Survival Analysis with Electronic Health Record Data: Experiments with Chronic Kidney Disease.

IF 2.1 4区 数学 Q3 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE
Statistical Analysis and Data Mining Pub Date : 2014-10-01 Epub Date: 2014-08-19 DOI:10.1002/sam.11236
Yolanda Hagar, David Albers, Rimma Pivovarov, Herbert Chase, Vanja Dukic, Noémie Elhadad
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引用次数: 0

Abstract

This paper presents a detailed survival analysis for chronic kidney disease (CKD). The analysis is based on the EHR data comprising almost two decades of clinical observations collected at New York-Presbyterian, a large hospital in New York City with one of the oldest electronic health records in the United States. Our survival analysis approach centers around Bayesian multiresolution hazard modeling, with an objective to capture the changing hazard of CKD over time, adjusted for patient clinical covariates and kidney-related laboratory tests. Special attention is paid to statistical issues common to all EHR data, such as cohort definition, missing data and censoring, variable selection, and potential for joint survival and longitudinal modeling, all of which are discussed alone and within the EHR CKD context.

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用电子健康记录数据进行生存分析:慢性肾脏疾病的实验。
本文介绍了慢性肾脏疾病(CKD)的详细生存分析。该分析基于电子病历数据,这些数据包括纽约长老会医院近20年的临床观察,纽约长老会医院是纽约市一家拥有美国最古老电子健康记录之一的大型医院。我们的生存分析方法以贝叶斯多分辨率风险模型为中心,目的是捕捉CKD随时间变化的风险,并根据患者临床协变量和肾脏相关实验室检查进行调整。特别关注所有电子病历数据中常见的统计问题,如队列定义、缺失数据和审查、变量选择、联合生存和纵向建模的可能性,所有这些都在电子病历CKD背景下单独讨论。
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来源期刊
Statistical Analysis and Data Mining
Statistical Analysis and Data Mining COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCEC-COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
CiteScore
3.20
自引率
7.70%
发文量
43
期刊介绍: Statistical Analysis and Data Mining addresses the broad area of data analysis, including statistical approaches, machine learning, data mining, and applications. Topics include statistical and computational approaches for analyzing massive and complex datasets, novel statistical and/or machine learning methods and theory, and state-of-the-art applications with high impact. Of special interest are articles that describe innovative analytical techniques, and discuss their application to real problems, in such a way that they are accessible and beneficial to domain experts across science, engineering, and commerce. The focus of the journal is on papers which satisfy one or more of the following criteria: Solve data analysis problems associated with massive, complex datasets Develop innovative statistical approaches, machine learning algorithms, or methods integrating ideas across disciplines, e.g., statistics, computer science, electrical engineering, operation research. Formulate and solve high-impact real-world problems which challenge existing paradigms via new statistical and/or computational models Provide survey to prominent research topics.
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