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Prognosis Appraisal Tools

Prognosis Appraisal Tools

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Published by farmasi_hm

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Published by: farmasi_hm on Oct 29, 2009
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01/03/2013

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PROGNOSIS WORKSHEETCitation:Are the results of this prognosis study valid?
Was a defined, representative sample of  patients assembled at a common (usuallyearly) point in the course of their disease?Was patient follow-up sufficiently longand complete?Were objective outcome criteria appliedin a “blind” fashion?If subgroups with different prognoses areidentified, was there adjustment for important prognostic factors?Was there validation in an independentgroup (“test set”) of patients?
Are the valid results of this prognosis study important?
How likely are the outcomes over time?How precise are the prognosticestimates?
If you want to calculate a confidence interval around the measure of prognosis:Clinical MeasureStandard Error (SE)Typical Calculation of CI
Proportion (as in the rateof some prognostic event,etc.) where:
the number of patients = nthe proportion of these patientswho experience the event = p
{ }
n  p  p
/)1(
×
where p is proportionand n is number of  patientsIf p = 24/60 = 0.4 (or 40%)and n = 60SE =
{ }
60/)4.01(4.0
×
= 0.063 (or 6.3%)95% CI is 40% ± 1.96 × 6.3%or 27.6% to 52.4%n from your evidence: ___  p from your evidence: ___ Your calculation:SE: ____________ 95% CI: ________ 

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