Evidence map›Paper›PMID 28464332›Full record

ArticleStatistics in medicine2017

A comparison of risk prediction methods using repeated observations: an application to electronic health records for hemodialysis.

Benjamin A Goldstein, Gina Maria Pomann, Wolfgang C Winkelmayer, Michael J Pencina

Abstract readComparative Study
In one paragraph

Article in Statistics in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
–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

28 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  11. Designing an Implementable Clinical Prediction Model for Near-Term Mortality and Long-Term Survival in Patients on Maintenance Hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
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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

4 authors.

Benjamin A GoldsteinBiostatistics and Bioinformatics, Duke University, 2424 Erwin Road, Durham, 27705, NC, U.S.A.ORCID http://orcid.org/0000-0001-5261-3632
Gina Maria PomannBiostatistics and Bioinformatics, Duke University, 2424 Erwin Road, Durham, 27705, NC, U.S.A.
Wolfgang C WinkelmayerDivision of Nephrology, Baylor College of Medicine, Houston, TX, U.S.A.
Michael J PencinaBiostatistics and Bioinformatics, Duke University, 2424 Erwin Road, Durham, 27705, NC, U.S.A.

Funding

The Atrial Fibrillation - Factor Identification to Risk Modification Study in HDR01DK095024 · NIDDK · STANFORD UNIVERSITY · PI WINKELMAYER, WOLFGANG CHRISTOPH · 2012 to 2023
$4.3M
Understanding and predicting cardiac events in HD using real-time EHRsK25DK097279 · NIDDK · STANFORD UNIVERSITY · PI GOLDSTEIN, BENJAMIN ALAN · 2013 to 2017
$797k
NIDDK NIH HHS K25 DK097279NIDDK NIH HHS R01 DK095024
6 · The paper itself

Abstract

An increasingly important data source for the development of clinical risk prediction models is electronic health records (EHRs). One of their key advantages is that they contain data on many individuals collected over time. This allows one to incorporate more clinical information into a risk model. However, traditional methods for developing risk models are not well suited to these irregularly collected clinical covariates. In this paper, we compare a range of approaches for using longitudinal predictors in a clinical risk model. Using data from an EHR for patients undergoing hemodialysis, we incorporate five different clinical predictors into a risk model for patient mortality. We consider different approaches for treating the repeated measurements including use of summary statistics, machine learning methods, functional data analysis, and joint models. We follow up our empirical findings with a simulation study. Overall, our results suggest that simple approaches perform just as well, if not better, than more complex analytic approaches. These results have important implication for development of risk prediction models with EHRs. Copyright © 2017 John Wiley & Sons, Ltd.

Indexed as

AlgorithmsBiometryComputer SimulationElectronic Health RecordsHumansMonte Carlo MethodRenal DialysisRisk AssessmentSurvival Analysisclinical risk predictionelectronic health recordsend-stage renal diseasefunctional data analysishemodialysisjoint modelslongitudinal data

Identifiers

PMID28464332
PMCPMC5494276

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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.