NakedSignal

Change explorer · Chemistry

Point-of-care creatinine meter vs laboratory Jaffe creatinine, in µmol/L

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

Central lab analyser, Jaffe creatinine replaced by point of care creatinine meter: 358 paired results from a published study by Msilanga et al. (2025), re-analysed by NakedSignal as if the study were one laboratory. At 106.08, 132.6 µmol/L, 29 results changed category after the change, against about 19 expected from repeat testing alone.

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

Chemistry

Creatinine, µmol/L

Central lab analyser, Jaffe creatinine replaced by Point of care creatinine meter. 358 paired results.

Compare it with the other comparisons in the explorer

Comparison line

The new system reads 4.9% higher than the old system on average. The comparison line has a slope of 1.083 (95% interval 1.035 to 1.143) and an intercept of -3.125.

Public data
Comparison line, creatinine (µmol/L)Comparison line with slope 1.083 (95% interval 1.035 to 1.143) and intercept -3.125, drawn against the line of no change. Decision limits drawn at 106.08, 132.6 µmol/L. Where the comparison line sits above the line of no change, the new system reads higher; below, lower.50100150100150106.08132.6No changeComparison lineOld system, µmol/LNew system, µmol/L

Fig. 1. The comparison line against the line of no change, over the range of the decision limits (106.08, 132.6 µmol/L). 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 (106.08, 132.6 µmol/L)

Crossed after the change: 29

Expected from repeat testing alone: about 19

Grade and warnings

  • Re-test band: full (at least the protocol minimum of pairs).
  • Band half-width around each limit: 9.32%.
  • 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: 131%; comparison line alone: 67%. 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

Msilanga D, Muiru A, Msangi E, Shoo J, Mngumi J, Komba E, Balandya E, Ruggajo P, Bhimma R, Liu K (2025). PLoS One. doi:10.1371/journal.pone.0331969 (opens in a new tab); PMC12425315 (opens in a new tab) (title on the source page; it names the instruments). Licence: CC0 1.0 (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 analyser, Jaffe creatinine to Point of care creatinine meter
FieldValue
Paired results used358
Comparison line slope1.083333
Slope, 95% interval1.034702 to 1.142857
Comparison line intercept-3.125
Mean difference, new minus old, as % of old4.876
Decision limits (µmol/L)106.08, 132.6
Crossed after the change29
Expected from repeat testing alone19.35
Band half-width (%)9.32
Re-tested, unseen data, median (%)14.25
Re-tested, unseen data, range (%)14.25 to 15.08
Excess caught, line and band (%)130.55
Excess caught, line alone (%)67.35

Related

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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