Evidence map›Paper›PMID 33401454›Full record

ArticleDiagnostics (Basel, Switzerland)2021

An Extension of the Bland-Altman Plot for Analyzing the Agreement of More than Two Raters.

Sören Möller, Birgit Debrabant, Ulrich Halekoh, Andreas Kristian Petersen, Oke Gerke

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Ultrasound strain mapping of the non-aneurysmal abdominal aorta for detecting age-related aortic stiffening.International journal of cardiology. Cardiovascular risk and prevention · 2026
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  11. Assessing Inter-Annotator Agreement for Medical Image Segmentation.IEEE access : practical innovations, open solutions · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sören MöllerDepartment of Clinical Research, University of Southern Denmark, 5000 Odense C, Denmark.ORCID 0000-0003-0858-4269
Birgit DebrabantDepartment of Public Health, Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, 5000 Odense C, Denmark.ORCID 0000-0002-1964-3204
Ulrich HalekohDepartment of Public Health, Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, 5000 Odense C, Denmark.ORCID 0000-0003-3679-8424
Andreas Kristian PetersenDepartment of Research and Learning, Hospital of Southern Jutland, 6200 Aabenraa, Denmark.ORCID 0000-0001-5406-1675
Oke GerkeDepartment of Clinical Research, University of Southern Denmark, 5000 Odense C, Denmark.ORCID 0000-0001-6335-3303

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Bland-Altman plot is the most common method to analyze and visualize agreement between raters or methods of quantitative outcomes in health research. While very useful for studies with two raters, a limitation of the classical Bland-Altman plot is that it is specifically used for studies with two raters. We propose an extension of the Bland-Altman plot suitable for more than two raters and derive the approximate limits of agreement with 95% confidence intervals. We validated the suggested limit of agreement by a simulation study. Moreover, we offer suggestions on how to present bias, heterogeneity among raters, as well as the uncertainty of the limits of agreement. The resulting plot could be utilized to investigate and present agreement in studies with more than two raters.

Indexed as

agreementBland–Altman plotinter-raterintra-ratermethod comparisonsimulation studyvisualization

Identifiers

PMID33401454
PMCPMC7824071

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.