老年血液肿瘤患者衰弱风险预测模型的构建与验证:一项横断面研究。

IF 1.8 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Jinying Zhao, Yating Liu, Zhongfan Kan, Qianqian Zhang, Zenghui Sha, Zhiwei Xu, Rui Ma, Yandi Wang, Rui Hao, Wenxuan Wang, Lanna Song, Wenjun Xie
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引用次数: 0

摘要

随着老年人群恶性血液肿瘤发病率的增加,衰弱问题逐渐成为患者面临的重要挑战。目的建立预测模型,绘制拟合图,并对模型进行内部验证。方法选取505例老年血液肿瘤患者作为研究对象。该调查使用了一般信息问卷、中国版老年调查问卷等研究工具进行。通过单因素和多因素Logistic回归分析,建立风险预测模型,并绘制折线图将模型可视化。采用bootstrap自举采样、校准曲线、接收机工作特性曲线及曲线下面积、决策曲线分析对模型进行内部验证。结果建立模型并重新采样后,校正曲线与理想曲线吻合较好,决策分析曲线在0.0 ~ 1.0阈值范围内具有较好的校正性、鉴别性和临床效益。结论本研究构建的预测模型具有较好的预测效果,可帮助临床医务人员早期识别老年血液病肿瘤患者的衰弱风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Construction and validation of a frailty risk prediction model for geriatric hematologic neoplasms patients: A cross-sectional study.

BackgroundWith the increasing incidence of malignant hematological neoplasms in the elderly population, debilitating issues have gradually become an important challenge for patients.ObjectivesTo construct a prediction model, draw a nomogram, and perform internal validation of the model.Methods505 elderly patients with hematological neoplasms were included in the study. The survey was conducted using research tools such as a general information questionnaire, the Chinese version of the Geriatric 8. A risk prediction model was established and a line chart was drawn to visualize the model after univariate and multivariate Logistic regression analysis. Internal validation of the model was performed using Boot strap bootstrap sampling, calibration curve, receiver operating characteristic curve and area under curve, decision curve analysis to internally validate the model.ResultsAfter constructing the model and resampling, it was shown that the calibration curve matched the ideal curve well, and the decision analysis curve showed good calibration, discrimination, and clinical benefit within the 0.0-1.0 threshold range.ConclusionThe prediction model constructed in this study has good predictive effects and can help clinical medical staff to identify the risk of frailty in geriatric hematologic neoplasms patients at an early stage.

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来源期刊
Technology and Health Care
Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL
CiteScore
2.10
自引率
6.20%
发文量
282
审稿时长
>12 weeks
期刊介绍: Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).
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