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name: model-calibration-curve description: "Use when assessing how well a survival model's predicted probabilities agree with observed outcomes by fitting a Cox model and generating bootstrap calibration curves at one or more prediction horizons from a clinical CSV file. NOT for: nomogram construction, univariate Cox screening, ROC analysis, or decision-curve analysis." license: MIT skill-author: AIPOCH

Model Calibration Curve

When to Use

Use this skill when you need to:

• validate a survival model with bootstrap calibration curves;
• compare predicted and observed survival probabilities at multiple horizons;
• export calibration statistics together with a PDF visualization.

Typical user requests:

• "Generate 1-, 2-, and 3-year calibration curves for this prognosis model."
• "Check whether the Cox model built from age, gender, and risk is well calibrated."
• "Export calibration statistics and a calibration PDF from this clinical cohort."

When Not to Use

Do not use this skill for:

• nomogram construction;
• univariate or multivariable Cox feature screening;
• ROC, calibration-free discrimination, or decision-curve analysis;
• non-survival endpoints or multiclass classification tasks.

When to Read External Files

Situation	File to Read	Purpose
Need algorithm details	references/algorithm.md	Statistical method and formulas
Need to run analysis	scripts/main.R	Get the complete command
Encounter errors	references/troubleshooting.md	Find solutions
Need CLI examples	references/cli-guide.md	Parameter usage examples

Input Validation

This skill accepts:

• A clinical CSV file with sample IDs as row names, survival time, event indicator, and pre-selected prognostic features
• Requests to assess calibration of a survival (Cox) model via bootstrap resampling at one or more prediction horizons

If the user's request does not involve survival model calibration from a clinical CSV file — for example, asking to construct a nomogram, screen Cox features, generate an ROC curve, analyze a decision curve, or work with non-survival outcomes — do not proceed with this workflow. Instead respond:

"model-calibration-curve is designed to validate survival model calibration by generating bootstrap calibration curves from a clinical CSV file. Your request appears to be outside this scope. Please use a nomogram-construction skill for nomogram building, a roc-diagnostic-performance skill for ROC analysis, or a decision-curve-analysis skill for DCA."

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Prerequisites

R packages required: rms, qs, openxlsx, optparse.

Install with:

install.packages(c("rms", "qs", "openxlsx", "optparse"), repos = "https://cloud.r-project.org")

Or run the bootstrap installer:

Rscript scripts/install_dependencies.R

Note: --help requires optparse to be loaded. If the package check fires before option parsing, install optparse first, then run --help. The root fix (deferring heavy package checks until after argument parsing) must be applied in scripts/main.R.

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Usage

Rscript scripts/main.R \
  --data_file ./clinical_data.csv \
  --features age,stage,risk \
  --years 1,2,3 \
  --output_dir ./output/

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Arguments

Short	Long	Type	Default	Description
-d	--data_file	character	required	Clinical CSV file with sample IDs as row names
-f	--features	character	required	Comma-separated model features used in the Cox model
-t	--time_col	character	futime	Survival time column
-e	--event_col	character	fustat	Event indicator column using 0/1 encoding
-y	--years	character	1,2,3	Prediction horizons in the same units as time_col
-b	--bootstrap_reps	integer	1000	Bootstrap replications for rms::calibrate()
-o	--output_dir	character	./output/	Output directory
	--overwrite	flag	FALSE	Allow writing into a non-empty output directory
-s	--seed	integer	42	Random seed for reproducibility
-T	--timeout_seconds	integer	0	Elapsed time limit in seconds; 0 disables timeout
	--plot_width	double	6	PDF width in inches
	--plot_height	double	6	PDF height in inches
	--font_family	character	sans	PDF font family
	--line_width	double	1.5	Calibration curve line width
	--colors	character	#0073C2,#EFC000,#868686,#CD534C,#7AA6DD	Comma-separated colors for time-point curves
	--plot_title	character	Calibration Curve	Plot title
	--base_cex	double	0.9	Base text-size multiplier

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Input Format

Clinical Data (--data_file)

CSV file with row names as sample IDs and columns for model features, survival time, and event indicator.

"",age,gender,stage,futime,fustat,risk
"SAMPLE_001",">65","Female","StageI&II",1.12,0,"high"
"SAMPLE_002","<=65","Male","StageIII&IV",1.92,1,"high"
"SAMPLE_003",">65","Male","StageI&II",4.47,1,"low"

Requirements

• File extension must be .csv.
• Row names must be unique sample IDs.
• All requested features plus time_col and event_col must exist.
• Survival time values must be finite numbers greater than 0.
• Event values must use 0/1 encoding.
• Complete-case filtering must leave at least 30 samples and at least 10 events.

Feature Selection (--features)

• Comma-separated without line breaks: age,gender,risk
• Character predictors are converted to factors before Cox fitting.
• If every requested feature is absent after validation, the run stops.

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Output Files

File	Format	Description
data/calibration_data.qs	QS serialized object	Serialized calibration result bundle, including calibration objects and summary metadata
table/calibration_statistics.xlsx	Excel workbook (.xlsx)	Per-time-point means and overall model summary
plot/calibration_curve.pdf	PDF (.pdf)	Combined calibration curve visualization
session_info.txt	Plain text (.txt)	Session information and run parameters

calibration_statistics.xlsx

Workbook sheets:

• Time_Point_Stats: predicted mean, observed mean, and bias-corrected mean for each calibration horizon.
• Model_Summary: overall C-index, sample count, event count, selected features, and fitted formula.

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Workflow

Step 1: Validate Input

• Confirm the clinical CSV exists and is readable.
• Check that requested features, survival time, and event columns are present.
• Remove incomplete rows across all required columns.

Step 2: Prepare Survival Modeling Data

• Convert survival time and event columns to numeric.
• Convert character predictors to factors.
• Reject data with non-positive follow-up times, invalid event coding, too few samples, or too few events.

Step 3: Build Calibration Models

• Fit a Cox proportional hazards model with the requested features.
• Run rms::calibrate() for each prediction horizon using bootstrap resampling.
• Compute the concordance index for the fitted model.

Step 4: Save Outputs

• Serialize the calibration result bundle as .qs.
• Export statistics to Excel.
• Render a combined calibration PDF.
• Record session metadata for reproducibility.

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Examples

Basic Calibration Analysis

Rscript scripts/main.R \
  --data_file clinical_data.csv \
  --features age,stage,risk \
  --output_dir ./output/

Custom Horizons And Bootstrap Count

Rscript scripts/main.R \
  --data_file clinical_data.csv \
  --features age,gender,risk \
  --years 1,3,5 \
  --bootstrap_reps 1500 \
  --output_dir ./custom_output/

Custom Plot Styling

Rscript scripts/main.R \
  --data_file clinical_data.csv \
  --features age,stage,risk \
  --plot_width 7 \
  --plot_height 6 \
  --line_width 2 \
  --colors "#1B9E77,#D95F02,#7570B3" \
  --plot_title "Three-Horizon Calibration" \
  --output_dir ./styled_output/

With Bundled Test Data

Rscript scripts/main.R \
  --data_file tests/data/sample_clinical_survival_data.csv \
  --features age,gender,risk \
  --bootstrap_reps 20 \
  --output_dir tests/output/ \
  --overwrite

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Error Handling

Error	Cause	Solution
SKILL_INVALID_PARAMETER	Missing required argument, invalid numeric values, invalid event coding, insufficient complete cases, insufficient events, or failed model fitting	Check argument values, data validity, and event/sample counts
SKILL_FILE_NOT_FOUND	Input CSV does not exist	Verify the path
SKILL_MISSING_COLUMNS	Required feature/time/event columns are absent	Check column names and spelling
SKILL_EMPTY_DATA	Input file is empty, complete-case filtering removed all rows, or no requested features remained	Check file content and requested feature names
SKILL_SAMPLE_MISMATCH	Reserved for cross-file sample mismatch scenarios	Not expected for this single-file workflow
SKILL_PACKAGE_NOT_FOUND	Required R package is missing	Install with: Rscript -e "install.packages(c('rms', 'qs', 'openxlsx'), repos='https://cloud.r-project.org')"

IF error persists, READ: references/troubleshooting.md

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Testing

Smoke Test With Included Data

Rscript scripts/main.R --help

Rscript scripts/main.R \
  --data_file tests/data/sample_clinical_survival_data.csv \
  --features age,gender,risk \
  --bootstrap_reps 20 \
  --output_dir tests/output/ \
  --overwrite

Automated Smoke Test Script

Rscript tests/run_smoke_test.R

Optional shell wrapper:

bash tests/run_smoke_test.sh

Expected Output

tests/output/
|-- data/calibration_data.qs
|-- plot/calibration_curve.pdf
|-- session_info.txt
`-- table/calibration_statistics.xlsx

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References

1. Harrell FE. Regression Modeling Strategies.
2. Steyerberg EW et al. Assessing the performance of prediction models.
3. Austin PC, Steyerberg EW. Graphical assessment of calibration for survival models.

For detailed algorithm, READ: references/algorithm.md

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Implementation Checklist

• CLI parsing with optparse
• set.seed() for reproducibility
• Top-level CRAN dependency checks
• Session info recording
• Timeout parameter exposed as CLI option
• Relative-path source() usage via get_script_dir()
• Modular script structure in scripts/
• Test data provided in tests/data/
• Error handling with SKILL_* codes
• Reference docs provided in references/

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Last updated: 2026-04-27 | Version: 2.1.0