<?xml version="1.0" encoding="utf-8"?><!DOCTYPE article  PUBLIC '-//OASIS//DTD DocBook XML V4.4//EN'  'http://www.docbook.org/xml/4.4/docbookx.dtd'><article><articleinfo><title>FAQ/balt</title><revhistory><revision><revnumber>9</revnumber><date>2013-03-08 10:17:12</date><authorinitials>localhost</authorinitials><revremark>converted to 1.6 markup</revremark></revision><revision><revnumber>8</revnumber><date>2011-07-06 10:48:08</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>7</revnumber><date>2011-07-05 11:32:11</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>6</revnumber><date>2011-07-05 11:28:43</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>5</revnumber><date>2011-07-05 11:27:01</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>4</revnumber><date>2011-07-05 11:26:46</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>3</revnumber><date>2011-07-05 10:49:54</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>2</revnumber><date>2011-07-05 09:20:02</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>1</revnumber><date>2011-07-05 09:15:39</date><authorinitials>PeterWatson</authorinitials></revision></revhistory></articleinfo><section><title>Plotting agreement between two measures using the Bland-Altman plot</title><para>Two tests which purport to measure the same underlying variable may be highly correlated (form a straight line when plotted against each other) but not agree. Agreement would be indicated by both tests taking the same value with the line x=y representing the best fitting straight line in a scatterplot of the tests graphed against one another. </para><para>Bland and Altman (1995) suggested checking agreement between a pair of measures by plotting their difference on the y-axis against their sum on the x-axis. They also suggest working out the mean inter-test difference and the confidence interval for this difference (equal to mean difference +/- 1.96 SD of the differences) and adding these to the scatterplot. These statistics <ulink url="https://lsr-wiki-01.mrc-cbu.cam.ac.uk/statswiki/FAQ/balt/statswiki/FAQ/balSPSS#">can be worked out in SPSS</ulink> although SPSS will not add the lines representing the limits of the confidence interval or the mean for the inter-test difference to the scatter plot. Further details with illustrations are given  <ulink url="http://www.medcalc.org/manual/blandaltman.php">here</ulink> and <ulink url="https://lsr-wiki-01.mrc-cbu.cam.ac.uk/statswiki/FAQ/balt/statswiki/FAQ/balt?action=AttachFile&amp;do=get&amp;target=balt.pdf">here.</ulink> If the scatterplot is random, the mean difference is around zero and the inter-test differences within +/-1.96 of the mean then the tests may be used interchangeably. </para><para><emphasis role="underline">Reference</emphasis> </para><para>Bland JM, Altman DG (1995). Comparing methods of measurement: why plotting difference against standard method is misleading. <emphasis>The Lancet</emphasis> <emphasis role="strong">346</emphasis> 1085-1087.  </para></section></article>