Evidence map›Paper›PMID 40597176›Full record

ArticleBMC medical informatics and decision making2025

A dynamic prediction model for predicting the time at which patients with MCI progress to AD based on time-dependent covariates.

Yanjie Wang, Yu Song, Chengfeng Zhang, Jiaqiao Ren, Pansheng Xue, Yawen Hou, Zheng Chen

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Article in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Yanjie WangDepartment of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, Guangzhou, China.
Yu SongDepartment of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, Guangzhou, China.
Chengfeng ZhangDepartment of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, Guangzhou, China.
Jiaqiao RenDepartment of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, Guangzhou, China.
Pansheng XueDepartment of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, Guangzhou, China.
Yawen HouDepartment of Statistics and Data Science, School of Economics, Jinan University, Guangzhou, China.
Zheng ChenDepartment of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, Guangzhou, China. zheng-chen@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlzheimer's Disease (AD) is an irreversible neurodegenerative disorder that imposes a significant burden on families and society. Timely intervention during the transitional stages from Mild Cognitive Impairment (MCI) to AD can help mitigate this issue. The MCI-to-AD conversion time would be helpful if it could be predicted. Most studies rely on Cox models, which possess certain limitations and do not intuitively forecast the duration until patients with MCI progress to AD. Thus we construct a new dynamic prediction model based on the conditional restricted mean survival time (cRMST) from a time-scale perspective to explore the factors influencing progression to AD in patients with MCI and predict the average time required MCI patients to progress to AD at different time points in the future.

methodsWe construct a new two-stage dynamic prediction model (tRMST model) based on the conditional restricted mean survival time (cRMST) in combination with landmark method to apply in the analysis of the ADNI database.

resultsThe results of the ADNI analysis showed that four variables (Education, MMSE, ADAS-Cog13 and P-tau) have dynamic effects over time. The C-index and the mean prediction error of the cross validation are better than the static RMST model.

conclusionThis study presents a time-scale dynamic prediction model that effectively leverages longitudinal data to identify the dynamic effects of the factors' impact on the outcome over time, thereby assisting physicians in personalizing treatment for patients.

Indexed as

Alzheimer DiseaseCognitive DysfunctionDisease ProgressionModels, StatisticalAgedAged, 80 and overFemaleHumansMaleTime FactorsADADNIConditional restricted mean survival timeDynamic predictionMCITime-dependent covariate

Identifiers

PMID40597176
PMCPMC12220000

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