在赤道周围与Clin-STAR:预测建模在研究衰老的机遇和挑战
W James Deardorff1,2, L Grisell Diaz-Ramirez1,2, W John Boscardin1,2,3
1Division of Geriatrics, University of California, San Francisco, San Francisco, California, USA.
Journal of the American Geriatrics Society
|November 30, 2023
概括
本综述解决了为老年人开发预测模型的挑战,并提供了指导,以提高老龄化研究的透明度和临床实用性. 它引入了"TRIPOD-65",以加强报告,以获得更好的患者护理.
科学领域:
- 老年学是一门学科.
- 生物统计学 生物统计学
- 流行病学 流行病学
背景情况:
- 个人预后或诊断 (TRIPOD) 陈述的多变量预测模型的透明报告旨在提高预测建模中的报告透明度.
- 衰老研究通常涉及复杂的患者群体和特定的方法考虑.
研究的目的:
- 识别和解决在设计和报告老年人的预测模型的方法挑战.
- 为使用TRIPOD框架为专注于衰老的研究人员提供实际指导.
主要方法:
- 对TRIPOD声明的审查及其适用于老年人的预测模型.
- 确定与老年人队伍,预测因素,缺少数据和子组分析相关的具体挑战.
- 制定一个定制的指导框架,称为"TRIPOD-65".
主要成果:
- 关键的挑战包括确保队列代表性 (例如,包括脆弱或认知障碍的个体).
- 整合老年特异性预测因素 (例如,脆弱性,并发症) 需要谨慎的策略.
- 处理缺少数据,竞争风险以及评估各子组 (年龄,性别,种族) 的绩效异质性至关重要.
结论:
- 专注于衰老的研究人员在预测建模中面临着独特的方法障碍.
- "TRIPOD-65"提供了一种结构化的方法,以改善老年人预测模型的开发,验证和报告.
- 遵守强化报告准则可以导致更可靠的模型和改善老年病患者的护理.
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