Last updated: 2023-06-17

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Knit directory: eGFRslopes/

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Introduction

Finally, we put together a report containing the eGFR measurements, flagged episodes and eGFR slopes for each patient.

Load necessary libraries:

library(tidyverse)
── Attaching core tidyverse packages ──────────────────────── tidyverse 2.0.0 ──
✔ dplyr     1.1.2     ✔ readr     2.1.4
✔ forcats   1.0.0     ✔ stringr   1.5.0
✔ ggplot2   3.4.2     ✔ tibble    3.2.1
✔ lubridate 1.9.2     ✔ tidyr     1.3.0
✔ purrr     1.0.1     
── Conflicts ────────────────────────────────────────── tidyverse_conflicts() ──
✖ dplyr::filter() masks stats::filter()
✖ dplyr::lag()    masks stats::lag()
ℹ Use the conflicted package (<http://conflicted.r-lib.org/>) to force all conflicts to become errors

Load support functions:

source("code/extractSlopes.R")

Load data:

pred_long <- read.csv("output/pred_long.csv")
longitudinal_data <- read.csv("output/longitudinal_data.csv")
flagged_episodes <- read.csv("output/flagged_episodes.csv")

Plot eGFR report by patient

The support function plot_by_patient() allows us to generate a report plot showing the observed eGFR values, the fitted slope, and the flagged AKI episodes.

Prepare the data:

predicted_values <- pred_long %>%
  dplyr::select(-c("age_at_biopsy", "last_measurement_y",
                   "low_measurement", "upp_measurement", "endpoint")) %>%
  dplyr::mutate(years_from_biopsy = start)

eGFR_values <- longitudinal_data %>%
  dplyr::filter(type == "eGFR") %>%
  dplyr::left_join(predicted_values, by = c("patient_id", "measurement", "years_from_biopsy"))

flagged_AKI <- flagged_episodes %>%
  dplyr::filter(start >= 0, flag == "AKI and in-patient") %>%
  dplyr::mutate(flag = "Meets AKI criteria\n& potential\nin-patient stay")

View plot for Patient 1:

plot_by_patient(patient_str = 1,
               longitudinal_data = eGFR_values,
               flagged_episodes = flagged_AKI)

Version Author Date
5078e86 Charlotte Boys 2023-06-17

Create a PDF report with all eGFR slopes:

all_patients <- unique(eGFR_values$patient_id)

plots <- lapply(all_patients,
                plot_by_patient,
                longitudinal_data = eGFR_values,
                flagged_episodes = flagged_AKI)

pdf("./output/follow_up_report_by_patient.pdf", width = 6, height = 4)
for (i in 1:length(plots)){
  plot(plots[[i]])
  }
dev.off()
quartz_off_screen 
                2 

Extract table of eGFR slopes

Finally, the support function extract_egfr_table() allows us to extract a table of the eGFR slope (ml/min/1.73m²/year) and intercept (ml/min/1.73m²) according to the fitted joint mixed effects model.

eGFR_slopes <- extract_egfr_table(patient_list = all_patients,
                         pred_eGFR = eGFR_values)
knitr::kable(head(eGFR_slopes))
patient_id slope intercept
1 -0.00319569986566873 89.7425584667643
2 -0.78319044258304 58.8697772721615
3 -0.523898518827211 82.414218816593
4 -1.81874084171771 66.1457608037737
5 -1.00722995549735 77.2684360381736
6 -0.119481484742004 52.342801282488

Save eGFR slopes:

write.csv(eGFR_slopes, "output/fitted_eGFR_slopes.csv", row.names = FALSE)

sessionInfo()
R version 4.3.0 (2023-04-21)
Platform: aarch64-apple-darwin20 (64-bit)
Running under: macOS Monterey 12.4

Matrix products: default
BLAS:   /Library/Frameworks/R.framework/Versions/4.3-arm64/Resources/lib/libRblas.0.dylib 
LAPACK: /Library/Frameworks/R.framework/Versions/4.3-arm64/Resources/lib/libRlapack.dylib;  LAPACK version 3.11.0

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

time zone: Europe/Rome
tzcode source: internal

attached base packages:
[1] stats     graphics  grDevices utils     datasets  methods   base     

other attached packages:
 [1] lubridate_1.9.2 forcats_1.0.0   stringr_1.5.0   dplyr_1.1.2    
 [5] purrr_1.0.1     readr_2.1.4     tidyr_1.3.0     tibble_3.2.1   
 [9] ggplot2_3.4.2   tidyverse_2.0.0 workflowr_1.7.0

loaded via a namespace (and not attached):
 [1] sass_0.4.6       utf8_1.2.3       generics_0.1.3   stringi_1.7.12  
 [5] hms_1.1.3        digest_0.6.31    magrittr_2.0.3   timechange_0.2.0
 [9] evaluate_0.21    grid_4.3.0       fastmap_1.1.1    rprojroot_2.0.3 
[13] jsonlite_1.8.5   ggrepel_0.9.3    processx_3.8.1   whisker_0.4.1   
[17] ps_1.7.5         promises_1.2.0.1 httr_1.4.6       fansi_1.0.4     
[21] scales_1.2.1     jquerylib_0.1.4  cli_3.6.1        rlang_1.1.1     
[25] munsell_0.5.0    withr_2.5.0      cachem_1.0.8     yaml_2.3.7      
[29] tools_4.3.0      tzdb_0.4.0       colorspace_2.1-0 httpuv_1.6.11   
[33] vctrs_0.6.2      R6_2.5.1         lifecycle_1.0.3  git2r_0.32.0    
[37] fs_1.6.2         pkgconfig_2.0.3  callr_3.7.3      pillar_1.9.0    
[41] bslib_0.4.2      later_1.3.1      gtable_0.3.3     glue_1.6.2      
[45] Rcpp_1.0.10      highr_0.10       xfun_0.39        tidyselect_1.2.0
[49] rstudioapi_0.14  knitr_1.43       farver_2.1.1     patchwork_1.1.2 
[53] htmltools_0.5.5  labeling_0.4.2   rmarkdown_2.22   compiler_4.3.0  
[57] getPass_0.2-2