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R: net reclassification index after Cox survival analysis

1 message · Prof. Mario Petretta

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Many thanks to Prof. Frank Harrell for the comments and for the relevant
considerations.

In the meantime, I find an R code to estimate the net reclassification
improvement (NRI) in the context of censored survival outcomes published
by Benjamin French, Paramita Saha-Chaudhuri, Bonnie Ky, Thomas P Cappola
and Patrick J Heagerty. The link is:
https://dbe.med.upenn.edu/biostat-research/sites/files/facultyfiles/french_supplement.pdf

However, whit this code the confidence interval of NRI is not calculated
(I think there is the need for bootstrapping data)and also IDI is not
calculated.

In my opinion, a standardization (or a consensus statement or a position
paper)for this technique seems highly desirable as the NRI is currently
used in an increasing number of medical research paper dealing with
time-to-event data and censored observation.

Sincerely

Mario Petretta
Dpt Internal Medicine, Cardiology and Heart Surgery
University of Naples Federico II - Italy

_______________________________

Date: Thu, 8 Nov 2012 06:59:49 -0800 (PST)
From: Frank Harrell <f.harrell at vanderbilt.edu>
To: r-help at r-project.org
Subject: Re: [R] R: net reclassification index after Cox survival
        analysis
Message-ID: <1352386789294-4648895.post at n4.nabble.com>
Content-Type: text/plain; charset=UTF-8

And just to add a thought: Any method that requires binning of continuous
variables is suspect unless you get unanimous agreement on the category
boundaries across all subjects.  And even then continuous measures have
many advantages.
Frank

petretta wrote

            

            

            
-----
Frank Harrell
Department of Biostatistics, Vanderbilt University
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