Visualising statistical models using dynamic nomograms
Amirhossein Jalali, Alberto Alvarez-Iglesias, Davood Roshan, John Newell, Amirhossein Jalali, Alberto Alvarez-Iglesias, Davood Roshan, John Newell
Abstract
Translational Statistics proposes to promote the use of Statistics within research and improve the communication of statistical findings in an accurate and accessible manner to diverse audiences. When statistical models become more complex, it becomes harder to evaluate the role of explanatory variables on the response. For example, the interpretation and communication of the effect of predictors in regression models where interactions or smoothing splines are included can be challenging. Informative graphical representations of statistical models play a critical translational role; static nomograms are one such useful tool to visualise statistical models. In this paper, we propose the use of dynamic nomogram as a translational tool which can accommodate models of increased complexity. In theory, all models appearing in the literature could be accompanied by the corresponding dynamic nomogram to translate models in an informative manner. The R package presented will facilitate this communication for a variety of linear and non-linear models.
Conflict of interest statement
The authors have declared that no competing interests exist.
Figures








References
- Newell J, Jalali A, Alvarez-Iglesias A, O’Donnell M, Hinde J. Translational Statistics and Dynamic Nomograms. In: 34th Conference on Applied Statistics in Ireland; 2014. p. 73–74.
- Allcock HJ, Jones JR, Michel J. The nomogram: The theory and practical construction of computation charts. Pitman; 1950.
- Evesham HA. The history and development of nomography. Docent Press; 2010.
- Brodetsky S. A First Course in Nomography Bell’s mathematical series. G. Bell and sons, Limited; 1925.
- Broadbent S. Some Uses of the Nomogram in Statistics. Journal of the Royal Statistical Society Series C (Applied Statistics). 1954;3(1):33–43.
- Altman DG. Statistics and ethics in medical research: III How large a sample? British Medical Journal. 1980;281:1336–1338. 10.1136/bmj.281.6251.1336
- Fagan T. nomogram for Bayes theorem. New England Journal of Medicine. 1975;293(5):257 10.1056/NEJM197507312930513
- Held L. A nomogram for P values. BMC Medical Research Methodology. 2010;10(1):21 10.1186/1471-2288-10-21
- Safari S, Baratloo A, Elfil M, Negida A. Evidence Based Emergency Medicine; Part 4: Pre-test and Post-test Probabilities and Fagan’s nomogram. Emergency. 2016;4(1):48–51.
- Boyd WC. A Nomogram for Chi-Square. Journal of the American Statistical Association. 1965;60(309):344–346. 10.1080/01621459.1965.10480796
- Možina M, Demšar J, Kattan M, Zupan B. Nomograms for visualization of naive Bayesian classifier. In: European Conference on Principles of Data Mining and Knowledge Discovery. Springer; 2004. p. 337–348.
- Kattan MW. Nomograms are superior to staging and risk grouping systems for identifying high-risk patients: preoperative application in prostate cancer. Current Opinion in Urology. 2003;13(2):111–116. 10.1097/00042307-200303000-00005
- Steyerberg E, Roobol M, Kattan M, Van der Kwast T, De Koning H, Schröder F. Prediction of Indolent Prostate Cancer: Validation and Updating of a Prognostic Nomogram. The Journal of Urology. 2007;177(1):107–112. 10.1016/j.juro.2006.08.068
- Partin A, Yoo J, Carter H, Pearson J, Chan D, Epstein J, et al. The use of prostate specific antigen, clinical stage and Gleason score to predict pathological stage in men with localized prostate cancer. The Journal of urology. 1993;150(1):110–114. 10.1016/s0022-5347(17)35410-1
- Levens AS. Nomography. Fearon Publishers, Lear Siegler, Incorporated; 1937.
- Banks J. Nomograms. In: Encyclopedia of statistical sciences. Wiley Online Library; 2004.
- Yang D. Build Prognostic Nomograms for Risk Assessment Using SAS®. In: Proceedings of SAS Global Forum; 2013.
- Zlotnik A, Abraira V, et al. A general-purpose nomogram generator for predictive logistic regression models. Stata Journal. 2015;15(2):537–546. 10.1177/1536867X1501500212
- Doerfler R. Creating Nomograms with the PyNomo Software. 2009;.
- Jones TB. An online tool for creating custom, interactive nomograms; 2009. Available from: .
- Harrell Jr FE. rms: Regression Modeling Strategies; 2017. Available from: .
- Xiao N, Xu QS, Li MZ. hdnom: Building Nomograms for Penalized Cox Models with High-Dimensional Survival Data. bioRxiv. 2016;.
- Arnholt AT. PASWR: PROBABILITY and STATISTICS WITH R; 2012. Available from: .
- Van Belle V. VRPM: Visualizing Risk Prediction Models; 2017. Available from: .
- Van Belle V, Van Calster B. Visualizing risk prediction models. PloS one. 2015;10(7):e0132614 10.1371/journal.pone.0132614
- Agrawal D. Inappropriate Interpretation of the Odds Ratio: Oddly Not That Uncommon. Pediatrics. 2005;116(6):1612–1613. 10.1542/peds.2005-2269
- Rico-Villademoros F. On the Interpretation of Odds Ratios. The Clinical journal of pain. 2012;28(5):462 10.1097/AJP.0b013e318237d659
- Davies HTO, Crombie IK, Tavakoli M. When can odds ratios mislead? BMJ. 1998;316(7136):989–991. 10.1136/bmj.316.7136.989
- Harrell F. Regression modeling strategies: with applications to linear models, logistic and ordinal regression, and survival analysis. Springer; 2015.
- Bowman A, Crawford E, Alexander G, Bowman R. rpanel: Simple Interactive Controls for R Functions Using the tcltk Package. Journal of Statistical Software, Articles. 2007;17(9):1–18.
- Chang W, Cheng J, Allaire J, Xie Y, McPherson J. shiny: Web Application Framework for R; 2017. Available from: .
- Jalali A, Roshan D, Alvarez-Iglesias A, Newell J. DynNom: Visualising Statistical Models using Dynamic Nomograms; 2019. Available from: .
- McCullagh P, Nelder JA. Generalized Linear Models, Second Edition Chapman & Hall/CRC Monographs on Statistics & Applied Probability. Taylor & Francis; 1989.
- Madsen H, Thyregod P. Introduction to General and Generalized Linear Models Chapman & Hall/CRC Texts in Statistical Science. CRC Press; 2010.
- Wood SN. Fast stable restricted maximum likelihood and marginal likelihood estimation of semiparametric generalized linear models. Journal of the Royal Statistical Society (B). 2011;73(1):3–36. 10.1111/j.1467-9868.2010.00749.x
- Hastie TJ. gam: Generalized Additive Models; 2018. Available from: .
- Agresti A, Kateri M. Categorical data analysis. Springer; 2011.
- Marschner IC. glm2: Fitting generalized linear models with convergence problems. The R Journal. 2011;3 (2) 12–15. 10.32614/RJ-2011-012
- Ruppert D, Wand MP, Carroll RJ. Semiparametric regression. 12 Cambridge university press; 2003.
- Wand M. SemiPar: Semiparametic Regression; 2018. Available from: .
- Therneau TM. A Package for Survival Analysis in S; 2015. Available from: .
- Li W, Xie B, Qiu S, Huang X, Chen J, Wang X, et al. Non-lab and semi-lab algorithms for screening undiagnosed diabetes: A cross-sectional study. EBioMedicine. 2018;35:307–316. 10.1016/j.ebiom.2018.08.009
- Kim H, Cutter GR, George B, Chen Y. Understanding and preventing loss to follow-up: experiences from the spinal cord injury model systems. Topics in spinal cord injury rehabilitation. 2018;24(2):97–109. 10.1310/sci2402-97
- Goltz DE, Ryan SP, Hopkins TJ, Howell CB, Attarian DE, Bolognesi MP, et al. A novel risk calculator predicts 90-day readmission following total joint arthroplasty. JBJS. 2019;101(6), 547–556. 10.2106/JBJS.18.00843
- Chen QY, Zhong Q, Zhou JF, Qiu XT, Dang XY, Cai LS, et al. Development and External Validation of Web-Based Models to Predict the Prognosis of Remnant Gastric Cancer after Surgery: A Multicenter Study. Journal of oncology. 2019. 10.1155/2019/6012826
- Bellam BL, Samanta J, Gupta P, Kumar P, Sharma V, Dhaka N, et al. Predictors of outcome of percutaneous catheter drainage in patients with acute pancreatitis having acute fluid collection and development of a predictive model. Pancreatology. 2019. 10.1016/j.pan.2019.05.467
- Andersen MØ, Fritzell P, Eiskjaer SP, Lagerbäck T, Hägg O, Nordvall D, et al. Surgical Treatment of Degenerative Disk Disease in Three Scandinavian Countries: An International Register Study Based on Three Merged National Spine Registers. Global Spine Journal. 2019;2192568219838535. 10.1177/2192568219838535
Source: PubMed
今後の臨床試験
-
Enveda Therapeuticsまだ募集していません
-
Karabuk Universityまだ募集していません筋骨格痛 | 身体活動 | 胃食道逆流症(GERD) | 症状
-
Peking University First Hospitalまだ募集していません術後の痛み | 高齢者 | 股関節骨折手術 | 腸骨筋ブロック | リポソームブピバカイン中国
-
The First Affiliated Hospital with Nanjing Medical...まだ募集していません
-
Government of JerseyUniversity of Oxfordまだ募集していません心不全(HFpEF、収縮機能は保たれているが拡張機能障害を伴う)ジャージー
-
Azienda Ospedaliera Bolognini di Seriate Bergamoまだ募集していません
-
BillionToOne Inc.募集異数性 | 22q11.2 欠失症候群 | 18トリソミー | 13トリソミー | 性染色体異常 | ダウン症(21トリソミー) | Pregnant Individualsアメリカ
-
Boston Medical CenterWagner Foundationまだ募集していません
-
Beijing Tiantan HospitalThe First Affiliated Hospital of Nanchang University; Chinese PLA General Hospital; Second Affiliated... と他の協力者まだ募集していませんくも膜下出血、動脈瘤 | くも膜下出血後の脳血管痙攣中国
-
Central Hospital, Nancy, Franceまだ募集していません