WebDISCO: a web service for distributed cox model learning without patient-level data sharing.

Objective: The Cox proportional hazards model is a widely used method for analyzing survival data. To achieve sufficient statistical power in a survival analysis, it usually requires a large amount of data. Data sharing across institutions could be a potential workaround for providing this added pow...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of the American Medical Informatics Association Vol. 22; no. 6; pp. 1212 - 1220
Autores principales: Chia-Lun Lu, Shuang Wang, Zhanglong Ji, Yuan Wu, Li Xiong, Xiaoqian Jiang, Ohno-Machado, Lucila, Lu, Chia-Lun, Wang, Shuang, Ji, Zhanglong, Wu, Yuan, Xiong, Li, Jiang, Xiaoqian
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Oxford University Press / USA Nov2015
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110875735&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 110875735
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10675027
        FZ9
      jtl: Journal of the American Medical Informatics Association
      issn: 10675027
      maglogo: N
    pubinfo:
      dt: Nov2015
      vid: 22
      iid: 6
      pid: 622
      pub: Oxford University Press / USA
    artinfo:
      ui:
        110875735
        110875735
        NLM26159465
        110875735
        10.1093/jamia/ocv083
        NLM26159465
        PMC5009917 [Available on 11/01/16]
        110875735
      ppf: 1212
      ppct: 8
      formats:
      tig:
        atl: WebDISCO: a web service for distributed cox model learning without patient-level data sharing.
      aug:
        au:
          Chia-Lun Lu
          Shuang Wang
          Zhanglong Ji
          Yuan Wu
          Li Xiong
          Xiaoqian Jiang
          Ohno-Machado, Lucila
          Lu, Chia-Lun
          Wang, Shuang
          Ji, Zhanglong
          Wu, Yuan
          Xiong, Li
          Jiang, Xiaoqian
        affil: Department of Biomedical Informatics, University of California, San Diego, La Jolla, CA, 92093, USA
      sug:
        subj:
          Algorithms
          Survival Analysis
          Cox Proportional Hazards Model
          Internet
          Computer Communication Networks
          Communication Methods
          Data Collection
          Decision Support Systems, Clinical
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Funding Source
      ab: Objective: The Cox proportional hazards model is a widely used method for analyzing survival data. To achieve sufficient statistical power in a survival analysis, it usually requires a large amount of data. Data sharing across institutions could be a potential workaround for providing this added power.Methods and Materials: The authors develop a web service for distributed Cox model learning (WebDISCO), which focuses on the proof-of-concept and algorithm development for federated survival analysis. The sensitive patient-level data can be processed locally and only the less-sensitive intermediate statistics are exchanged to build a global Cox model. Mathematical derivation shows that the proposed distributed algorithm is identical to the centralized Cox model.Results: The authors evaluated the proposed framework at the University of California, San Diego (UCSD), Emory, and Duke. The experimental results show that both distributed and centralized models result in near-identical model coefficients with differences in the range [Formula: see text] to [Formula: see text]. The results confirm the mathematical derivation and show that the implementation of the distributed model can achieve the same results as the centralized implementation.Limitation: The proposed method serves as a proof of concept, in which a publicly available dataset was used to evaluate the performance. The authors do not intend to suggest that this method can resolve policy and engineering issues related to the federated use of institutional data, but they should serve as evidence of the technical feasibility of the proposed approach.Conclusions WebDISCO (Web-based Distributed Cox Regression Model; https://webdisco.ucsd-dbmi.org:8443/cox/) provides a proof-of-concept web service that implements a distributed algorithm to conduct distributed survival analysis without sharing patient level data.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N