NakedSignal

Change explorer · Haematology and immunology

Point-of-care haemoglobin on a CD4 analyser vs a laboratory haematology analyser

Public dataA public method-comparison deposit, not a laboratory's data. Systems are described generically; the source names them.

Central lab haematology analyser replaced by point of care CD4 and haemoglobin analyser: 128 paired results from a published study by Sagnia et al. (2024), re-analysed by NakedSignal as if the study were one laboratory. At 8, 12, 13 g/dL, 30 results changed category after the change, against about 17 expected from repeat testing alone.

run 25 September 2026 · config 6eb23df45893 · run file sha256 5586cd892ef1

Haematology and immunology

Haemoglobin, g/dL

Central lab haematology analyser replaced by Point of care CD4 and haemoglobin analyser. 128 paired results.

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Comparison line

The new system reads 3.6% lower than the old system on average. The comparison line has a slope of 1 (95% interval 0.971 to 1.067) and an intercept of -0.3.

Public data
Comparison line, haemoglobin (g/dL)Comparison line with slope 1 (95% interval 0.971 to 1.067) and intercept -0.3, drawn against the line of no change. Decision limits drawn at 8, 12, 13 g/dL. Where the comparison line sits above the line of no change, the new system reads higher; below, lower.510155101581213No changeComparison lineOld system, g/dLNew system, g/dL

Fig. 1. The comparison line against the line of no change, over the range of the decision limits (8, 12, 13 g/dL). Dots mark where each line meets each limit; the gap between them is the bias at that limit.

run 25 September 2026 · config 6eb23df45893 · run file sha256 5586cd892ef1

Crossing each limit

Results that moved across a decision limit when the new system replaced the old, against the number repeat testing on one unchanged system would move. The program reports the count across all limits together.

All decision limits together (8, 12, 13 g/dL)

Crossed after the change: 30

Expected from repeat testing alone: about 17

Grade and warnings

  • Re-test band: full (at least the protocol minimum of pairs).
  • Band half-width around each limit: 0.84%.
  • Results re-tested on data the band was not fitted to, median: 14%.
  • Share of the excess crossings caught on unseen data, comparison line and band together: 75%; comparison line alone: 47%. The excess is the crossings above what repeat testing alone would cause, so the share can exceed 100% or fall below zero.
  • Repeat-test imprecision: assumed, not measured at this site.

Source

Sagnia B, Mbakop Ghomsi F, Moudourou S, Gutierez A, Tchadji J, Sosso SM, Ndjolo A, Colizzi V (2024). Accurate and reproducible enumeration of CD4 T cell counts and Hemoglobin levels using a point of care system: Comparison with conventional laboratory based testing systems in a clinical reference laboratory in Cameroon. PLoS One. doi:10.1371/journal.pone.0297790 (opens in a new tab); PMC10954178 (opens in a new tab). Licence: CC BY 4.0 (opens in a new tab). Changes: Paired results re-analysed by NakedSignal's program; instruments described generically; only derived results are shown. The deposit names the systems.

Show the numbers
All values for haemoglobin, Central lab haematology analyser to Point of care CD4 and haemoglobin analyser
FieldValue
Paired results used128
Comparison line slope1
Slope, 95% interval0.970566 to 1.066667
Comparison line intercept-0.3
Mean difference, new minus old, as % of old-3.577
Decision limits (g/dL)8, 12, 13
Crossed after the change30
Expected from repeat testing alone17.35
Band half-width (%)0.84
Re-tested, unseen data, median (%)14.45
Re-tested, unseen data, range (%)11.72 to 16.41
Excess caught, line and band (%)75.46
Excess caught, line alone (%)47.42

Related

Other comparisons from the same study:

Guide: Crossings by chance

Every study behind the explorer, with its licence: public data. How the counts are made: method.

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