Table 3. CDPoRT Predictive Performance for the Full, Simple, and Parsimonious Versions for Women and Men, by Development and Validation Settingsa.
CDPoRT version | Measures of predictive performance | Development (70%) | Bootstrap validation (development)b | Split sample validation (30%) | Ontario final model | Bootstrap validation (Ontario final model)b | Manitoba external validation | Sensitivity analysis | |
---|---|---|---|---|---|---|---|---|---|
No chronic disease history | Additional chronic diseases | ||||||||
Full version for women, df = 30 | Nagelkerke R2 | 0.160 | 0.159 | NA | 0.160 | 0.159 | NA | NA | NA |
Brier score | 0.087 | NA | 0.119 | 0.087 | NA | 0.128 | 0.090 | 0.322 | |
Harrell C index | 0.779 | 0.778 | 0.777 | 0.767 | 0.779 | 0.752 | 0.774 | 0.596 | |
Discrimination slope | 0.109 | NA | 0.096 | 0.089 | NA | 0.103 | 0.105 | 0.035 | |
Calibration in the large | 0 | 0.021 | −0.006 | 0 | 0.013 | 0.032 | −0.018 | 0.284 | |
Calibration slope | 1 | 0.994 | 0.994 | 1 | 0.996 | 0.893 | 0.952 | 0.317 | |
Simple version for women, df = 14 | Nagelkerke R2 | 0.144 | 0.143 | NA | 0.143 | 0.143 | NA | NA | NA |
Brier score | 0.088 | NA | 0.122 | 0.089 | NA | 0.13 | 0.092 | 0.319 | |
Harrell C index | 0.767 | 0.767 | 0.766 | 0.767 | 0.766 | 0.739 | 0.764 | 0.590 | |
Discrimination slope | 0.092 | NA | 0.080 | 0.089 | NA | 0.081 | 0.087 | 0.033 | |
Calibration in the large | 0 | 0.010 | −0.005 | 0 | 0.007 | 0.033 | −0.016 | 0.280 | |
Calibration slope | 1 | 0.997 | 1.010 | 1 | 0.998 | 0.894 | 0.972 | 0.293 | |
Parsimonious version for women, df = 24 | Nagelkerke R2 | 0.160 | 0.158 | NA | 0.159 | 0.158 | NA | NA | NA |
Brier score | 0.087 | NA | 0.119 | 0.088 | NA | 0.128 | 0.090 | 0.322 | |
Harrell C index | 0.779 | 0.778 | 0.776 | 0.779 | 0.778 | 0.752 | 0.774 | 0.596 | |
Discrimination slope | 0.109 | NA | 0.095 | 0.104 | NA | 0.102 | 0.104 | 0.035 | |
Calibration in the large | 0 | 0.017 | −0.005 | 0 | 0.012 | 0.03 | −0.018 | 0.284 | |
Calibration slope | 1 | 0.995 | 0.994 | 1 | 0.997 | 0.885 | 0.951 | 0.316 | |
Full version for men df = 30 | Nagelkerke R2 | 0.178 | 0.176 | NA | 0.169 | 0.168 | NA | NA | NA |
Brier score | 0.091 | NA | 0.091 | 0.091 | NA | 0.129 | 0.092 | 0.297 | |
Harrell C index | 0.783 | 0.782 | 0.769 | 0.780 | 0.779 | 0.775 | 0.775 | 0.618 | |
Discrimination slope | 0.112 | NA | 0.103 | 0.106 | NA | 0.121 | 0.106 | 0.049 | |
Calibration in the large | 0 | 0.021 | −0.008 | 0 | 0.015 | 0.013 | −0.024 | 0.244 | |
Calibration slope | 1 | 0.994 | 0.865 | 1 | 0.996 | 1.007 | 0.946 | 0.331 | |
Simple version for men df = 15 | Nagelkerke R2 | 0.159 | 0.176 | NA | 0.155 | 0.154 | NA | NA | NA |
Brier score | 0.092 | NA | 0.091 | 0.092 | NA | 0.129 | 0.093 | 0.294 | |
Harrell C index | 0.773 | 0.773 | 0.765 | 0.771 | 0.771 | 0.766 | 0.768 | 0.614 | |
Discrimination slope | 0.093 | NA | 0.095 | 0.092 | NA. | 0.099 | 0.093 | 0.045 | |
Calibration in the large | 0 | 0.010 | −0.003 | 0 | 0.006 | 0.021 | −0.023 | 0.242 | |
Calibration slope | 1 | 0.997 | 0.924 | 1 | 0.998 | 1.004 | 0.971 | 0.319 | |
Parsimonious version for men df = 25 | Nagelkerke R2 | 0.177 | 0.176 | NA | 0.168 | 0.167 | NA | NA | NA |
Brier score | 0.091 | NA | 0.091 | 0.091 | NA | 0.129 | 0.092 | 0.297 | |
Harrell C index | 0.783 | 0.782 | 0.769 | 0.780 | 0.779 | 0.775 | 0.775 | 0.618 | |
Discrimination slope | 0.111 | NA | 0.103 | 0.105 | NA | 0.120 | 0.105 | 0.049 | |
Calibration in the large | 0 | 0.018 | −0.003 | 0 | 0.011 | 0.017 | −0.024 | 0.244 | |
Calibration slope | 1 | 0.995 | 0.866 | 1 | 0.997 | 1.006 | 0.948 | 0.332 |
As a reference, the predictive performance measures of the female model with all predictors were Nagelkerke R2 = 0.154, Brier score = 0.088, Harrell C index = 0.775, and discrimination slope = 0.106. The predictive performance measures of the male model with all predictors were Nagelkerke R2 = 0.169, Brier score = 0.093, Harrell C index = 0.779, and discrimination slope = 0.107.
Some statistics were not calculated during bootstrap validation (rms package).