Classification algorithms for hip fracture prediction based on recursive partitioning methods.

This article presents 2 modifications to the classification and regression tree. The authors improved the robustness of a split in the test sample approach and developed a cost-saving classification algorithm by selecting noninferior to the optimum splits from variables with lower cost or being used...

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Publicado en:Medical Decision Making Vol. 24; no. 4; pp. 386 - 399
Autores principales: Jin H, Lu Y, Harris ST, Black DM, Stone K, Hochberg MC, Genant HK
Formato: equations & formulas research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul/Aug2004
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2004
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      pub: Sage Publications Inc.
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        atl: Classification algorithms for hip fracture prediction based on recursive partitioning methods.
      aug:
        au:
          Jin H
          Lu Y
          Harris ST
          Black DM
          Stone K
          Hochberg MC
          Genant HK
        affil: Department of Radiology, University of California, San Francisco
      sug:
        subj:
          Hip Fractures Classification
          Hip Fractures Economics
          Classification Algorithms
          Aged
          Bone Density
          Cost Benefit Analysis
          Descriptive Statistics
          Female
          P-Value
          Predictive Value of Tests
          Sensitivity and Specificity
          Funding Source
          Human
          Aged: 65+ years
          Female
      ab: This article presents 2 modifications to the classification and regression tree. The authors improved the robustness of a split in the test sample approach and developed a cost-saving classification algorithm by selecting noninferior to the optimum splits from variables with lower cost or being used in parent splits. The new algorithm was illustrated by 43 predictive variables for 5-year hip fracture previously documented in the Study of Osteoporotic Fractures. The authors generated the robust optimum classification rule without consideration of classification variable costs and then generated an alternative cost-saving rule with equivalent diagnostic utility. A 6-fold cross-validation study proved that the cost-saving alternative classification is statistically noninferior to the optimal one. Their modified classification and regression tree algorithm can be useful in clinical applications. A dual X-ray absorptiometry hip scan and information from clinical examinations can identify subjects with elevated 5-year hip fracture risk without loss of efficiency to more costly and complicated algorithms.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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