Passing–Bablok regression is a method from
robust statistics
Robust statistics are statistics that maintain their properties even if the underlying distributional assumptions are incorrect. Robust Statistics, statistical methods have been developed for many common problems, such as estimating location parame ...
for
nonparametric regression
Nonparametric regression is a form of regression analysis where the predictor does not take a predetermined form but is completely constructed using information derived from the data. That is, no parametric equation is assumed for the relationshi ...
analysis suitable for method comparison studies introduced by
Wolfgang Bablok and Heinrich Passing in 1983.
The procedure is adapted to fit linear
errors-in-variables models
In statistics, an errors-in-variables model or a measurement error model is a regression model that accounts for measurement errors in the independent variables. In contrast, standard regression models assume that those regressors have been me ...
. It is symmetrical and is robust in the presence of one or few outliers.
The Passing-Bablok procedure fits the parameters
and
of the linear equation
using non-parametric methods. The coefficient
is calculated by taking the shifted median of all slopes of the straight lines between any two points, disregarding lines for which the points are identical or
. The median is shifted based on the number of slopes where
to create an approximately consistent estimator. The estimator is therefore close in spirit to the
Theil-Sen estimator. The parameter
is calculated by
.
In 1986, Passing and Bablok extended their method introducing an equivariant extension for method transformation which also works when the slope
is far from 1.
It may be considered a robust version of
reduced major axis regression
In applied statistics, total least squares is a type of errors-in-variables regression, a least squares data modeling technique in which observational errors on both dependent and independent variables are taken into account. It is a generaliza ...
. The slope estimator
is the median of the absolute values of all pairwise slopes.
The original algorithm is rather slow for larger data sets as its
computational complexity
In computer science, the computational complexity or simply complexity of an algorithm is the amount of resources required to run it. Particular focus is given to computation time (generally measured by the number of needed elementary operations ...
is
. However, fast quasilinear algorithms of complexity
ln
have been devised.
Passing and Bablok define a method for calculating a 95%
confidence interval (CI) for both
and
in their original paper,
which was later refined,
though bootstrapping the parameters is the preferred method for in vitro diagnostics (IVD) when using patient samples.
The Passing-Bablok procedure is valid only when a linear relationship exists between
and
, which can be assessed by a
CUSUM
In statistical process control, statistical quality control, the CUSUM (or cumulative sum control chart) is a sequential analysis technique developed by E. S. Page of the University of Cambridge. It is typically used for monitoring change detecti ...
test. Further assumptions include the error ratio to be proportional to the slope
and the similarity of the error distributions of the
and
distributions.
The results are interpreted as follows. If 0 is in the CI of
, and 1 is in the CI of
, the two methods are comparable within the investigated concentration range. If 0 is not in the CI of
there is a systematic difference and if 1 is not in the CI of
then there is a proportional difference between the two methods.
However, the use of Passing–Bablok regression in method comparison studies has been criticized because it ignores random differences between methods.
References
{{DEFAULTSORT:Passing-Bablok regression
Analytical chemistry
Medical statistics