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Development of scoring system for risk stratification in clinical medicine : a step-by-step tutorial

Zhang, Zhongheng ; Zhang, Haoyang LU orcid and Khanal, Mahesh Kumar (2017) In Annals of Translational Medicine 5(21). p.1-9
Abstract

Risk scores play an important role in clinical medicine. With advances in information technology and availability of electronic healthcare record, scoring systems of less commonly seen diseases and population can be developed. The aim of the article is to provide a tutorial on how to develop and validate risk scores based on a virtual dataset by using R software. The dataset we generated including numeric and categorical variables and firstly the numeric variables would be converted to factor variables according to cutoff points identified by the LOESS smoother. Then risk points of each variable, which are related to the coefficients in logistic regression, are assigned to each level of the converted factor variables and other... (More)

Risk scores play an important role in clinical medicine. With advances in information technology and availability of electronic healthcare record, scoring systems of less commonly seen diseases and population can be developed. The aim of the article is to provide a tutorial on how to develop and validate risk scores based on a virtual dataset by using R software. The dataset we generated including numeric and categorical variables and firstly the numeric variables would be converted to factor variables according to cutoff points identified by the LOESS smoother. Then risk points of each variable, which are related to the coefficients in logistic regression, are assigned to each level of the converted factor variables and other categorical variables. Finally, the total score is calculated for each subject to represent the prediction of the outcome event probability. The original dataset is split into training and validation subsets. Discrimination and calibration are evaluated in the validation subset. R codes with explanations are presented in the main text.

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Please use this url to cite or link to this publication:
author
; and
publishing date
type
Contribution to journal
publication status
published
in
Annals of Translational Medicine
volume
5
issue
21
article number
436
pages
1 - 9
publisher
AME Publishing Company
external identifiers
  • scopus:85032798504
  • pmid:29201888
ISSN
2305-5839
DOI
10.21037/atm.2017.08.22
language
English
LU publication?
no
id
a6331510-9018-4706-89a8-2f2c310f3a8e
date added to LUP
2024-02-05 16:16:18
date last changed
2024-07-16 20:08:48
@article{a6331510-9018-4706-89a8-2f2c310f3a8e,
  abstract     = {{<p>Risk scores play an important role in clinical medicine. With advances in information technology and availability of electronic healthcare record, scoring systems of less commonly seen diseases and population can be developed. The aim of the article is to provide a tutorial on how to develop and validate risk scores based on a virtual dataset by using R software. The dataset we generated including numeric and categorical variables and firstly the numeric variables would be converted to factor variables according to cutoff points identified by the LOESS smoother. Then risk points of each variable, which are related to the coefficients in logistic regression, are assigned to each level of the converted factor variables and other categorical variables. Finally, the total score is calculated for each subject to represent the prediction of the outcome event probability. The original dataset is split into training and validation subsets. Discrimination and calibration are evaluated in the validation subset. R codes with explanations are presented in the main text.</p>}},
  author       = {{Zhang, Zhongheng and Zhang, Haoyang and Khanal, Mahesh Kumar}},
  issn         = {{2305-5839}},
  language     = {{eng}},
  number       = {{21}},
  pages        = {{1--9}},
  publisher    = {{AME Publishing Company}},
  series       = {{Annals of Translational Medicine}},
  title        = {{Development of scoring system for risk stratification in clinical medicine : a step-by-step tutorial}},
  url          = {{http://dx.doi.org/10.21037/atm.2017.08.22}},
  doi          = {{10.21037/atm.2017.08.22}},
  volume       = {{5}},
  year         = {{2017}},
}