What do we mean by validating a prognostic model?

Prognostic models are used in medicine for investigating patient outcome in relation to patient and disease characteristics. Such models do not always work well in practice, so it is widely recommended that they need to be validated. The idea of validating a prognostic model is generally taken to me...

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Main Authors: Altman, D, Royston, P
Format: Journal article
Language:English
Published: 2000
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author Altman, D
Royston, P
author_facet Altman, D
Royston, P
author_sort Altman, D
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description Prognostic models are used in medicine for investigating patient outcome in relation to patient and disease characteristics. Such models do not always work well in practice, so it is widely recommended that they need to be validated. The idea of validating a prognostic model is generally taken to mean establishing that it works satisfactorily for patients other than those from whose data it was derived. In this paper we examine what is meant by validation and review why it is necessary. We consider how to validate a model and suggest that it is desirable to consider two rather different aspects - statistical and clinical validity - and examine some general approaches to validation. We illustrate the issues using several case studies.
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spelling oxford-uuid:a4f2bdcc-290e-4468-a1de-e77cf2ed73f22022-03-27T02:37:07ZWhat do we mean by validating a prognostic model?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a4f2bdcc-290e-4468-a1de-e77cf2ed73f2EnglishSymplectic Elements at Oxford2000Altman, DRoyston, PPrognostic models are used in medicine for investigating patient outcome in relation to patient and disease characteristics. Such models do not always work well in practice, so it is widely recommended that they need to be validated. The idea of validating a prognostic model is generally taken to mean establishing that it works satisfactorily for patients other than those from whose data it was derived. In this paper we examine what is meant by validation and review why it is necessary. We consider how to validate a model and suggest that it is desirable to consider two rather different aspects - statistical and clinical validity - and examine some general approaches to validation. We illustrate the issues using several case studies.
spellingShingle Altman, D
Royston, P
What do we mean by validating a prognostic model?
title What do we mean by validating a prognostic model?
title_full What do we mean by validating a prognostic model?
title_fullStr What do we mean by validating a prognostic model?
title_full_unstemmed What do we mean by validating a prognostic model?
title_short What do we mean by validating a prognostic model?
title_sort what do we mean by validating a prognostic model
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