作者
Lucinda Archer, Kym IE Snell, Joie Ensor, Mohammed T Hudda, Gary S Collins, Richard D Riley
发表日期
2021/1/15
期刊
Statistics in Medicine
卷号
40
期号
1
页码范围
133-146
出版商
John Wiley & Sons, Inc.
简介
Clinical prediction models provide individualized outcome predictions to inform patient counseling and clinical decision making. External validation is the process of examining a prediction model's performance in data independent to that used for model development. Current external validation studies often suffer from small sample sizes, and subsequently imprecise estimates of a model's predictive performance. To address this, we propose how to determine the minimum sample size needed for external validation of a clinical prediction model with a continuous outcome. Four criteria are proposed, that target precise estimates of (i) R2 (the proportion of variance explained), (ii) calibration‐in‐the‐large (agreement between predicted and observed outcome values on average), (iii) calibration slope (agreement between predicted and observed values across the range of predicted values), and (iv) the variance of …
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