CKD MODEL SELECTION

Including Plots

Get data into R

## ~time_90days + status_90days + age_admission + sex + ethnicity + 
##     liver_transplant_listed + final_type_of_aki + site + etiology_cirrhosis + 
##     albumin_given_admission + loop_diuretic + aldosterone_antagonist + 
##     lactulose + rifaximin + prophylactic_antibiotic + nsaids + 
##     beta_blockers + diabetes + cad + htn + ckd + ascites_admission + 
##     encephalopathy_admission + gi_bleed_admission + peritonitis_admission + 
##     hcc_admission + tips_admission + lvp_admission + alcoholic_hepatitis_admission + 
##     MELD_Na_baseline + creatinine_admission + log_na_admit + 
##     log_k_admit + log_cl_admit + log_co2_admit + log_bun_admit + 
##     log_alt_admit + log_alkphos_admit + log_tb_admit + log_alb_admit + 
##     log_inr_admit + log_wbc_admit + log_hct_admit + log_plt_admit + 
##     sbp_admission + dbp_admission

get the names of the covariates only

# Backward selection based on the AIC
sfgAIC <- pec::selectFGR(ff, cause = 1, data =ckd_data, rule = "AIC", direction = "backward")

# Backward selection based on the BIC
sfgBIC <- pec::selectFGR(ff, cause = 1, data = ckd_data,rule = "BIC", direction = "backward")

Backward selection based on the AIC

sfgAIC$fit 
## 
## Right-censored response of a competing.risks model
## 
## No.Observations: 1949 
## 
## Pattern:
##          
## Cause     event right.censored
##   1         721              0
##   2         118              0
##   unknown     0           1110
## 
## 
## Fine-Gray model: analysis of cause 1 
## 
## Competing Risks Regression
## 
## Call:
## riskRegression::FGR(formula = Hist(time_90days, status_90days) ~ 
##     age_admission + ethnicity2 + ethnicity3 + liver_transplant_listed1 + 
##         final_type_of_aki2 + final_type_of_aki3 + final_type_of_aki4 + 
##         final_type_of_aki5 + siteindiana + sitejacksonville + 
##         sitekentukey + sitemgh + siterochester + siteyale + etiology_cirrhosis2 + 
##         etiology_cirrhosis4 + etiology_cirrhosis6 + etiology_cirrhosis7 + 
##         albumin_given_admission1 + lactulose1 + rifaximin1 + 
##         beta_blockers1 + encephalopathy_admission1 + gi_bleed_admission1 + 
##         hcc_admission1 + alcoholic_hepatitis_admission1 + MELD_Na_baseline + 
##         log_k_admit + log_co2_admit + log_alt_admit + log_tb_admit + 
##         log_alb_admit + log_wbc_admit + log_plt_admit + sbp_admission, 
##     data = data, cause = cause)
## 
##                                    coef exp(coef) se(coef)     z p-value
## age_admission                   0.01851     1.019  0.00393  4.71 2.5e-06
## ethnicity2                      0.35553     1.427  0.15193  2.34 1.9e-02
## ethnicity3                      1.03336     2.810  0.23492  4.40 1.1e-05
## liver_transplant_listed1       -1.47320     0.229  0.15767 -9.34 0.0e+00
## final_type_of_aki2              0.90704     2.477  0.13337  6.80 1.0e-11
## final_type_of_aki3              0.93821     2.555  0.09594  9.78 0.0e+00
## final_type_of_aki4              0.36340     1.438  0.19583  1.86 6.4e-02
## final_type_of_aki5              0.85162     2.343  0.14862  5.73 1.0e-08
## siteindiana                     0.24578     1.279  0.12825  1.92 5.5e-02
## sitejacksonville               -0.66851     0.512  0.26501 -2.52 1.2e-02
## sitekentukey                    0.34704     1.415  0.15488  2.24 2.5e-02
## sitemgh                        -0.18409     0.832  0.12382 -1.49 1.4e-01
## siterochester                  -0.25046     0.778  0.14313 -1.75 8.0e-02
## siteyale                       -0.23905     0.787  0.14374 -1.66 9.6e-02
## etiology_cirrhosis2             0.27871     1.321  0.12737  2.19 2.9e-02
## etiology_cirrhosis4             0.73499     2.085  0.28800  2.55 1.1e-02
## etiology_cirrhosis6             0.29045     1.337  0.14662  1.98 4.8e-02
## etiology_cirrhosis7             0.37367     1.453  0.13344  2.80 5.1e-03
## albumin_given_admission1        0.26088     1.298  0.11299  2.31 2.1e-02
## lactulose1                      0.17588     1.192  0.09342  1.88 6.0e-02
## rifaximin1                     -0.19423     0.823  0.09729 -2.00 4.6e-02
## beta_blockers1                 -0.21601     0.806  0.08359 -2.58 9.8e-03
## encephalopathy_admission1       0.42819     1.534  0.09789  4.37 1.2e-05
## gi_bleed_admission1             0.12215     1.130  0.08228  1.48 1.4e-01
## hcc_admission1                  0.52506     1.691  0.10961  4.79 1.7e-06
## alcoholic_hepatitis_admission1 -0.26099     0.770  0.12122 -2.15 3.1e-02
## MELD_Na_baseline                0.01929     1.019  0.00800  2.41 1.6e-02
## log_k_admit                    -0.28939     0.749  0.18832 -1.54 1.2e-01
## log_co2_admit                  -0.50422     0.604  0.15345 -3.29 1.0e-03
## log_alt_admit                   0.12361     1.132  0.04836  2.56 1.1e-02
## log_tb_admit                    0.19930     1.221  0.05647  3.53 4.2e-04
## log_alb_admit                  -0.70586     0.494  0.16268 -4.34 1.4e-05
## log_wbc_admit                   0.20625     1.229  0.07740  2.66 7.7e-03
## log_plt_admit                  -0.18960     0.827  0.07207 -2.63 8.5e-03
## sbp_admission                  -0.00683     0.993  0.00240 -2.84 4.4e-03
## 
##                                exp(coef) exp(-coef)  2.5% 97.5%
## age_admission                      1.019      0.982 1.011 1.027
## ethnicity2                         1.427      0.701 1.059 1.922
## ethnicity3                         2.810      0.356 1.773 4.454
## liver_transplant_listed1           0.229      4.363 0.168 0.312
## final_type_of_aki2                 2.477      0.404 1.907 3.217
## final_type_of_aki3                 2.555      0.391 2.117 3.084
## final_type_of_aki4                 1.438      0.695 0.980 2.111
## final_type_of_aki5                 2.343      0.427 1.751 3.136
## siteindiana                        1.279      0.782 0.994 1.644
## sitejacksonville                   0.512      1.951 0.305 0.861
## sitekentukey                       1.415      0.707 1.044 1.917
## sitemgh                            0.832      1.202 0.653 1.060
## siterochester                      0.778      1.285 0.588 1.031
## siteyale                           0.787      1.270 0.594 1.044
## etiology_cirrhosis2                1.321      0.757 1.029 1.696
## etiology_cirrhosis4                2.085      0.480 1.186 3.667
## etiology_cirrhosis6                1.337      0.748 1.003 1.782
## etiology_cirrhosis7                1.453      0.688 1.119 1.887
## albumin_given_admission1           1.298      0.770 1.040 1.620
## lactulose1                         1.192      0.839 0.993 1.432
## rifaximin1                         0.823      1.214 0.681 0.996
## beta_blockers1                     0.806      1.241 0.684 0.949
## encephalopathy_admission1          1.534      0.652 1.267 1.859
## gi_bleed_admission1                1.130      0.885 0.962 1.328
## hcc_admission1                     1.691      0.592 1.364 2.096
## alcoholic_hepatitis_admission1     0.770      1.298 0.607 0.977
## MELD_Na_baseline                   1.019      0.981 1.004 1.036
## log_k_admit                        0.749      1.336 0.518 1.083
## log_co2_admit                      0.604      1.656 0.447 0.816
## log_alt_admit                      1.132      0.884 1.029 1.244
## log_tb_admit                       1.221      0.819 1.093 1.363
## log_alb_admit                      0.494      2.026 0.359 0.679
## log_wbc_admit                      1.229      0.814 1.056 1.430
## log_plt_admit                      0.827      1.209 0.718 0.953
## sbp_admission                      0.993      1.007 0.989 0.998
## 
## Num. cases = 1949
## Pseudo Log-likelihood = -4875 
## Pseudo likelihood ratio test = 764  on 35 df,
## 
## Convergence: TRUE

Backward selection based on the BIC

sfgBIC$fit 
## 
## Right-censored response of a competing.risks model
## 
## No.Observations: 1949 
## 
## Pattern:
##          
## Cause     event right.censored
##   1         721              0
##   2         118              0
##   unknown     0           1110
## 
## 
## Fine-Gray model: analysis of cause 1 
## 
## Competing Risks Regression
## 
## Call:
## riskRegression::FGR(formula = Hist(time_90days, status_90days) ~ 
##     age_admission + ethnicity2 + ethnicity3 + liver_transplant_listed1 + 
##         final_type_of_aki2 + final_type_of_aki3 + final_type_of_aki4 + 
##         final_type_of_aki5 + siteindiana + sitejacksonville + 
##         sitekentukey + sitemgh + siterochester + siteyale + etiology_cirrhosis2 + 
##         etiology_cirrhosis4 + etiology_cirrhosis6 + etiology_cirrhosis7 + 
##         albumin_given_admission1 + lactulose1 + rifaximin1 + 
##         beta_blockers1 + encephalopathy_admission1 + gi_bleed_admission1 + 
##         hcc_admission1 + alcoholic_hepatitis_admission1 + MELD_Na_baseline + 
##         log_k_admit + log_co2_admit + log_alt_admit + log_tb_admit + 
##         log_alb_admit + log_wbc_admit + log_plt_admit + sbp_admission, 
##     data = data, cause = cause)
## 
##                                    coef exp(coef) se(coef)     z p-value
## age_admission                   0.01851     1.019  0.00393  4.71 2.5e-06
## ethnicity2                      0.35553     1.427  0.15193  2.34 1.9e-02
## ethnicity3                      1.03336     2.810  0.23492  4.40 1.1e-05
## liver_transplant_listed1       -1.47320     0.229  0.15767 -9.34 0.0e+00
## final_type_of_aki2              0.90704     2.477  0.13337  6.80 1.0e-11
## final_type_of_aki3              0.93821     2.555  0.09594  9.78 0.0e+00
## final_type_of_aki4              0.36340     1.438  0.19583  1.86 6.4e-02
## final_type_of_aki5              0.85162     2.343  0.14862  5.73 1.0e-08
## siteindiana                     0.24578     1.279  0.12825  1.92 5.5e-02
## sitejacksonville               -0.66851     0.512  0.26501 -2.52 1.2e-02
## sitekentukey                    0.34704     1.415  0.15488  2.24 2.5e-02
## sitemgh                        -0.18409     0.832  0.12382 -1.49 1.4e-01
## siterochester                  -0.25046     0.778  0.14313 -1.75 8.0e-02
## siteyale                       -0.23905     0.787  0.14374 -1.66 9.6e-02
## etiology_cirrhosis2             0.27871     1.321  0.12737  2.19 2.9e-02
## etiology_cirrhosis4             0.73499     2.085  0.28800  2.55 1.1e-02
## etiology_cirrhosis6             0.29045     1.337  0.14662  1.98 4.8e-02
## etiology_cirrhosis7             0.37367     1.453  0.13344  2.80 5.1e-03
## albumin_given_admission1        0.26088     1.298  0.11299  2.31 2.1e-02
## lactulose1                      0.17588     1.192  0.09342  1.88 6.0e-02
## rifaximin1                     -0.19423     0.823  0.09729 -2.00 4.6e-02
## beta_blockers1                 -0.21601     0.806  0.08359 -2.58 9.8e-03
## encephalopathy_admission1       0.42819     1.534  0.09789  4.37 1.2e-05
## gi_bleed_admission1             0.12215     1.130  0.08228  1.48 1.4e-01
## hcc_admission1                  0.52506     1.691  0.10961  4.79 1.7e-06
## alcoholic_hepatitis_admission1 -0.26099     0.770  0.12122 -2.15 3.1e-02
## MELD_Na_baseline                0.01929     1.019  0.00800  2.41 1.6e-02
## log_k_admit                    -0.28939     0.749  0.18832 -1.54 1.2e-01
## log_co2_admit                  -0.50422     0.604  0.15345 -3.29 1.0e-03
## log_alt_admit                   0.12361     1.132  0.04836  2.56 1.1e-02
## log_tb_admit                    0.19930     1.221  0.05647  3.53 4.2e-04
## log_alb_admit                  -0.70586     0.494  0.16268 -4.34 1.4e-05
## log_wbc_admit                   0.20625     1.229  0.07740  2.66 7.7e-03
## log_plt_admit                  -0.18960     0.827  0.07207 -2.63 8.5e-03
## sbp_admission                  -0.00683     0.993  0.00240 -2.84 4.4e-03
## 
##                                exp(coef) exp(-coef)  2.5% 97.5%
## age_admission                      1.019      0.982 1.011 1.027
## ethnicity2                         1.427      0.701 1.059 1.922
## ethnicity3                         2.810      0.356 1.773 4.454
## liver_transplant_listed1           0.229      4.363 0.168 0.312
## final_type_of_aki2                 2.477      0.404 1.907 3.217
## final_type_of_aki3                 2.555      0.391 2.117 3.084
## final_type_of_aki4                 1.438      0.695 0.980 2.111
## final_type_of_aki5                 2.343      0.427 1.751 3.136
## siteindiana                        1.279      0.782 0.994 1.644
## sitejacksonville                   0.512      1.951 0.305 0.861
## sitekentukey                       1.415      0.707 1.044 1.917
## sitemgh                            0.832      1.202 0.653 1.060
## siterochester                      0.778      1.285 0.588 1.031
## siteyale                           0.787      1.270 0.594 1.044
## etiology_cirrhosis2                1.321      0.757 1.029 1.696
## etiology_cirrhosis4                2.085      0.480 1.186 3.667
## etiology_cirrhosis6                1.337      0.748 1.003 1.782
## etiology_cirrhosis7                1.453      0.688 1.119 1.887
## albumin_given_admission1           1.298      0.770 1.040 1.620
## lactulose1                         1.192      0.839 0.993 1.432
## rifaximin1                         0.823      1.214 0.681 0.996
## beta_blockers1                     0.806      1.241 0.684 0.949
## encephalopathy_admission1          1.534      0.652 1.267 1.859
## gi_bleed_admission1                1.130      0.885 0.962 1.328
## hcc_admission1                     1.691      0.592 1.364 2.096
## alcoholic_hepatitis_admission1     0.770      1.298 0.607 0.977
## MELD_Na_baseline                   1.019      0.981 1.004 1.036
## log_k_admit                        0.749      1.336 0.518 1.083
## log_co2_admit                      0.604      1.656 0.447 0.816
## log_alt_admit                      1.132      0.884 1.029 1.244
## log_tb_admit                       1.221      0.819 1.093 1.363
## log_alb_admit                      0.494      2.026 0.359 0.679
## log_wbc_admit                      1.229      0.814 1.056 1.430
## log_plt_admit                      0.827      1.209 0.718 0.953
## sbp_admission                      0.993      1.007 0.989 0.998
## 
## Num. cases = 1949
## Pseudo Log-likelihood = -4875 
## Pseudo likelihood ratio test = 764  on 35 df,
## 
## Convergence: TRUE