在用于精确健康的临床风险预测模型中报告公平度指标:范围审查
Lillian Rountree1, Yi-Ting Lin1, Chuyu Liu2
1Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, United States.
Online journal of public health informatics
|February 17, 2025
概括
公平度指标很少用于临床风险预测模型,研究群体通常不多样化. 整合公平性指标可以提高健康公平性.
科学领域:
- 医疗信息学 医疗信息学
- 精确的健康 精确的健康
- 临床预测建模临床预测建模
背景情况:
- 临床风险预测模型是个性化医疗保健的关键.
- 公平度指标对于评估这些模型中的差异至关重要.
- 目前在临床预测中使用公平度指标的频率不高,缺乏经验评估.
研究的目的:
- 评估在临床风险预测模型中采用公平性指标的情况.
- 实证地评估心血管疾病和COVID-19的流行模型.
主要方法:
- 在2023年11月进行了一项覆盖范围的文献审查.
- 在谷歌学者中搜索了关于临床风险预测模型的高影响力出版物.
- 专注于心血管疾病 (CVD) 和COVID-19的模型.
主要成果:
- 没有审查的文章评估了公平度指标.
- 在26%的心血管疾病和9%的COVID-19研究中使用了性别分层模型.
- 在这两种疾病领域,研究群体在种族/种族方面基本均.
结论:
- 在临床风险预测中使用公平性指标是罕见的.
- 迫切需要更多多样化的研究队伍和数据收集.
- 提出了一个实施框架,以整合公平度指标,以实现更公平的预测.
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