通过预测模型进行肺癌风险评估:全球视角
Longyao Zhang1, Xiang Wang2, Qiuyuan Chen2
1Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Thorax
|May 27, 2025
概括
肺癌风险模型在不同人群中显示出不同的表现. 在新地区实施这些模型之前,外部验证和重新校准至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 在全球范围内,有许多肺癌风险预测模型存在.
- 需要对模型性能进行全面的概述和比较分析.
研究的目的:
- 识别和比较肺癌风险预测模型的外部性能.
- 评估区分精度 (C指数) 和校准 (E:O比率).
主要方法:
- 对模型开发和验证研究进行了广泛的文献搜索.
- 总结并比较外部绩效指标 (C指数,E:O比率).
主要成果:
- 在21个模型上确定了35项研究,使用了各种预测因素.
- 在北美,欧洲和亚洲队伍的外部验证中,表现有显著差异.
- 一些模型 (例如,HUNT,CanPredict) 在欧洲显示出高准确度,而其他模型 (例如,Bach,LCRAT) 在特定数据库中表现不佳.
结论:
- 尽管开发和验证,肺癌风险模型的性能因人群而异.
- 在模型开发方面存在显著的区域差异.
- 在实施之前,在目标人群中进行外部验证或重新校准至关重要.
关键词:
肺癌 肺癌 是 一种 肺癌.更多相关视频
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