[HTML][HTML] How many visual fields are required to precisely predict future test results in glaucoma patients when using different trend analyses?

Y Taketani, H Murata, Y Fujino… - … & visual science, 2015 - iovs.arvojournals.org
Y Taketani, H Murata, Y Fujino, C Mayama, R Asaoka
Investigative ophthalmology & visual science, 2015iovs.arvojournals.org
Purpose.: To evaluate the minimum number of visual field (VF) tests required to precisely
predict future VF results using ordinary least squares linear regression (OLSLR), quadratic
regression, exponential regression, logistic regression, and M-estimator robust regression
model. Methods.: Series of 15 VFs (Humphrey Field Analyzer 24-2 SITA standard) were
analyzed from 247 eyes of 155 open-angle glaucoma patients. Future point-wise (PW) VF
results and mean VF sensitivities were predicted with varying numbers of VFs in each …
Abstract
Purpose.: To evaluate the minimum number of visual field (VF) tests required to precisely predict future VF results using ordinary least squares linear regression (OLSLR), quadratic regression, exponential regression, logistic regression, and M-estimator robust regression model.
Methods.: Series of 15 VFs (Humphrey Field Analyzer 24-2 SITA standard) were analyzed from 247 eyes of 155 open-angle glaucoma patients. Future point-wise (PW) VF results and mean VF sensitivities were predicted with varying numbers of VFs in each regression method.
Results.: In PW-OLSLR, as expected, the minimum absolute prediction error was obtained using the maximum number of VFs in the regression (14 VFs); mean absolute prediction error was equal to 2.4±0.9 dB. Ten VFs were required to reach the 95% confidence interval (CI) of the minimum absolute prediction error. Prediction errors associated with the exponential and quadratic regression models were significantly larger than those from PW-OLSLR, whereas errors from logistic regression were not significantly smaller than those from PW-OLSLR; however, the absolute prediction error from the M-estimator robust regression model was significantly smaller than those associated with PW-OLSLR (P< 0.01, paired Wilcoxon test). Like PW-OLSLR, 10 VFs were needed to obtain the minimum absolute prediction error of mean VF sensitivity, but there were no significant differences in errors using the different regression methods.
Conclusions.: Approximately 10 VFs, are needed to achieve an accurate prediction of PW VF sensitivity and mean sensitivity. Prediction error of PW VF sensitivity can be significantly minimized using the M-estimator robust regression model compared with conventional OLSLR.
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