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A decision curve (in)stability plot shows decision curves for bootstrap models evaluated on original outcome. A stable model should produce curves that differ minimally from the 'apparent' curve. See Riley and Collins (2023).

Usage

dcurve_stability(
  x,
  thresholds = seq(0, 0.99, by = 0.01),
  xlim,
  ylim,
  xlab,
  ylab,
  col
)

Arguments

x

an object produced by validate with method = "boot_\*" (or boot_optimism with method="boot")

thresholds

points at which to evaluate the decision curves (see dcurves::dca)

xlim

x limits (default = range of thresholds)

ylim

y limits (default = range of net benefit)

xlab

a title for the x axis

ylab

a title for the y axis

col

color of points (default = grDevices::grey(.5, .5))

Value

plots decision curve (in)stability. Invisibly returns a list containing data for each curve. These are returned from dcurves::dca. The first element of this list is the apparent curve (original model on original outcome).

References

Riley RD, Collins GS. (2023). Stability of clinical prediction models developed using statistical or machine learning methods. Biom J. doi:10.1002/bimj.202200302. Epub ahead of print.

Examples

set.seed(456)
# simulate data with two predictors that interact
dat <- pmcalibration::sim_dat(N = 2000, a1 = -2, a3 = -.3)
mean(dat$y)
#> [1] 0.1985
dat$LP <- NULL # remove linear predictor

# fit a (misspecified) logistic regression model
m1 <- glm(y ~ ., data=dat, family="binomial")

# internal validation of m1 via bootstrap optimism with 10 resamples
# B = 10 for example but should be >= 200 in practice
m1_iv <- validate(m1, method="boot_optimism", B=10)
#> It is recommended that B >= 200 for bootstrap validation

dcurve_stability(m1_iv)