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Table 5 Evaluation of the discriminative ability for Alzheimer’s disease in mid-life and late-life

From: Comparison of subjective cognitive decline and polygenic risk score in the prediction of all-cause dementia, Alzheimer’s disease and vascular dementia

Model performance measures

Model 1a

 

Model 2b

CAIDE

CAIDE

+ PRS

CAIDE

+ SCD

 

CAIDE

CAIDE

+ PRS

CAIDE

+ SCD

aMid-life (50–64 years)[ntotal=3330, ncases=46]

AIC

698.6

680.4

699.2

 

677.5

674.5

677.9

AUC (95% CI)

0.767

(0.705–0.829)

0.794

(0.734–0.854)

0.765

(0.703–0.827)

 

0.809

(0.743–0.875)

0.811

(0.747–0.875)

0.808

(0.743–0.873)

Reclassification

       

Events nup/ndown

Ref.

12/6

5/2

 

Ref.

7/5

3/6

Nonevents nup/ndown

Ref.

299/516

160/156

 

Ref.

175/230

113/119

NRI %c (p-value)

Ref.

19.6% (0.008)

6.4% (0.163)

 

Ref.

6.0% (0.250)

-6.3% (0.110)

IDI % (p-value)

Ref.

0.02% (0.025)

-0.0006 (0.243)

 

Ref.

0.002% (0.239)

-0.001 (0.504)

bLate-life (65–75 years)[ntotal=1713, ncases=93]

AIC

1306.4

1301.5

1307.7

 

1290.1

1291.7

1291.5

AUC (95% CI)

0.689

(0.633–0.745)

0.708

(0.652–0.764)

0.688

(0.633–0.744)

 

0.740

(0.688–0.791)

0.738

(0.686–0.791)

0.739

(0.687–0.790)

Reclassification

       

Events nup/ndown

Ref.

16/15

4/9

 

Ref.

3/4

1/7

Nonevents nup/ndown

Ref.

189/218

84/72

 

Ref.

40/51

65/88

NRI %d (p-value)

Ref.

2.9% (0.595)

-6.1% (0.068)

 

Ref.

-4.0% (0.877)

-5.0% (0.101)

IDI % (p-value)

Ref.

0.06% (0.109)

-0.01% (0.683)

 

Ref.

0.01% (0.199)

-0.004% (0.390)

  1. Note: Numbers printed in bold are statistically significant (P < 0.05)
  2. Abbreviations: SCD, subjective cognitive decline; PRS, polygenic risk score; AIC, Akaike’s information criterion; AUC, area under the curve; NRI, net reclassification improvement; IDI, integrated discrimination improvement
  3. aCAIDE Model 1 includes age, education, sex, systolic blood pressure, BMI, total cholesterol and physical activity
  4. bCAIDE Model 2 includes all variables listed in Model 1 and APOE ε4 carrier status
  5. cThe cutoffs for mid-life were set to 1.5%, 3.5%, and 7%
  6. dThe cutoffs for late-life were set to 5%, 8%, and 15%