Methods for updating a risk prediction model for cardiac surgery: a statistical primer.

Abstract:

:Risk prediction models in cardiac surgery tend to lose their predictive performance over time. This statistical primer aims to provide an overview of updating methods with their strengths and weaknesses. This is important, as model updating may be an efficient and good alternative to the de novo development of risk models. The discussed methods are intercept recalibration, logistic recalibration, model revision, closed test procedure and Bayesian modelling. It is recommended to report an updated model according to the transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD) statement and to include calibration and discrimination plots of the original and updated models to assess the model performance. An example is provided for updating the EuroSCORE II model in a national cohort from the Netherlands. Logistic recalibration results in a significant improvement of model performance, without the risk of overfitting. The example illustrates that more data allow for more extensive updating methods.

authors

Siregar S,Nieboer D,Versteegh MIM,Steyerberg EW,Takkenberg JJM

doi

10.1093/icvts/ivy338

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

333-338

issue

3

eissn

1569-9293

issn

1569-9285

pii

5273299

journal_volume

28

pub_type

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