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An introduction to clinical prediction models using logistic regression in acute care surgery research: Methodologic
1From the Department of Surgery (T.G.) and Department of Biostatistics and Epidemiology (T.G.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; and Department of Surgery (J.C.), Stanford University, Stanford, California.
Abstract:
Clinical prediction models can enhance timely clinical decision-making when appropriately developed and integrated within clinical workflows. A risk prediction model is typically a regression equation that uses patient risk factor data to estimate the probability of the presence of disease (diagnostic) or its future occurrence (prognostic). Risk prediction models are widely studied in the surgical literature and commonly developed using logistic regression. For a risk prediction model to be useful, it must balance statistical performance and clinical usefulness. This article provides a brief overview of the various methodologic issues to consider when developing or validating a risk prediction model and common pitfalls.
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