Zhang Zhongheng, Cortese Giuliana, Combescure Christophe, Marshall Roger, Lee Minjung, Lim Hyun Ja, Haller Bernhard
Department of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Department of Statistical Sciences, University of Padua, Padua, Italy.
Ann Transl Med. 2018 Aug;6(16):325. doi: 10.21037/atm.2018.07.38.
The article introduces how to validate regression models in the analysis of competing risks. The prediction accuracy of competing risks regression models can be assessed by discrimination and calibration. The area under receiver operating characteristic curve (AUC) or Concordance-index, and calibration plots have been widely used as measures of discrimination and calibration, respectively. One-time splitting method can be used for randomly splitting original data into training and test datasets. However, this method reduces sample sizes of both training and testing datasets, and the results can be different by different splitting processes. Thus, the cross-validation method is more appealing. For time-to-event data, model validation is performed at each analysis time point. In this article, we review how to perform model validation using the package in R, along with plotting a nomogram for competing risks regression models using the package.
本文介绍了在竞争风险分析中如何验证回归模型。竞争风险回归模型的预测准确性可通过区分度和校准来评估。受试者操作特征曲线下面积(AUC)或一致性指数,以及校准图分别被广泛用作区分度和校准的度量指标。一次性分割法可用于将原始数据随机分割为训练数据集和测试数据集。然而,这种方法会减小训练和测试数据集的样本量,并且不同的分割过程可能会得到不同的结果。因此,交叉验证方法更具吸引力。对于事件发生时间数据,在每个分析时间点进行模型验证。在本文中,我们回顾了如何使用R中的 包进行模型验证,以及如何使用 包绘制竞争风险回归模型的列线图。