Abstract:
BACKGROUND:The likelihood ratio function (LR), the ratio of conditional probabilities of obtaining a specific marker value among those with the event of interest over those without, provides an easily interpretable way to quantify the update of the risk prediction due to the knowledge of the marker value. The LR has been explored for both binary and continuous markers for binary events (e.g., diseased or not), however the use of the LR in censored data has not been fully explored. METHODS:We extend the concept of LR to a time-dependent LR (TD-LR) for survival outcomes that are subject to censoring. Estimation for the TD-LR is done using Kaplan-Meier estimation and a univariate Cox proportional hazards (PH) model. A "scale invariant" approach based on marker quantiles is provided to allow comparison of predictive values between markers with different scales. Relationships to time-dependent receiver-operator characteristic (ROC) curves, area under the curve (AUC), and optimal cut-off values are considered. RESULTS:The proposed methods were applied to data from a bladder cancer clinical trial to determine whether the neutrophil-to-lymphocyte ratio (NLR) is a valuable biomarker for predicting overall survival following surgery or combined chemotherapy and surgery. The TD-LR method yielded results consistent with the original findings while providing an easily interpretable three-dimensional surface display of how NLR related to the likelihood of event in the trial data. CONCLUSIONS:The TD-LR provides a more nuanced understanding of the relationship between continuous markers and the likelihood of events in censored survival data. This method also allows more straightforward communication with a clinical audience through graphical presentation.
journal_name
BMC Med Res Methodoljournal_title
BMC medical research methodologyauthors
Smith AM,Christodouleas JP,Hwang WTdoi
10.1186/s12874-019-0721-0subject
Has Abstractpub_date
2019-05-22 00:00:00pages
108issue
1issn
1471-2288pii
10.1186/s12874-019-0721-0journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Cancer relapses may be useful to predict the risk of death. To take into account relapse information, the Landmark approach is popular. As an alternative, we propose the joint frailty model for a recurrent event and a terminal event to derive dynamic predictions of the risk of death. METHODS:The proposed pr...
journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/s12874-015-0018-x
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Recruitment to clinical trials can be challenging. Methods that improve the efficiency of trial recruitment are needed to increase successful study completions. The aim of this study was to ascertain whether sending an audio-visual presentation on a digital versatile disc (DVD), along with usual study invita...
journal_title:BMC medical research methodology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2019-01-30 00:00:00
abstract:BACKGROUND:It has been demonstrated that the enclosure of money with a mailed questionnaire increases the response rate significantly. We evaluated scratch lottery tickets as an alternative to cash. METHODS:1500 randomly selected Norwegians between the ages of 40 and 65 years were sent a short questionnaire. 250 recei...
journal_title:BMC medical research methodology
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2288-6-19
更新日期:2006-04-28 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/s12874-019-0831-8
更新日期:2019-10-26 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/s12874-018-0470-5
更新日期:2018-01-25 00:00:00
abstract::The quality of a consultation provided by a physician can have a profound impact on the quality of care and patient engagement in treatment decisions. When the COPD Assessment Test (CAT) was developed, one of its aims was to aid the communication between physician and patient about the impact of COPD. We developed a n...
journal_title:BMC medical research methodology
pub_type: 信件
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更新日期:2013-05-10 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-6-27
更新日期:2006-06-13 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-13-13
更新日期:2013-02-06 00:00:00
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pub_type: 杂志文章
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journal_title:BMC medical research methodology
pub_type: 杂志文章,多中心研究
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-12-160
更新日期:2012-10-22 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
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更新日期:2009-11-09 00:00:00
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pub_type: 杂志文章
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更新日期:2013-12-05 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章,评审
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更新日期:2016-08-17 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1186/s12874-016-0275-3
更新日期:2017-01-10 00:00:00
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pub_type: 杂志文章
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更新日期:2018-10-04 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-12-90
更新日期:2012-07-02 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-4-6
更新日期:2004-03-25 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章,多中心研究
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更新日期:2018-12-22 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:BMC medical research methodology
pub_type: 杂志文章
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更新日期:2017-01-09 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/s12874-020-01041-8
更新日期:2020-06-17 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-11-65
更新日期:2011-05-11 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
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更新日期:2013-03-06 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
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更新日期:2020-02-05 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
doi:10.1186/1471-2288-14-46
更新日期:2014-04-03 00:00:00
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journal_title:BMC medical research methodology
pub_type: 杂志文章
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更新日期:2016-03-16 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2288-5-4
更新日期:2005-01-17 00:00:00