Diagnostics › Method comparison

Passing–Bablok regression

Passing-Bablok regression compares two measurement methods without assuming either is error-free — non-parametric, and robust to outliers and to error in both X and Y.

What is Passing–Bablok regression?

Standard OLS regression assumes the X-axis variable is measured without error and the residuals are normal — both routinely violated in method comparison, where both axes are measurements with noise and outliers are common.

Passing-Bablok estimates slope and intercept from the medians of all pairwise slopes (with sign corrections for differing signs). The result is a clean estimator that tolerates outliers up to 50% breakdown and doesn't care about distributional assumptions.

Deming regression is the parametric alternative: assumes errors in both axes are normal with a known variance ratio. Use Deming when you have prior knowledge of the relative measurement precisions; use Passing-Bablok when you don't and you want robustness.

When should I use Passing–Bablok regression?

  • Method comparison where neither X nor Y is a noise-free reference.
  • Data with potential outliers.
  • When you specifically want a non-parametric regression for an interpretable slope + intercept.

What data does it need?

Two numeric columns (Method A vs Method B).

What does it report?

Slope, intercept, bootstrap CIs for both, scatter with the fitted line and 1:1 reference.

What does it assume?

  • Independent paired observations.
  • Linear true relationship.
  • No constraint on the error distributions.

How do I interpret the result?

Slope CI containing 1.0 ⇒ no proportional bias; intercept CI containing 0 ⇒ no constant bias. Both holding ⇒ the methods agree.

Report Passing-Bablok alongside the Bland-Altman plot — they answer different questions (regression vs limits of agreement).

See also

References

  • Passing & Bablok (1983). A new biometrical procedure for testing the equality of measurements from two different analytical methods. J. Clin. Chem. Clin. Biochem. 21(11).