NakedSignal

Change explorer · Chemistry

Capillary point-of-care creatinine meter vs a Jaffe laboratory analyser

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

Central lab serum analyser, kinetic Jaffe replaced by point of care creatinine meter, capillary: 89 paired results from a published study by Krisher et al. (2024), re-analysed by NakedSignal as if the study were one laboratory. At 1.2, 1.5 mg/dL, 28 results changed category after the change, against about 1 expected from repeat testing alone.

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

Chemistry

Creatinine, mg/dL

Central lab serum analyser, kinetic Jaffe replaced by Point of care creatinine meter, capillary. 89 paired results.

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Comparison line

The new system reads 31.5% higher than the old system on average. The comparison line has a slope of 4.333 (95% interval 3.142 to 6.254) and an intercept of -2.277.

Public data
Comparison line, creatinine (mg/dL)Comparison line with slope 4.333 (95% interval 3.142 to 6.254) and intercept -2.277, drawn against the line of no change. Decision limits drawn at 1.2, 1.5 mg/dL. Where the comparison line sits above the line of no change, the new system reads higher; below, lower.024611.51.21.5No changeComparison lineOld system, mg/dLNew system, mg/dL

Fig. 1. The comparison line against the line of no change, over the range of the decision limits (1.2, 1.5 mg/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 (1.2, 1.5 mg/dL)

Crossed after the change: 28

Expected from repeat testing alone: about 1

Grade and warnings

  • Re-test band: Indicative: 89 pairs, below the 100-pair protocol minimum.
  • Band half-width around each limit: 42.6%.
  • 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: 98%; comparison line alone: 93%. 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

Krisher L, Jaramillo D, Dye-Robinson A, Dally M, Butler-Dawson J, Brindley S, Pilloni D, Cruz A, Villarreal Hernandez K, Schaeffer J, Adgate JL, Newman LS (2024). Application and comparison of point-of-care devices for field evaluation of underlying health status of Guatemalan sugarcane workers. PLOS Glob Public Health. doi:10.1371/journal.pgph.0003380 (opens in a new tab); PMC11265697 (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 creatinine, Central lab serum analyser, kinetic Jaffe to Point of care creatinine meter, capillary
FieldValue
Paired results used89
Comparison line slope4.333333
Slope, 95% interval3.142063 to 6.254464
Comparison line intercept-2.276667
Mean difference, new minus old, as % of old31.496
Decision limits (mg/dL)1.2, 1.5
Crossed after the change28
Expected from repeat testing alone1.25
Band half-width (%)42.6
Re-tested, unseen data, median (%)14.05
Re-tested, unseen data, range (%)12.36 to 14.61
Excess caught, line and band (%)97.5
Excess caught, line alone (%)93.45

Related

Other comparisons from the same study:

Guide: Jaffe or enzymatic creatinine

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

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