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Linearity assessment: deviation from linearity and residual of linear regression approaches

journal contribution
posted on 2024-08-28, 06:19 authored by Chun Yee LimChun Yee Lim, Xavier Lee, Mai Thi Chi Tran, Corey MarkusCorey Markus, Tze Ping LohTze Ping Loh, Chung Shun Ho, Elvar Theodorsson, Ronda GreavesRonda Greaves, Brian CookeBrian Cooke, Rosita Zakariaee AbkooRosita Zakariaee Abkoo

In this computer simulation study, we examine four different statistical approaches of linearity assessment, including two variants of deviation from linearity (individual (IDL) and averaged (AD)), along with detection capabilities of residuals of linear regression (individual and averaged). From the results of the simulation, the following broad suggestions are provided to laboratory practitioners when performing linearity assessment. A high imprecision can challenge linearity investigations by producing a high false positive rate or low power of detection. Therefore, the imprecision of the measurement procedure should be considered when interpreting linearity assessment results. In the presence of high imprecision, the results of linearity assessment should be interpreted with caution. Different linearity assessment approaches examined in this study performed well under different analytical scenarios. For optimal outcomes, a considered and tailored study design should be implemented. With the exception of specific scenarios, both ADL and IDL methods were suboptimal for the assessment of linearity compared. When imprecision is low (3 %), averaged residual of linear regression with triplicate measurements and a non-linearity acceptance limit of 5 % produces <5 % false positive rates and a high power for detection of non-linearity of >70 % across different types and degrees of non-linearity. Detection of departures from linearity are difficult to identify in practice and enhanced methods of detection need development.

History

Journal/Conference/Book title

Clinical Chemistry and Laboratory Medicine

Publication date

2024-07-19

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