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JAMA Guide to Statistics and Methods
August 18, 2020

Using Latent Class Analysis to Identify Hidden Clinical Phenotypes

Author Affiliations
  • 1Section of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut
  • 2Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut
  • 3Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
  • 4Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut
  • 5Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
  • 6Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut
JAMA. 2020;324(7):700-701. doi:10.1001/jama.2020.2278

In precision medicine, a common question for researchers is whether patients can be classified with others who have similar risks and treatment responses. Such groupings can assist in predicting risk and matching patients with appropriate treatment strategies. The challenge is that it is often not easy to identify meaningful clusters of people with the observable data.

Latent class analysis (LCA) is a common explanatory modeling technique that allows researchers to identify groups of people who have similar characteristics that can include demographics, clinical characteristics, treatments, comorbidities, and outcomes.1 The term latent derives from the fact that the classes are not directly observable. Latent class analysis estimates the probability of each participant being a member of each latent class.2

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