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Assessing calibration of prognostic risk scores

Open access
Crowson, Cynthia S, Atkinson, Elizabeth J, Therneau, Terry M·2016·Statistical Methods in Medical Research

Abstract

Current methods used to assess calibration are limited, particularly in the assessment of prognostic models. Methods for testing and visualizing calibration (e.g. the Hosmer–Lemeshow test and calibration slope) have been well thought out in the binary regression setting. However, extension of these methods to Cox models is less well known and could be improved. We describe a model-based framework for the assessment of calibration in the binary setting that provides natural extensions to the survival data setting. We show that Poisson regression models can be used to easily assess calibration in prognostic models. In addition, we show that a calibration test suggested for use in survival data has poor performance. Finally, we apply these methods to the problem of external validation of a risk score developed for the general population when assessed in a special patient population (i.e. patients with particular comorbidities, such as rheumatoid arthritis).

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Metadata

Authors
Crowson, C. S., Atkinson, E. J., & Therneau, T. M.
Venue
Statistical Methods in Medical Research
Published
2016-07-11
Volume
25
Issue
4
Pages
1692-1706
ISSN
  • 0962-2802 (ISSN-L)
  • 1477-0334
OpenAlex
W2161009717
Cited by
289
References
5
FWCI
6.59
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Assessing calibration of prognostic risk scores. https://app.cochat.ai/papers/10.1177/0962280213497434
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Crowson, C. S., Atkinson, E. J., & Therneau, T. M. (2016). Assessing calibration of prognostic risk scores. Statistical Methods in Medical Research. https://doi.org/10.1177/0962280213497434

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.