Intended for healthcare professionals

Letters Pulse oximetry and race

Racial bias in pulse oximetry: more statistical detail may help tackle the problem

BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n298 (Published 02 February 2021) Cite this as: BMJ 2021;372:n298
  1. Keir E J Philip, clinical research fellow1,
  2. Robert Tidswell, clinical research fellow2,
  3. Charles McFadyen, clinical research fellow2
  1. 1National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, London SW3 6HP, UK
  2. 2Bloomsbury Institute for Intensive Care Medicine, University College London, Centre for Intensive Care Medicine, Cruciform Building, London, UK
  1. k.philip{at}imperial.ac.uk

We were glad to see a news article1 highlighting research by Sjoding and colleagues2 which identifies a racial bias in pulse oximetry, with hypoxaemia identified less frequently in black people compared with white. The research is valuable, identifying an important matter; however, further details would aid clinical application of the findings.

Useful, additional, commonly used metrics absent from the paper include bias, precision, limits of agreement, and accuracy value. A …

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