Statistical Methods for Cohort Studies of CKD: Prediction Modeling

Clin J Am Soc Nephrol. 2017 Jun 7;12(6):1010-1017. doi: 10.2215/CJN.06210616. Epub 2016 Sep 22.

Abstract

Prediction models are often developed in and applied to CKD populations. These models can be used to inform patients and clinicians about the potential risks of disease development or progression. With increasing availability of large datasets from CKD cohorts, there is opportunity to develop better prediction models that will lead to more informed treatment decisions. It is important that prediction modeling be done using appropriate statistical methods to achieve the highest accuracy, while avoiding overfitting and poor calibration. In this paper, we review prediction modeling methods in general from model building to assessing model performance as well as the application to new patient populations. Throughout, the methods are illustrated using data from the Chronic Renal Insufficiency Cohort Study.

Keywords: C-statistic; Calibration; Cohort Studies; Disease Progression; Humans; ROC curve; Renal Insufficiency, Chronic; Risk; Sensitivity; Specificity.

Publication types

  • Review

MeSH terms

  • Biomedical Research / statistics & numerical data*
  • Cohort Studies
  • Data Interpretation, Statistical
  • Humans
  • Models, Statistical*
  • Nephrology / statistics & numerical data*
  • Prognosis
  • Renal Insufficiency, Chronic* / diagnosis
  • Renal Insufficiency, Chronic* / epidemiology
  • Renal Insufficiency, Chronic* / therapy
  • Reproducibility of Results