Evidence map›Paper›PMID 29156498›Full record

ArticleStatistics in medicine2017

First things first: risk model performance metrics should reflect the clinical application.

Kathleen F Kerr, Holly Janes

Abstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Kathleen F KerrDepartment of Biostatistics, University of Washington, Box 357232, Seattle, WA, 98115, U.S.A.ORCID http://orcid.org/0000-0002-6438-9583
Holly JanesFred Hutchinson Cancer Research Center, Vaccine and Infectious Disease and Public Health Sciences Divisions, 1100 Fairview Ave N M2 C200, Seattle, WA, 98109, U.S.A.

Funding

Novel Biomarkers in Cardiac Surgery to Detect Acute Kidney InjuryR01HL085757 · NHLBI · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2007 to 2019
$10.3M
Statistical Methods for Evaluating Markers for Treatment SelectionR01CA152089 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JANES, HOLLY · 2010 to 2021
$3.8M
NCI NIH HHS R01 CA152089NHLBI NIH HHS R01 HL085757
6 · The paper itself

Abstract

Developing new measures of risk model performance is an active line of research, often motivated by the conventional wisdom that area under the ROC curve is an 'insensitive' measure of the additional predictive capacity offered by new biomarkers. Without endorsing area under the ROC curve, we argue that this charge is not substantiated. Three articles in this issue discuss alternative metrics of risk model performance: NRI(p) (two-category net reclassification index at the event rate), integrated discrimination index, and R-squared statistics. Guided by the principle that performance metrics should match the intended use of a risk prediction model, we argue that routine use of these indices is not justified. Instead, we recommend decision-theoretic measures to evaluate risk prediction models for applications in which clinically relevant risk thresholds have been established for classifying individuals. In the absence of established risk thresholds, additional research is needed to develop suitable metrics. Copyright © 2017 John Wiley & Sons, Ltd.

Indexed as

Area Under CurveBiometryDecision TheoryHumansRisk AssessmentROC Curvebiomarkersincremental valuenet benefitrelative utilityrisk prediction

Identifiers

PMID29156498
PMCPMC5726302

What OpenQuestion holds

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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.