Software Application Profile: dynamicLM—a tool for performing dynamic risk prediction using a landmark supermodel for survival data under competing risks

Author:

Fries Anya H1,Choi Eunji1ORCID,Wu Julie T2,Lee Justin H1,Ding Victoria Y1,Huang Robert J3,Liang Su-Ying4,Wakelee Heather A25,Wilkens Lynne R6,Cheng Iona7,Han Summer S1589ORCID

Affiliation:

1. Quantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine , Stanford, CA, USA

2. Division of Oncology, Department of Medicine, Stanford University School of Medicine , Stanford, CA, USA

3. Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine , Stanford, CA, USA

4. Palo Alto Medical Foundation Research Institute, Palo Alto Medical Foundation , Palo Alto, CA, USA

5. Stanford Cancer Institute , Stanford, CA, USA

6. Cancer Epidemiology Program, University of Hawaii Cancer Center , Honolulu, HI, USA

7. Department of Epidemiology and Biostatistics, University of California , San Francisco, CA, USA

8. Department of Epidemiology and Population Health, Stanford University School of Medicine , Stanford, CA, USA

9. Department of Neurosurgery, Stanford University School of Medicine , Stanford, CA, USA

Abstract

Abstract Motivation Providing a dynamic assessment of prognosis is essential for improved personalized medicine. The landmark model for survival data provides a potentially powerful solution to the dynamic prediction of disease progression. However, a general framework and a flexible implementation of the model that incorporates various outcomes, such as competing events, have been lacking. We present an R package, dynamicLM, a user-friendly tool for the landmark model for the dynamic prediction of survival data under competing risks, which includes various functions for data preparation, model development, prediction and evaluation of predictive performance. Implementation dynamicLM as an R package. General features The package includes options for incorporating time-varying covariates, capturing time-dependent effects of predictors and fitting a cause-specific landmark model for time-to-event data with or without competing risks. Tools for evaluating the prediction performance include time-dependent area under the ROC curve, Brier Score and calibration. Availability Available on GitHub [https://github.com/thehanlab/dynamicLM].

Funder

National Institutes of Health

Stanford Cancer Institute

NCI

Publisher

Oxford University Press (OUP)

Subject

General Medicine,Epidemiology

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