Brown School, Washington University in St Louis, St Louis, Missouri, USA
Fam Med Community Health. 2021 Dec;9(Suppl 1). doi: 10.1136/fmch-2021-001290.
Family medicine has traditionally prioritised patient care over research. However, recent recommendations to strengthen family medicine include calls to focus more on research including improving research methods used in the field. Binary logistic regression is one method frequently used in family medicine research to classify, explain or predict the values of some characteristic, behaviour or outcome. The binary logistic regression model relies on assumptions including independent observations, no perfect multicollinearity and linearity. The model produces ORs, which suggest increased, decreased or no change in odds of being in one category of the outcome with an increase in the value of the predictor. Model significance quantifies whether the model is better than the baseline value (ie, the percentage of people with the outcome) at explaining or predicting whether the observed cases in the data set have the outcome. One model fit measure is the count- [Formula: see text], which is the percentage of observations where the model correctly predicted the outcome variable value. Related to the count- [Formula: see text] are model sensitivity-the percentage of those with the outcome who were correctly predicted to have the outcome-and specificity-the percentage of those without the outcome who were correctly predicted to not have the outcome. Complete model reporting for binary logistic regression includes descriptive statistics, a statement on whether assumptions were checked and met, ORs and CIs for each predictor, overall model significance and overall model fit.
家庭医学传统上优先重视患者护理而不是研究。然而,最近加强家庭医学的建议包括呼吁更加关注研究,包括改进该领域使用的研究方法。二项逻辑回归是家庭医学研究中常用的一种方法,用于对某些特征、行为或结果的数值进行分类、解释或预测。二项逻辑回归模型依赖于一些假设,包括独立观测、无完全多重共线性和线性。该模型产生比值比(OR),表明在预测变量值增加的情况下,处于结果某一类别的可能性增加、减少或不变。模型的显著性量化了模型在解释或预测数据集中观察到的病例是否具有结果方面是否优于基线值(即具有结果的人的百分比)。一个模型拟合度量是计数准确率[公式:见正文],即模型正确预测结果变量值的观测值的百分比。与计数准确率相关的是模型灵敏度——即预测具有结果的人中有多少比例正确预测为具有结果,以及特异性——即预测没有结果的人中有多少比例正确预测为没有结果。二项逻辑回归的完整模型报告包括描述性统计、是否检查和满足假设的声明、每个预测因子的 OR 和 CI、整体模型显著性和整体模型拟合度。
Fam Med Community Health. 2021-12
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