Table 5.
Bias, Precision and Accuracy of Measured and Estimated Cr Clearance in 91 Subjects with Cirrhosis
Measured Cr Clearance | Estimated Cr Clearance1 | P Value3 | |
---|---|---|---|
Bias2 | 1.13 | −23.15 | <0.0001 |
Precision2 | 34.43 | 26.72 | 0.066 |
Accuracy (1-P30)2 | 42.86 | 56.04 | 0.073 |
Accuracy (1-P20)2 | 57.14 | 71.43 | 0.060 |
Accuracy (RMSE)2 | 34.45 | 35.36 | 0.829 |
Estimated Cr clearance in ml/min/1.73m2= (Estimated Cr production rate in mg/kg/day using Mitch and Walser equation38)*(weight in kg*100 ml)*(1.73 m2)/(serum Cr in mg/dl)*(1440 min)*(body surface area in m2).
Bias=Mean of the difference scores (difference score=measured GFR-measured Cr clearance or estimated Cr clearance for each subject); a positive bias indicates that estimated Cr clearance on average underestimates measured GFR. Precision=Standard deviation of difference score. Accuracy (1-P30)=Percentage of measured or estimated Cr clearance values that differ by greater than 30%. Accuracy (1-P20)= Percentage of measured or estimated Cr clearance values that differ by greater than 20% of measured GFR. Accuracy (RMSE)=Root mean squared error (RMSE). Lower values for precision and accuracy (1- P30), (1-P20) and RMSE indicate higher precision and accuracy for measured and estimated Cr clearance.
P values compare the performance of estimated Cr clearance to measured Cr clearance. P values for bias indicate difference in the location of bias, not the difference in the magnitude.