The index of prediction accuracy: an intuitive measure useful for evaluating risk prediction models

Diagn Progn Res. 2018 May 4;2:7. doi: 10.1186/s41512-018-0029-2. eCollection 2018.


Background: Many measures of prediction accuracy have been developed. However, the most popular ones in typical medical outcome prediction settings require additional investigation of calibration.

Methods: We show how rescaling the Brier score produces a measure that combines discrimination and calibration in one value and improves interpretability by adjusting for a benchmark model. We have called this measure the index of prediction accuracy (IPA). The IPA permits a common interpretation across binary, time to event, and competing risk outcomes. We illustrate this measure using example datasets.

Results: The IPA is simple to compute, and example code is provided. The values of the IPA appear very interpretable.

Conclusions: IPA should be a prominent measure reported in studies of medical prediction model performance. However, IPA is only a measure of average performance and, by default, does not measure the utility of a medical decision.

Keywords: Accuracy; Brier score; Prediction.