Title Information
Title
A Computationally Efficient Algorithm for Producing Risk Score Models with Applications to Tuberculosis Diagnosis and Treatment Adherence
Type of Resource (primo)
dissertations
Name: Personal
Name Part
Eglinton, Hannah Jones
Role
Role Term: Text
creator
Name: Personal
Name Part
Paul, Alice
Role
Role Term: Text
Advisor
Name: Personal
Name Part
Hogan, Joseph
Role
Role Term: Text
Reader
Name: Corporate
Name Part
Brown University. Department of Biostatistics
Role
Role Term: Text
sponsor
Origin Information
Copyright Date
2024
Physical Description
Extent
3, 50 p.
digitalOrigin
born digital
Note: thesis
Thesis (Sc. M.)--Brown University, 2024
Genre (aat)
theses
Abstract
Risk score models are simple scoring systems that map patient characteristics to the probability of an outcome occurring. These models are popular with clinicians because they are easy to memorize and can be quickly calculated by hand. Risk score models can be created by rounding the estimated coefficients from a logistic regression model, though rounding can reduce the performance of the models. We introduce a new cyclical coordinate descent algorithm to estimate integer risk score models, expanding on recent work that has aimed to directly solve for the maximum likelihood with integer constraints. By offering an associated R package, we aim to foster wider accessibility and utilization in the medical research community. In a simulation study, our algorithm demonstrates comparable performance to the current state-of-the-art methods while being substantially more efficient. Further, we highlight our method with two applications in tuberculosis (TB) research. First, we develop a risk score model for TB diagnosis in sub-Saharan Africa that shows higher validation AUC than previous rounding methods. Second, we develop a novel model for TB treatment non-adherence of adolescents in Peru. Our risk score model identifies key characteristics influencing non-adherence, aligning with previous qualitative research findings. This study showcases the effectiveness and efficiency of our algorithm in constructing integer risk score models.
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01158499")
Topic
Tuberculosis
Subject
Topic
Interpretable Machine Learning
Subject
Topic
Risk Score Models
Language
Language Term (ISO639-2B)
English
Record Information
Record Content Source (marcorg)
RPB
Record Creation Date (encoding="iso8601")
20240507