利用局部估计的分散图平滑 (LOESS) 回归来估计乳腺癌患者的纵向队列中缺失的体重
Alexa Zimbalist1, Kelly H Radimer1, Isaac J Ergas1
1Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Drive, Pleasanton, CA 94588, United States.
Annals of epidemiology
|March 6, 2025
概括
局部估计的散射图平滑 (LOESS) 回归有效地归因于乳腺癌患者缺少的体重数据. 这种以数据为导向的方法为纵向电子健康记录研究的传统方法提供了有价值的替代方案.
科学领域:
- 生物统计学 生物统计学
- 流行病学 流行病学
- 医疗信息学 医疗信息学
背景情况:
- 传统的缺失数据方法依赖于关于数据模式的假设.
- 缺少的体重数据是纵向研究中常见的挑战.
- 局部估计的分散图平滑 (LOESS) 回归提供了一个数据驱动的方法.
研究的目的:
- 评估LOESS回归,以尽量减少乳腺癌患者队列中缺少的体重数据.
- 为了将LOESS计算的权重与最接近可用的方法的权重进行比较.
主要方法:
- 从10,778名乳腺癌患者的电子健康记录中提取了门诊患者的体重.
- 应用LOESS回归来估计基线和6个随访时间点的重量.
- 将LOESS计算的权重与最接近的可用计算方法进行比较.
主要成果:
- 与最接近的可用方法相比,LOESS模型在早期时间点发现的权重较少,但在随后的随访时显著增加.
- 通过这两种方法确定的重量中,超过80%的重量在所有时间点之间差异为2.50公斤或更少.
- LOESS回归证明了有效利用可用的纵向数据.
结论:
- 洛斯回归是一种有益的工具,可以最大限度地减少电子健康记录研究中的缺失纵向数据.
- 这种方法有效地利用现有数据,没有强有力的假设.
- 洛斯回归显示了未来研究患者体重监测的前景.
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