The data were analysed by independent experts in the fields of conventional biostatistics using multivariate Cox regression and experts in the “novel” self learning rule-based modelling technique. We also compared their results with the established modified Charlson scoring system. For predicting survival the multivariate Cox regression explained 14.6%, the modified Charlson scoring system 12.9% and the rule based modelling 3.95% of the variation which indicated that Cox regression and the Charlson index had the highest predictive accuracy. A more detailed comparison of model performance in predicting 1- and 5-year survival is shown in the table.

 
Predicting >1 year survival  (n=1021)
Predicting >5 year survival (n=851)
 
Multivariate Cox regression
Rule based modelling
Modified Charlson Systema
Multivariate Cox regression
Rule based modelling
Modified Charlson SystemSb
Positive predicted value(%)
80.4
84.2
78.7
77.0
63.1
79.4
Negative predicted value(%)
47.0
32.6
40.8
74.2
74.3
70.2
             
PPV = positive predictive value; NPV = negative predictive value.
aMCS of < 9 used as cut-off to predict survival >1 year.
bMCS of < 2 used as cut-off to predict survival > 5 years.

These results are only available because of the high quality of the data which were returned annually by colleagues. As well as providing useful epidemiology information, this study proved the value of international collaboration, at which nephrologists excel. The citation for the published report is given below.

The authors of the study would like to thank all our clinical and administrative colleagues who completed the question naires with such care and loyalty for the duration of the study!

 

Citation: Colin C. Geddes, Paul C. W. van Dijk, Stephen McArthur, Wendy Metcalfe, Kitty J. Jager, Aeilko H. Zwinderman, Michael Mooney, Jonathan G. Fox, and Keith Simpson. The ERA-EDTA cohort study - comparison of methods to predict survival on renal replacement therapy. Nephrol Dial Transplant 2006; 21:945-956.

 

Keith Simpson
Study Coordinator