Become an expert in R — Interactive courses, Cheat Sheets, certificates and more!
Get Started for Free

epi.ccc

Concordance correlation coefficient


Description

Calculates Lin's (1989, 2000) concordance correlation coefficient for agreement on a continuous measure.

Usage

epi.ccc(x, y, ci = "z-transform", conf.level = 0.95, rep.measure = FALSE, 
   subjectid)

Arguments

x

a vector, representing the first set of measurements.

y

a vector, representing the second set of measurements.

ci

a character string, indicating the method to be used. Options are z-transform or asymptotic.

conf.level

magnitude of the returned confidence interval. Must be a single number between 0 and 1.

rep.measure

logical. If TRUE there are repeated observations across subject.

subjectid

a factor providing details of the observer identifier if rep.measure == TRUE.

Details

Computes Lin's (1989, 2000) concordance correlation coefficient for agreement on a continuous measure obtained by two methods. The concordance correlation coefficient combines measures of both precision and accuracy to determine how far the observed data deviate from the line of perfect concordance (that is, the line at 45 degrees on a square scatter plot). Lin's coefficient increases in value as a function of the nearness of the data's reduced major axis to the line of perfect concordance (the accuracy of the data) and of the tightness of the data about its reduced major axis (the precision of the data).

Both x and y values need to be present for a measurement pair to be included in the analysis. If either or both values are missing (i.e. coded NA) then the measurement pair is deleted before analysis.

Value

A list containing the following:

rho.c

the concordance correlation coefficient.

s.shift

the scale shift.

l.shift

the location shift.

C.b

a bias correction factor that measures how far the best-fit line deviates from a line at 45 degrees. No deviation from the 45 degree line occurs when C.b = 1. See Lin (1989, page 258).

blalt

a data frame with two columns: mean the mean of each pair of measurements, delta vector y minus vector x.

sblalt

a data frame listing the average difference between the two sets of measurements, the standard deviation of the difference between the two sets of measurements and the lower and upper confidence limits of the difference between the two sets of measurements. If rep.measure == TRUE the confidence interval of the difference is adjusted to account for repeated observations across individual subjects.

nmissing

a count of the number of measurement pairs ignored due to missingness.

References

Bland J, Altman D (1986). Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet 327: 307 - 310.

Bland J, Altman D (1999). Measuring agreement in method comparison studies. Statistical Methods in Medical Research 8: 135 - 160.

Bland J, Altman D (2007). Agreement between methods of measurement with multiple observations per individual. Journal of Biopharmaceutical Statistics 17: 571 - 582. (Corrects the formula quoted in the 1999 paper).

Bradley E, Blackwood L (1989). Comparing paired data: a simultaneous test for means and variances. American Statistician 43: 234 - 235.

Burdick RK, Graybill FA (1992). Confidence Intervals on Variance Components. New York: Dekker.

Dunn G (2004). Statistical Evaluation of Measurement Errors: Design and Analysis of Reliability Studies. London: Arnold.

Euser AM, Dekker FW, le Cessie S (2008). A practical approach to Bland-Altman plots and variation coefficients for log transformed variables. Journal of Clinical Epidemiology 61: 978 - 982.

Hsu C (1940). On samples from a normal bivariate population. Annals of Mathematical Statistics 11: 410 - 426.

Krippendorff K (1970). Bivariate agreement coefficients for reliability of data. In: Borgatta E, Bohrnstedt G (eds) Sociological Methodology. San Francisco: Jossey-Bass, pp. 139 - 150.

Lin L (1989). A concordance correlation coefficient to evaluate reproducibility. Biometrics 45: 255 - 268.

Lin L (2000). A note on the concordance correlation coefficient. Biometrics 56: 324 - 325.

Pitman E (1939). A note on normal correlation. Biometrika 31: 9 - 12.

Reynolds M, Gregoire T (1991). Comment on Bradley and Blackwood. American Statistician 45: 163 - 164.

Snedecor G, Cochran W (1989). Statistical Methods. Ames: Iowa State University Press.

See Also

Examples

## EXAMPLE 1:
set.seed(seed = 1234)
method1 <- rnorm(n = 100, mean = 0, sd = 1)
method2 <- method1 + runif(n = 100, min = -0.25, max = 0.25)

## Add some missing values:
method1[50] <- NA
method2[75] <- NA

tmp <- data.frame(method1, method2)
tmp.ccc <- epi.ccc(method1, method2, ci = "z-transform", conf.level = 0.95, 
   rep.measure = FALSE)

tmp.lab <- data.frame(lab = paste("CCC: ", 
   round(tmp.ccc$rho.c[,1], digits = 2), " (95% CI ", 
   round(tmp.ccc$rho.c[,2], digits = 2), " - ",
   round(tmp.ccc$rho.c[,3], digits = 2), ")", sep = ""))

z <- lm(method2 ~ method1)
alpha <- summary(z)$coefficients[1,1]
beta <-  summary(z)$coefficients[2,1]
tmp.lm <- data.frame(alpha, beta)

## Concordance correlation plot:
## Not run: 
library(ggplot2)

ggplot(tmp, aes(x = method1, y = method2)) + 
   geom_point() +
   geom_abline(intercept = 0, slope = 1) +
   geom_abline(data = tmp.lm, aes(intercept = alpha, slope = beta), 
      linetype = "dashed") +
   scale_x_continuous(limits = c(0,3), name = "Method 1") +
   scale_y_continuous(limits = c(0,3), name = "Method 2") +
   geom_text(data = tmp.lab, x = 0.5, y = 2.95, label = tmp.lab$lab) + 
   coord_fixed(ratio = 1 / 1)

## In this plot the dashed line represents the line of perfect concordance. 
## The solid line represents the reduced major axis.  

## End(Not run)


## EXAMPLE 2:
## Bland and Altman plot (Figure 2 from Bland and Altman 1986):
x <- c(494,395,516,434,476,557,413,442,650,433,417,656,267,
   478,178,423,427)

y <- c(512,430,520,428,500,600,364,380,658,445,432,626,260,
   477,259,350,451)

tmp.ccc <- epi.ccc(x, y, ci = "z-transform", conf.level = 0.95, 
   rep.measure = FALSE)
tmp <- data.frame(mean = tmp.ccc$blalt[,1], delta = tmp.ccc$blalt[,2])

## Not run: 
library(ggplot2)

ggplot(tmp.ccc$blalt, aes(x = mean, y = delta)) + 
  geom_point() +
  geom_hline(data = tmp.ccc$sblalt, aes(yintercept = lower), linetype = 2) +
  geom_hline(data = tmp.ccc$sblalt, aes(yintercept = upper), linetype = 2) +
  geom_hline(data = tmp.ccc$sblalt, aes(yintercept = est), linetype = 1) +
  scale_x_continuous(limits = c(0,800), name = "Average PEFR by two meters (L/min)") +
  scale_y_continuous(limits = c(-150,150), name = "Difference in PEFR (L/min)")   

## End(Not run)


## EXAMPLE 3:
## Setting limits of agreement when your data are skewed. See Euser et al. 
## (2008) for details.
x <- c(0,210,15,90,0,0,15,0,0,0,15,0,15,0,0,0,0,15,0,0,15,135,0,0,15,
   120,30,15,30,0,0,5235,780,1275,10515,1635,1905,1830,720,450,225,420,
   300,15,285,0,225,525,675,5280,465,270,0,1485,15,420,0,60,0,0,0,750,
   570,0)
y <- c(0,70,0,0,0,0,35,0,0,0,0,0,0,35,0,0,0,0,0,0,35,35,70,0,0,140,35,
   105,0,0,0,1190,385,1190,6930,560,1260,700,840,0,105,385,245,35,105,
   0,140,350,350,3640,385,350,0,1505,0,630,70,0,0,140,0,420,490,0)   
   
crude.ccc <- epi.ccc(x, y, ci = "z-transform", 
   conf.level = 0.95, rep.measure = FALSE)

## Not run: 
library(ggplot2)

ggplot(crude.ccc$blalt, aes(x = mean, y = delta)) + 
  geom_point() +
  geom_hline(data = crude.ccc$sblalt, aes(yintercept = lower), linetype = 2) +
  geom_hline(data = crude.ccc$sblalt, aes(yintercept = upper), linetype = 2) +
  geom_hline(data = crude.ccc$sblalt, aes(yintercept = est), linetype = 1) +
  scale_x_continuous(limits = c(0,8000), name = "Average of the two measurements") +
  scale_y_continuous(limits = c(-8000,8000), name = "Difference in the two measurements")  

## End(Not run)

## In the above plot the spread of the differences increases with increasing 
## mean of the observations. The Bland Altman limits of agreement should be 
## calculated on a log scale.

logx <- log(x + 50, base = 10)
logy <- log(y + 50, base = 10)

log10.ccc <- epi.ccc(x = logx, y = logy, ci = "z-transform", 
   conf.level = 0.95, rep.measure = FALSE)

## Transform the limits of agreement back to the original scale by taking 
## anti-logs. If the limits of agreement for Z = log10(x) are between -a 
## and +a, with a = 1.96 * s, the ratio between two measures on the original 
## scale is between 10^-a and 10^a. See page 979 of Euser et al. (2008). 

a <- 1.96 * log10.ccc$sblalt$delta.sd

## For a given value for the mean Xbar, it can be shown that x - y is between 
## -2Xbar(10^a - 1) / (10^a + 1) and +2Xbar(10^a - 1) / (10^a + 1):

Xbar = seq(from = 0, to = 8000, by = 100)
Xbar.low <- (-2 * Xbar * (10^a - 1)) / (10^a + 1)
Xbar.upp <- (+2 * Xbar * (10^a - 1)) / (10^a + 1)
limits <- data.frame(mean = Xbar, lower = Xbar.low, upper = Xbar.upp)

## Not run: 
library(ggplot2)

ggplot(crude.ccc$blalt, aes(x = mean, y = delta)) + 
  geom_point() +
  geom_line(data = limits, aes(x = mean, y = lower), linetype = 2) +
  geom_line(data = limits, aes(x = mean, y = upper), linetype = 2) +
  geom_line(data = limits, aes(x = mean, y = 0), linetype = 1) +
    scale_x_continuous(limits = c(0,8000), name = "Average of the two measurements") +
  scale_y_continuous(limits = c(-8000,8000), name = "Difference in the two measurements") 

## End(Not run)

epiR

Tools for the Analysis of Epidemiological Data

v2.0.19
GPL (>= 2)
Authors
Mark Stevenson <mark.stevenson1@unimelb.edu.au> and Evan Sergeant <evansergeant@gmail.com> with contributions from Telmo Nunes, Cord Heuer, Jonathon Marshall, Javier Sanchez, Ron Thornton, Jeno Reiczigel, Jim Robison-Cox, Paola Sebastiani, Peter Solymos, Kazuki Yoshida, Geoff Jones, Sarah Pirikahu, Simon Firestone, Ryan Kyle, Johann Popp, Mathew Jay and Charles Reynard.
Initial release
2021-01-12

We don't support your browser anymore

Please choose more modern alternatives, such as Google Chrome or Mozilla Firefox.