[在临床预测模型中调整时间依赖共变量的方法和进展]
1Key Laboratory of Epidemiology of Major Diseases, Ministry of Education/Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
|September 4, 2023
概括
在预测模型中处理时间依赖的共变量对于临床应用至关重要. 本综述探讨机器学习,如神经网络,作为一种强大的替代传统方法,以提高模型性能.
科学领域:
- 生物统计学 生物统计学
- 机器学习 机器学习
- 预测建模预测建模
背景情况:
- 传统的回归模型 (里程碑,联合模型) 在处理时间依赖的共变量方面存在局限性.
- 这些局限性限制了现有方法可解决的预测因素和实际场景的数量.
- 需要改进的方法来提高预测模型的性能和临床效用.
研究的目的:
- 审查将时间依赖共变量纳入预测模型的方法.
- 为了比较各种方法的优势和局限性,包括传统和机器学习方法.
- 为开发使用时间依赖共变量的先进预测模型提供见解.
主要方法:
- 对预测模型中处理时间依赖共变量的现有文献的审查.
- 探索传统的回归策略 (里程碑,联合模型).
- 为此目的,研究机器学习技术,特别是神经网络.
主要成果:
- 传统方法在管理时间依赖的共变量方面提供了有限的灵活性.
- 机器学习,特别是神经网络,是一个有前途的战略,具有更广泛的适用性.
- 审查详细介绍了不同方法的适用场景,优势和局限性.
结论:
- 机器学习提供了一种更具适应性和强大的方法,用于处理预测模型中的时间依赖共变量.
- 这可以提高模型性能和扩大临床应用.
- 鼓励进一步的方法开发,以最好地利用时间依赖的协变量.
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