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refineR: Reference Interval Estimation using Real-World Data

Indirect method for the estimation of reference intervals (RIs) using Real-World Data ('RWD') and methods for comparing and verifying RIs. Estimates RIs by applying advanced statistical methods to routine diagnostic test measurements, which include both pathological and non-pathological samples, to model the distribution of non-pathological samples. This distribution is then used to derive reference intervals and support RI verification, i.e., deciding if a specific RI is suitable for the local population. The package also provides functions for printing and plotting algorithm results. See ?refineR for a detailed description of features. Version 1.0 of the algorithm is described in 'Ammer et al. (2021)' <doi:10.1038/s41598-021-95301-2>. Additional guidance is in 'Ammer et al. (2023)' <doi:10.1093/jalm/jfac101>. The verification method is described in 'Beck et al. (2025)' <doi:10.1515/cclm-2025-0728>.

Version: 2.0.0
Depends: R (≥ 3.2.0)
Imports: stats, ash, future, future.apply, parallel, graphics, grDevices
Suggests: knitr, rmarkdown
Published: 2025-11-06
DOI: 10.32614/CRAN.package.refineR
Author: Matthias Beck ORCID iD [aut, cre], Tatjana Ammer ORCID iD [aut], Christopher M Rank [aut], Andre Schuetzenmeister ORCID iD [aut]
Maintainer: Matthias Beck <matthias.beck.mb1 at roche.com>
License: GPL (≥ 3)
NeedsCompilation: no
Materials: NEWS
CRAN checks: refineR results

Documentation:

Reference manual: refineR.html , refineR.pdf
Vignettes: refineR: Reference Interval Estimation using Real-World Data (RWD) (source, R code)
VeRUS: Verification of Reference Intervals Based on the Uncertainty of Sampling (source, R code)

Downloads:

Package source: refineR_2.0.0.tar.gz
Windows binaries: r-devel: refineR_2.0.0.zip, r-release: refineR_2.0.0.zip, r-oldrel: refineR_2.0.0.zip
macOS binaries: r-release (arm64): refineR_2.0.0.tgz, r-oldrel (arm64): refineR_2.0.0.tgz, r-release (x86_64): refineR_2.0.0.tgz, r-oldrel (x86_64): refineR_2.0.0.tgz
Old sources: refineR archive

Linking:

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These binaries (installable software) and packages are in development.
They may not be fully stable and should be used with caution. We make no claims about them.