders University International Centre-for-Point of Care Testing, Flinders Health and Medical Research Institute, Bedford Park, Australia.
Clin Chim Acta. 2022 Sep 1;534:29-34. doi: 10.1016/j.cca.2022.07.006. Epub 2022 Jul 8.
We investigate the simulated impact of varying sample size and replicate number using ordinary least squares (OLS) and Deming regression (DR) in both weighted and unweighted forms, when applied to paired measurements in lot-to-lot verification.
Simulation parameter investigated in this study were: range ratio, analytical coefficient of variation, sample size, replicates, alpha (level of significance) and constant and proportional biases. For each simulation scenario, 10,000 iterations were performed, and the average probability of bias detection was determined.
Generally, the weighted forms of regression significantly outperformed the unweighted forms for bias detection. At the low range ratio (1:10), for both weighted OLS and DR, improved bias detection was observed with greater number of replicates, than increasing the number of comparison samples. At the high range ratio (1:1000), for both weighted OLS and DR, increasing the number of replicates above two is only slightly more advantageous in the scenarios examined. Increasing the numbers of comparison samples resulted in better detection of smaller biases between reagent lots.
The results of this study allow laboratories to determine a tailored approach to lot-to-lot verification studies, balancing the number of replicates and comparison samples with the analytical performance of measurement procedures involved.
我们研究了在应用于批间验证的成对测量时,普通最小二乘法(OLS)和德明回归(DR)在加权和非加权形式下,随着样本量和重复次数的变化,模拟的影响。
本研究中调查的模拟参数包括:范围比、分析变异系数、样本量、重复次数、α(显著水平)和常数与比例偏差。对于每个模拟场景,执行了 10,000 次迭代,并确定了平均偏差检测概率。
通常情况下,回归的加权形式在偏差检测方面明显优于非加权形式。在低范围比(1:10)下,对于加权 OLS 和 DR,与增加比较样本数量相比,增加重复次数可显著提高偏差检测的能力。在高范围比(1:1000)下,对于加权 OLS 和 DR,在检查的场景中,重复次数增加到两个以上仅略微更有利。增加比较样本数量可更好地检测试剂批之间较小的偏差。
本研究的结果使实验室能够确定一种针对批间验证研究的定制方法,在测量程序的分析性能与重复次数和比较样本数量之间取得平衡。