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Comparisons between Survival Models in Predicting Cardiovascular Disease Events: Application in the ATTICA Study (2002-2012). |
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PP: 203-210 |
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Author(s) |
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Ekavi N Geogrousopoulou,
Christos Pitsavos,
Mary Yannakoulia,
Demosthenes B Panagiotakos,
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Abstract |
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| In order to assess individual’s risk of a disease, semi-parametric proportional hazards Cox models are mostly used, while
fewer studies have used parametric models. The aim of the present work was to compare semi-parametric and parametric statistical
methods regarding their goodness of fit. To investigate the research hypothesis, characteristics of the 3042 participants of the ATTICA
epidemiological study, were used; 2583 of them were found in the 10-year follow-up (2011-2012) and 317 (15.7%) developed a
cardiovascular disease event. Three multivariable models, adjusted for the same set of risk factors were compared regarding their
performance, using the Bayesian Information Criterion (BIC). All models were adjusted for: age, gender, physical activity level, Body
Mass Index, smoking, hypertension, diabetes mellitus, hypercholesterolemia and adherence to the Mediterranean dietary pattern
(assessed with MedDietScore). The semi-parametric Cox proportional hazard model had the worst performance as compared with the
parametric survival models under the Weibull distribution. Between the two other parametric models, the Weibull model had the best
performance (BIC =1386.488) as compared with the model with the exponential distribution (BIC =1729.724) (p for Harell?s C
¡0.001). It appears that parametric models in relation to semi-parametric Cox proportional hazard models have better performance,
while parametric model with Weibull distribution had the best performance among the parametric models.
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