Statistical methods used in the estimation of age-specific paediatric reference intervals for laboratory blood tests: A systematic review.

Autor: Hoq M; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; The University of Melbourne, 50 Flemington Road, Parkville, VIC 3052, Australia. Electronic address: monsurul.hoq@mcri.edu.au., Canterford L; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia., Matthews S; International Centre for Point of Care Testing, Flinders University, Bedford Park, SA 5042, Australia., Khanom G; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia., Ignjatovic V; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; The University of Melbourne, 50 Flemington Road, Parkville, VIC 3052, Australia., Monagle P; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; The University of Melbourne, 50 Flemington Road, Parkville, VIC 3052, Australia; The Royal, Children's Hospital, 50 Flemington Road, Parkville, VIC 3052, Australia., Donath S; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; The University of Melbourne, 50 Flemington Road, Parkville, VIC 3052, Australia., Carlin J; Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; The University of Melbourne, 50 Flemington Road, Parkville, VIC 3052, Australia.
Jazyk: angličtina
Zdroj: Clinical biochemistry [Clin Biochem] 2020 Nov; Vol. 85, pp. 12-19. Date of Electronic Publication: 2020 Aug 12.
DOI: 10.1016/j.clinbiochem.2020.08.002
Abstrakt: Introduction: There is an emerging realisation that paediatric reference intervals (RIs) estimated using discrete age-groups may be misleading, especially close to age cut-off values. This limitation has been addressed by estimating RIs that vary continuously with age. This systematic review examines the range of statistical methods used over the past 25 years for estimation of age-specific RIs, and identifies trends in usage and reporting.
Methods: Literature searches were conducted using predefined search criteria for original publications between 1993 and 2018 on the MEDLINE and Embase databases. Data related to sample size, treatment of age (as categorical or continuous), and statistical methods were extracted from the selected publications.
Results: A total of 238 publications were reviewed. Not all publications reported the statistical methods used in different steps. Among the publications, 167 (70%) reported discrete age-group RIs, 54 (23%) reported continuous RIs and 17 (7%) reported both types of RIs. The nonparametric statistical method was commonly used for discrete age-group RIs (64%, n = 117), whereas a wide variety of curve-fitting approaches, including Cole's lambda-mu-sigma method (28%, n = 20), parametric curve-based methods (28%, n = 20), generalised additive model for location, scale and shape method (13%, n = 9) and quantile regression (11%, n = 8) were used for continuous RIs.
Conclusions: Improvement in the reporting of statistical methods used for estimating age-specific paediatric RIs is required. There has been insufficient uptake of methods for producing continuous RIs, especially for biomarkers that display strong age-dependence.
(Copyright © 2020 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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