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This study aims to develop and validate a Bayesian risk prediction model that combines research cohort data with elicited expert knowledge to predict dementia progression in people with mild cognitive impairment (MCI).
Study Design and Setting
This is a prognostic risk prediction modeling study based on cohort data (Alzheimer’s Disease Neuroimaging Initiative [ADNI]; n=365) of research participants with MCI and elicited expert data. Bayesian Cox models were used to combine expert knowledge and ADNI data to predict dementia progression in people with MCI. Posterior distributions were obtained based on Gibbs sampler and the predictive performance was evaluated using ten-fold cross-validation via c-index, integrated calibration index (ICI), and integrated brier score (IBS).
365 people with MCI were included, mean age was 73 years (SD=7.5) and 39% developed dementia within 3 years. When expert knowledge was incorporated, the c-index, ICI, and IBS values were 0.74 (95% CI 0.70-0.79), 0.06 (95% CI 0.05-0.08), and 0.17 (95% CI 0.14-0.19), respectively. These were similar to the model without expert knowledge data.
The addition of expert knowledge did not improve model accuracy in this ADNI sample to predict dementia progression in individuals with MCI.
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Accepted: March 13, 2023
Received in revised form: March 10, 2023
Received: January 10, 2023
Publication stageIn Press Journal Pre-Proof
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