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用模型拟合恢复曲线,并将其应用于前列腺切除术。

Modeling recovery curves with application to prostatectomy.

机构信息

Department of EECS, Massachusetts Institute of Technology, 77 Massachusetts Ave, Cambridge, MA, USA.

Department of Computer Science, Duke University, LSRC D342, Research Drive, Durham, NC, USA.

出版信息

Biostatistics. 2019 Oct 1;20(4):549-564. doi: 10.1093/biostatistics/kxy002.

Abstract

In many clinical settings, a patient outcome takes the form of a scalar time series with a recovery curve shape, which is characterized by a sharp drop due to a disruptive event (e.g., surgery) and subsequent monotonic smooth rise towards an asymptotic level not exceeding the pre-event value. We propose a Bayesian model that predicts recovery curves based on information available before the disruptive event. A recovery curve of interest is the quantified sexual function of prostate cancer patients after prostatectomy surgery. We illustrate the utility of our model as a pre-treatment medical decision aid, producing personalized predictions that are both interpretable and accurate. We uncover covariate relationships that agree with and supplement that in existing medical literature.

摘要

在许多临床环境中,患者的结果表现为具有恢复曲线形状的标量时间序列,其特征是由于干扰事件(例如手术)而急剧下降,随后单调平滑上升至不超过术前水平的渐近水平。我们提出了一种基于干扰事件发生前可用信息预测恢复曲线的贝叶斯模型。感兴趣的恢复曲线是前列腺癌患者前列腺切除术后量化的性功能。我们说明了我们的模型作为治疗前医疗决策辅助工具的效用,生成了既具有可解释性又准确的个性化预测。我们揭示了与现有医学文献一致并补充的协变量关系。

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