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191.
192.
The last decade saw enormous progress in the development of causal inference tools to account for noncompliance in randomized
clinical trials. With survival outcomes, structural accelerated failure time (SAFT) models enable causal estimation of effects
of observed treatments without making direct assumptions on the compliance selection mechanism. The traditional proportional
hazards model has however rarely been used for causal inference. The estimator proposed by Loeys and Goetghebeur (2003, Biometrics vol. 59 pp. 100–105) is limited to the setting of all or nothing exposure. In this paper, we propose an estimation procedure
for more general causal proportional hazards models linking the distribution of potential treatment-free survival times to
the distribution of observed survival times via observed (time-constant) exposures. Specifically, we first build models for
observed exposure-specific survival times. Next, using the proposed causal proportional hazards model, the exposure-specific
survival distributions are backtransformed to their treatment-free counterparts, to obtain – after proper mixing – the unconditional
treatment-free survival distribution. Estimation of the parameter(s) in the causal model is then based on minimizing a test
statistic for equality in backtransformed survival distributions between randomized arms. 相似文献
193.
The authors consider regression analysis for binary data collected repeatedly over time on members of numerous small clusters of individuals sharing a common random effect that induces dependence among them. They propose a mixed model that can accommodate both these structural and longitudinal dependencies. They estimate the parameters of the model consistently and efficiently using generalized estimating equations. They show through simulations that their approach yields significant gains in mean squared error when estimating the random effects variance and the longitudinal correlations, while providing estimates of the fixed effects that are just as precise as under a generalized penalized quasi‐likelihood approach. Their method is illustrated using smoking prevention data. 相似文献
194.
Response-adaptive (RA) allocation designs can skew the allocation of incoming subjects toward the better performing treatment group based on the previously accrued responses. While unstable estimators and increased variability can adversely affect adaptation in early trial stages, Bayesian methods can be implemented with decreasingly informative priors (DIP) to overcome these difficulties. DIPs have been previously used for binary outcomes to constrain adaptation early in the trial, yet gradually increase adaptation as subjects accrue. We extend the DIP approach to RA designs for continuous outcomes, primarily in the normal conjugate family by functionalizing the prior effective sample size to equal the unobserved sample size. We compare this effective sample size DIP approach to other DIP formulations. Further, we considered various allocation equations and assessed their behavior utilizing DIPs. Simulated clinical trials comparing the behavior of these approaches with traditional Frequentist and Bayesian RA as well as balanced designs show that the natural lead-in approaches maintain improved treatment with lower variability and greater power. 相似文献
195.
In drug development, bioequivalence studies are used to indirectly demonstrate clinical equivalence of a test formulation and a reference formulation of a specific drug by establishing their equivalence in bioavailability. These studies are typically run as crossover studies. In the planning phase of such trials, investigators and sponsors are often faced with a high variability in the coefficients of variation of the typical pharmacokinetic endpoints such as the area under the concentration curve or the maximum plasma concentration. Adaptive designs have recently been considered to deal with this uncertainty by adjusting the sample size based on the accumulating data. Because regulators generally favor sample size re‐estimation procedures that maintain the blinding of the treatment allocations throughout the trial, we propose in this paper a blinded sample size re‐estimation strategy and investigate its error rates. We show that the procedure, although blinded, can lead to some inflation of the type I error rate. In the context of an example, we demonstrate how this inflation of the significance level can be adjusted for to achieve control of the type I error rate at a pre‐specified level. Furthermore, some refinements of the re‐estimation procedure are proposed to improve the power properties, in particular in scenarios with small sample sizes. Copyright © 2014 John Wiley & Sons, Ltd. 相似文献
196.
Leila Janani Mohammad Ali Mansournia Kazem Mohammad Mahmood Mahmoodi Kamran Mehrabani 《Journal of Statistical Computation and Simulation》2017,87(4):640-651
Relative risks (RRs) are often considered as preferred measures of association in randomized controlled trials especially when the binary outcome of interest is common. To directly estimate RRs, log-binomial regression has been recommended. Although log-binomial regression is a special case of generalized linear models, it does not respect the natural parameter constraints, and maximum likelihood estimation is often subject to numerical instability that leads to convergence problems. Alternative methods for solving log-binomial regression convergence problems have been proposed. A Bayesian approach also was introduced, but the comparison between this method and frequentist methods has not been fully explored. We compared five frequentist and one Bayesian methods for estimating RRs under a variety of scenario. Based on our simulation study, there is not a method that can perform well based on different statistical properties, but COPY 1000 and modified log-Poisson regression can be considered in practice. 相似文献
197.
This paper considers the problem of making statistical inferences about a parameter when a narrow interval centred at a given value of the parameter is considered special, which is interpreted as meaning that there is a substantial degree of prior belief that the true value of the parameter lies in this interval. A clear justification of the practical importance of this problem is provided. The main difficulty with the standard Bayesian solution to this problem is discussed and, as a result, a pseudo-Bayesian solution is put forward based on determining lower limits for the posterior probability of the parameter lying in the special interval by means of a sensitivity analysis. Since it is not assumed that prior beliefs necessarily need to be expressed in terms of prior probabilities, nor that post-data probabilities must be Bayesian posterior probabilities, hybrid methods of inference are also proposed that are based on specific ways of measuring and interpreting the classical concept of significance. The various methods that are outlined are compared and contrasted at both a foundational level, and from a practical viewpoint by applying them to real data from meta-analyses that appeared in a well-known medical article. 相似文献
198.
Modelling time-varying and frequency-specific relationships between two brain signals is becoming an essential methodological tool to answer theoretical questions in experimental neuroscience. In this article, we propose to estimate a frequency Granger causality statistic that may vary in time in order to evaluate the functional connections between two brain regions during a task. We use for that purpose an adaptive Kalman filter type of estimator of a linear Gaussian vector autoregressive model with coefficients evolving over time. The estimation procedure is achieved through variational Bayesian approximation and is extended for multiple trials. This Bayesian State Space (BSS) model provides a dynamical Granger-causality statistic that is quite natural. We propose to extend the BSS model to include the à trous Haar decomposition. This wavelet-based forecasting method is based on a multiscale resolution decomposition of the signal using the redundant à trous wavelet transform and allows us to capture short- and long-range dependencies between signals. Equally importantly it allows us to derive the desired dynamical and frequency-specific Granger-causality statistic. The application of these models to intracranial local field potential data recorded during a psychological experimental task shows the complex frequency-based cross-talk between amygdala and medial orbito-frontal cortex. 相似文献
199.
200.