Evidence map›Paper›PMID 27227988›Full record

ArticlePloS one2016

Validation and Recalibration of Two Multivariable Prognostic Models for Survival and Independence in Acute Stroke.

Julius Sim, Lucy Teece, Martin S Dennis, Christine Roffe, SOࠢS Study Team

Abstract readValidation Study
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Julius SimInstitute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom.ORCID 0000-0002-1816-1676
Lucy TeeceInstitute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom.
Martin S DennisCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Christine RoffeStroke Research in Stoke, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom.
SOࠢS Study Team

Funding

Department of Health 09/104/21
6 · The paper itself

Abstract

introductionVarious prognostic models have been developed for acute stroke, including one based on age and five binary variables ('six simple variables' model; SSVMod) and one based on age plus scores on the National Institutes of Health Stroke Scale (NIHSSMod). The aims of this study were to externally validate and recalibrate these models, and to compare their predictive ability in relation to both survival and independence.

methodsData from a large clinical trial of oxygen therapy (n = 8003) were used to determine the discrimination and calibration of the models, using C-statistics, calibration plots, and Hosmer-Lemeshow statistics. Methods of recalibration in the large and logistic recalibration were used to update the models.

resultsFor discrimination, both models functioned better for survival (C-statistics between .802 and .837) than for independence (C-statistics between .725 and .735). Both models showed slight shortcomings with regard to calibration, over-predicting survival and under-predicting independence; the NIHSSMod performed slightly better than the SSVMod. For the most part, there were only minor differences between ischaemic and haemorrhagic strokes. Logistic recalibration successfully updated the models for a clinical trial population.

conclusionsBoth prognostic models performed well overall in a clinical trial population. The choice between them is probably better based on clinical and practical considerations than on statistical considerations.

Indexed as

CalibrationCohort StudiesFemaleHumansLinear ModelsMaleMultivariate AnalysisOxygenPredictive Value of TestsPrognosisProportional Hazards ModelsRisk AssessmentROC CurveSeverity of Illness IndexStrokeTreatment OutcomeOxygen

Identifiers

PMID27227988
PMCPMC4881958

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.