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Biostatistics

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Clinical Epidemiology

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Full-Text Articles in Physical Sciences and Mathematics

Matching Methods For Biomarker Evaluation: A Mapping With Causal Inference, Debashis Ghosh, Michael Sabel Dec 2014

Matching Methods For Biomarker Evaluation: A Mapping With Causal Inference, Debashis Ghosh, Michael Sabel

Debashis Ghosh

In many medical settings, there is interest in evaluating the predictive ability of a candidate biomarker while adjusting appropriately for confounding factors. Recently, Janes and Pepe (2008, {\it Biometrics} 64: 1 -- 9) evaluated the effects of matching on classification accuracy for biomarkers. In this article, we note an analogy between the use of matching in causal inference with its role in the biomarker evaluation problem. This leads us to be able to import much of the literature on matching from causal inferential settings to the biomarker evaluation problem. This leads to a theoretical characterization of the bias properties of …


Semiparametric Analysis Of Recurrent Events: Artificial Censoring, Truncation, Pairwise Estimation And Inference, Debashis Ghosh Dec 2009

Semiparametric Analysis Of Recurrent Events: Artificial Censoring, Truncation, Pairwise Estimation And Inference, Debashis Ghosh

Debashis Ghosh

The analysis of recurrent failure time data from longitudinal studies can be complicated by the presence of dependent censoring. There has been a substantive literature that has developed based on an artificial censoring device. We explore in this article the connection between this class of methods with truncated data structures. In addition, a new procedure is developed for estimation and inference in a joint model for recurrent events and dependent censoring. Estimation proceeds using a mixed U-statistic based estimating function approach. New resampling-based methods for variance estimation and model checking are also described. The methods are illustrated by application to …


Long-Term Consequences Of The Delay Between Virologic Failure Of Highly Active Antiretroviral Therapy And Regimen Modification, Maya L. Petersen, Mark J. Van Der Laan, Napravnik Sonia, Joseph J. Eron, Richard G. Moore, Steven G. Deeks Dec 2007

Long-Term Consequences Of The Delay Between Virologic Failure Of Highly Active Antiretroviral Therapy And Regimen Modification, Maya L. Petersen, Mark J. Van Der Laan, Napravnik Sonia, Joseph J. Eron, Richard G. Moore, Steven G. Deeks

Maya Petersen

Objectives: Current treatment guidelines recommend immediate modification of antiretroviral therapy in HIV-infected individuals with incomplete viral suppression. These recommendations have not been tested in observational studies or large randomized trials. We evaluated the consequences of delayed modification following virologic failure. Design/methods: We used prospective data from two clinical cohorts to estimate the effect of time until regimen modification following first regimen failure on all-cause mortality. The impact of regimen type was also assessed. As the effect of delayed switching can be confounded if patients with a poor prognosis modify therapy earlier than those with a good prognosis, we used a …