scholarly journals Exploration of the Methods of Establishing the Minimum Clinical Important Difference Based on Anchor and Its Application in the Quality of Life Measurement Scale QLICP-ES (V2.0) for Esophageal Cancer

2020 ◽  
Author(s):  
Dandan Ren ◽  
Ting Wu ◽  
chonghua Wan ◽  
Gaofeng Li ◽  
Yanbo Qi ◽  
...  

Abstract Background: The development of the minimum clinical important difference (MCID) can make it easier for researchers or doctors to judge the significance of research results and the effect of intervention measures, and improve the evaluation system of efficacy. This paper is aimed to calculate the MCID based on anchor and to develop MCID for esophageal cancer scale (QLICP-ES). Methods: Q29 of EORTC QLQ-C30 was used as the subjective anchor to calculate the score difference between each domain at discharge and admission. MCID was established according to two standards, "one grade difference"(A) and "at least one grade difference"(B), and developed by three methods: anchor-based method, ROC curve method and multiple linear regression model. Results: Most of the correlation coefficients of Q29 and various domains of the QLICP-ES were higher than 0.30. The rank of MCID values determined by different methods and standards were as follows: standard B> standard A, anchor-based method >ROC curve method > multiple linear regression model. The recommended MCID values of physical domain, psychological domain, social domain, common symptom and side-effects domain, the specific domain and the overall of the QLICP-ES were 7.8, 9.7, 4.7, 3.6, 4.3, 2.3 and 2.9, respectively. Conclusion: Different methods have their own advantages and disadvantages, and also different definitions and standards can be adopted according to research purposes and methods. A lot of different MCID values were presented in this paper so that it can be easy and convenient to select by users.

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Dandan Ren ◽  
Ting Wu ◽  
Chonghua Wan ◽  
Gaofeng Li ◽  
Yanbo Qi ◽  
...  

Abstract Background The development of the minimum clinical important difference (MCID) can make it easier for researchers or doctors to judge the significance of research results and the effect of intervention measures, and improve the evaluation system of efficacy. This paper is aimed to calculate the MCID based on anchor and to develop MCID for esophageal cancer scale (QLICP-ES). Methods The item Q29 (How do you evaluate your overall health in the past week with 7 grades answers from 1 very poor to 7 excellent)of EORTC QLQ-C30 was used as the subjective anchor to calculate the score difference between each domain at discharge and admission. MCID was established according to two standards, "one grade difference"(A) and "at least one grade difference"(B), and developed by three methods: anchor-based method, ROC curve method and multiple linear regression models. In terms of anchor-based method, the mean of the absolute value of the difference before and after treatments is MCID. The point with the best sensitivity and specificity-Yorden index at the ROC curve is MCID for ROC curve method. In contrast, the predicted mean value based on a multiple linear regression model and the parameters of each factor is MCID. Results Most of the correlation coefficients of Q29 and various domains of the QLICP-ES were higher than 0.30. The rank of MCID values determined by different methods and standards were as follows: standard B > standard A, anchor-based method > ROC curve method > multiple linear regression models. The recommended MCID values of physical domain, psychological domain, social domain, common symptom and side-effects domain, the specific domain and the overall of the QLICP-ES were 7.8, 9.7, 4.7, 3.6, 4.3, 2.3 and 2.9, respectively. Conclusion Different methods have their own advantages and disadvantages, and also different definitions and standards can be adopted according to research purposes and methods. A lot of different MCID values were presented in this paper so that it can be easy and convenient to select by users.


Author(s):  
Pundra Chandra Shaker Reddy ◽  
Alladi Sureshbabu

Aims & Background: India is a country which has exemplary climate circumstances comprising of different seasons and topographical conditions like high temperatures, cold atmosphere, and drought, heavy rainfall seasonal wise. These utmost varieties in climate make us exact weather prediction is a challenging task. Majority people of the country depend on agriculture. Farmers require climate information to decide the planting. Weather prediction turns into an orientation in farming sector to deciding the start of the planting season and furthermore quality and amount of their harvesting. One of the variables are influencing agriculture is rainfall. Objectives & Methods: The main goal of this project is early and proper rainfall forecasting, that helpful to people who live in regions which are inclined natural calamities such as floods and it helps agriculturists for decision making in their crop and water management using big data analytics which produces high in terms of profit and production for farmers. In this project, we proposed an advanced automated framework called Enhanced Multiple Linear Regression Model (EMLRM) with MapReduce algorithm and Hadoop file system. We used climate data from IMD (Indian Metrological Department, Hyderabad) in 1901 to 2002 period. Results: Our experimental outcomes demonstrate that the proposed model forecasting the rainfall with better accuracy compared with other existing models. Conclusion: The results of the analysis will help the farmers to adopt effective modeling approach by anticipating long-term seasonal rainfall.


Author(s):  
Olivia Fösleitner ◽  
Véronique Schwehr ◽  
Tim Godel ◽  
Fabian Preisner ◽  
Philipp Bäumer ◽  
...  

Abstract Purpose To assess the correlation of peripheral nerve and skeletal muscle magnetization transfer ratio (MTR) with demographic variables. Methods In this study 59 healthy adults evenly distributed across 6 decades (mean age 50.5 years ±17.1, 29 women) underwent magnetization transfer imaging and high-resolution T2-weighted imaging of the sciatic nerve at 3 T. Mean sciatic nerve MTR as well as MTR of biceps femoris and vastus lateralis muscles were calculated based on manual segmentation on six representative slices. Correlations of MTR with age, body height, body weight, and body mass index (BMI) were expressed by Pearson coefficients. Best predictors for nerve and muscle MTR were determined using a multiple linear regression model with forward variable selection and fivefold cross-validation. Results Sciatic nerve MTR showed significant negative correlations with age (r = −0.47, p < 0.001), BMI (r = −0.44, p < 0.001), and body weight (r = −0.36, p = 0.006) but not with body height (p = 0.55). The multiple linear regression model determined age and BMI as best predictors for nerve MTR (R2 = 0.40). The MTR values were different between nerve and muscle tissue (p < 0.0001), but similar between muscles. Muscle MTR was associated with BMI (r = −0.46, p < 0.001 and r = −0.40, p = 0.002) and body weight (r = −0.36, p = 0.005 and r = −0.28, p = 0.035). The BMI was selected as best predictor for mean muscle MTR in the multiple linear regression model (R2 = 0.26). Conclusion Peripheral nerve MTR decreases with higher age and BMI. Studies that assess peripheral nerve MTR should consider age and BMI effects. Skeletal muscle MTR is primarily associated with BMI but overall less dependent on demographic variables.


2019 ◽  
Vol 135 ◽  
pp. 303-312 ◽  
Author(s):  
Mauricio Trigo-González ◽  
F.J. Batlles ◽  
Joaquín Alonso-Montesinos ◽  
Pablo Ferrada ◽  
J. del Sagrado ◽  
...  

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