Prediction of five-year mortality after COPD diagnosis using primary care records

PloS One
Steven J KiddleJennifer K Quint

Abstract

Accurate prognosis information after a diagnosis of chronic obstructive pulmonary disease (COPD) would facilitate earlier and better informed decisions about the use of prevention strategies and advanced care plans. We therefore aimed to develop and validate an accurate prognosis model for incident COPD cases using only information present in general practitioner (GP) records at the point of diagnosis. Incident COPD patients between 2004-2012 over the age of 35 were studied using records from 396 general practices in England. We developed a model to predict all-cause five-year mortality at the point of COPD diagnosis, using 47,964 English patients. Our model uses age, gender, smoking status, body mass index, forced expiratory volume in 1-second (FEV1) % predicted and 16 co-morbidities (the same number as the Charlson Co-morbidity Index). The performance of our chosen model was validated in all countries of the UK (N = 48,304). Our model performed well, and performed consistently in validation data. The validation area under the curves in each country varied between 0.783-0.809 and the calibration slopes between 0.911-1.04. Our model performed better in this context than models based on the Charlson Co-morbidity Index or Cambrid...Continue Reading

References

Feb 22, 2007·Thorax·Lorcan P McGarveyUNKNOWN TORCH Clinical Endpoint Committee
May 21, 2010·Respiratory Medicine·Luis A García RodríguezSaga Johansson
Sep 22, 2010·COPD·Cristine E Berry, Robert A Wise
May 9, 2012·American Journal of Respiratory and Critical Care Medicine·Miguel DivoUNKNOWN BODE Collaborative Group
Jun 8, 2015·International Journal of Epidemiology·Emily HerrettLiam Smeeth

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R
randomForest
STATA
COTE

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