Biostatistics Commons^™

Causal Comparisons In Randomized Trials Of Two Active Treatments: The Effect Of Supervised Exercise To Promote Smoking Cessation, Jason Roy, Joseph W. Hogan

COBRA Preprint Series

In behavioral medicine trials, such as smoking cessation trials, two or more active treatments are often compared. Noncompliance by some subjects with their assigned treatment poses a challenge to the data analyst. Causal parameters of interest might include those defined by subpopulations based on their potential compliance status under each assignment, using the principal stratification framework (e.g., causal effect of new therapy compared to standard therapy among subjects that would comply with either intervention). Even if subjects in one arm do not have access to the other treatment(s), the causal effect of each treatment typically can only be identified from …

Age- And Sex-Specific Transformations Of Health Status Measures To Incorporate Death, Ann M. Derleth, Paula Diehr

UW Biostatistics Working Paper Series

Introduction: Measures of health status and physical function do not usually include a specific code for death. This can cause problems in longitudinal studies because analyses limited to survivors may bias the results. One approach is to recode the status variables to include a reasonable value for death. One method that has been used is to replace each scale value with the estimated probability that a person with this value will be “healthy”. “Healthy” has been defined as being above a particular threshold on the variable of interest one year later, or alternatively as being in excellent, very good, or …

Integrating The Predictiveness Of A Marker With Its Performance As A Classifier, Margaret S. Pepe, Ziding Feng, Ying Huang, Gary M. Longton, Ross Prentice, Ian M. Thompson, Yingye Zheng

UW Biostatistics Working Paper Series

There are two popular statistical approaches to biomarker evaluation. One models the risk of disease (or disease outcome) using, for example, logistic regression. A marker is useful if it has a strong effect on risk. The second evaluates classification performance using measures such as sensitivity, specificity, predictive values and ROC curves. There is controversy about which approach is most appropriate. Moreover, the two approaches often give contradictory results on the same data. We present a new graphic, the predictiveness curve, that complements the risk modeling approach. It assesses the usefulness of a risk model when applied to the population. In …

Posterior Simulation In The Generalized Linear Model With Semiparmetric Random Effects, Subharup Guha

Harvard University Biostatistics Working Paper Series

Generalized linear mixed models with semiparametric random effects are useful in a wide variety of Bayesian applications. When the random effects arise from a mixture of Dirichlet process (MDP) model, normal base measures and Gibbs sampling procedures based on the Pólya urn scheme are often used to simulate posterior draws. These algorithms are applicable in the conjugate case when (for a normal base measure) the likelihood is normal. In the non-conjugate case, the algorithms proposed by MacEachern and Müller (1998) and Neal (2000) are often applied to generate posterior samples. Some common problems associated with simulation algorithms for non-conjugate MDP …

Semiparametric Bayesian Modeling Of Multivariate Average Bioequivalence, Pulak Ghosh Dr., Mithat Gonen

Memorial Sloan-Kettering Cancer Center, Dept. of Epidemiology & Biostatistics Working Paper Series

Bioequivalence trials are usually conducted to compare two or more formulations of a drug. Simultaneous assessment of bioequivalence on multiple endpoints is called multivariate bioequivalence. Despite the fact that some tests for multivariate bioequivalence are suggested, current practice usually involves univariate bioequivalence assessments ignoring the correlations between the endpoints such as AUC and Cmax. In this paper we develop a semiparametric Bayesian test for bioequivalence under multiple endpoints. Specifically, we show how the correlation between the endpoints can be incorporated in the analysis and how this correlation affects the inference. Resulting estimates and posterior probabilities ``borrow strength'' from one another …

Combining Information From Two Surveys To Estimate County-Level Prevalence Rates Of Cancer Risk Factors And Screening, Trivellore E. Raghuanthan, Dawei Xie, Nathaniel Schenker, Van Parsons, William W. Davis, Kevin W. Dodd, Eric J. Feuer

The University of Michigan Department of Biostatistics Working Paper Series

Cancer surveillance requires estimates of the prevalence of cancer risk factors and screening for small areas such as counties. Two popular data sources are the Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey conducted by state agencies, and the National Health Interview Survey (NHIS), an area probability sample survey conducted through face-to-face interviews. Both data sources have advantages and disadvantages. The BRFSS is a larger survey, and almost every county is included in the survey; but it has lower response rates as is typical with telephone surveys, and it does not include subjects who live in households with no …

Semiparametric Latent Variable Regression Models For Spatio-Temporal Modeling Of Mobile Source Particles In The Greater Boston Area, Alexandros Gryparis, Brent A. Coull, Joel Schwartz, Helen H. Suh

Harvard University Biostatistics Working Paper Series

Traffic particle concentrations show considerable spatial variability within a metropolitan area. We consider latent variable semiparametric regression models for modeling the spatial and temporal variability of black carbon and elemental carbon concentrations in the greater Boston area. Measurements of these pollutants, which are markers of traffic particles, were obtained from several individual exposure studies conducted at specific household locations as well as 15 ambient monitoring sites in the city. The models allow for both flexible, nonlinear effects of covariates and for unexplained spatial and temporal variability in exposure. In addition, the different individual exposure studies recorded different surrogates of traffic …

Empirical Bayes Approach To Controlling Familywise Error: An Application To Hiv Resistance Data, Rhoderick N. Machekano, Alan E. Hubbard

U.C. Berkeley Division of Biostatistics Working Paper Series

Statistical challenges arise in identifying meaningful patterns and structures from high dimensional genomic data sets. Relating HIV genotype (sequence of amino acids) to phenotypic resistance presents a typical problem. When the HIV virus is under antiretroviral drug pressure, unfavorable mutations of the target genes often lead to greatly increased resistance of the virus to drugs, including drugs the virus has not been exposed to. Identification of mutation combinations and their correlation to drug resistance is critical in guiding efficient prescription of HIV drugs. The identification of a subset of codons associated with drug resistance from a set of several hundreds …

Reliability, Effect Size, And Responsiveness And Intraclass Correlation Of Health Status Measures Used In Randomized And Cluster-Randomized Trials, Paula Diehr, Lu Chen, Donald L. Patrick, Ziding Feng, Yutaka Yasui

UW Biostatistics Working Paper Series

Background: New health status instruments are described by psychometric properties, such as Reliability, Effect Size, and Responsiveness. For cluster-randomized trials, another important statistic is the Intraclass Correlation for the instrument within clusters. Studies using better instruments can be performed with smaller sample sizes, but better instruments may be more expensive in terms of dollars, lost opportunities, or poorer data quality due to the response burden of longer instruments. Investigators often need to estimate the psychometric properties of a new instrument, or of an established instrument in a new setting. Optimal sample sizes for estimating these properties have not been studied …

Detecting Pulsatile Hormone Secretion Events: A Bayesian Approach, Tim Johnson

The University of Michigan Department of Biostatistics Working Paper Series

Many challenges arise in the analysis of pulsatile, or episodic, hormone concentration time series data. Among these challenges is the determination of the number and location of pulsatile events and the discrimination of events from noise. Analyses of these data are typically performed in two stages. In the first stage, the number and approximate location of the pulses are determined. In the second stage, a model (typically a deconvolution model) is fit to the data conditional on the number of pulses. Any error made in the first stage is carried over to the second stage. Furthermore, current methods, except two, …

Semiparametric Analysis For Correlated Recurrent And Terminal Events, Yining Ye, Jack Kalbfleisch, Doug E. Schaubel

The University of Michigan Department of Biostatistics Working Paper Series

In clinical and observational studies, recurrent event data (e.g. hospitalization) with a terminal event (e.g. death) are often encountered. In many instances, the terminal event is strongly correlated with the recurrent event process. In this article, we propose a semiparametric method to jointly model the recurrent and terminal event processes. The dependence is modeled by a shared gamma frailty that is included in both the recurrent event rate and terminal event hazard function. Marginal models are used to estimate the regression effects on the terminal and recurrent event processes and a Poisson model is used to estimate the dispersion of …

Adjusting For Covariate Effects On Classification Accuracy Using The Covariate-Adjusted Roc Curve, Holly Janes, Margaret S. Pepe

UW Biostatistics Working Paper Series

Recent scientific and technological innovations have produced an abundance of potential markers which are being investigated for their use in disease screen- ing and diagnosis. In evaluating these markers, it is often necessary to account for covariates which are associated with the marker of interest. These covariates may include subject characteristics, expertise of the test operator, test proce- dures, or aspects of specimen handling. In this paper, we propose the AROC, a covariate-adjusted measure of the classification accuracy. The AROC is the common covariate-specific ROC curve, when the covariate does not affect dis- crimination, and a weighted average of covariate-specific …

Genome Scanning Methods For Comparing Sequences Between Groups, With Application To Hiv Vaccine Trials, Peter B. Gilbert, Chunyuan Wu, David V. Jobes

UW Biostatistics Working Paper Series

Consider a placebo-controlled preventive HIV vaccine efficacy trial. An HIV amino acid sequence is measured from each volunteer who acquires HIV, and these sequences are aligned together with the reference HIV sequence represented in the vaccine. We develop genome scanning methods to identify HIV positions at which the amino acids in sequences from infected vaccine recipients tend to be more divergent from the corresponding reference amino acid than the amino acids in sequences from infected placebo recipients. We consider five two-sample test statistics, based on Euclidean, Mahalanobis, and Kullback-Leibler divergence measures. Weights are incorporated to reflect biological information contained in …

Multiple Tests Of Association With Biological Annotation Metadata, Sandrine Dudoit, Sunduz Keles, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

We propose a general and formal statistical framework for the multiple tests of associations between known fixed features of a genome and unknown parameters of the distribution of variable features of this genome in a population of interest. The known fixed gene-annotation profiles, corresponding to the fixed features of the genome, may concern Gene Ontology (GO) annotation, pathway membership, regulation by particular transcription factors, nucleotide sequences, or protein sequences. The unknown gene-parameter profiles, corresponding to the variable features of the genome, may be, for example, regression coefficients relating genome-wide transcript levels or DNA copy numbers to possibly censored biological and …

Evaluating The Predictiveness Of A Continuous Marker, Ying Huang, Margaret S. Pepe, Ziding Feng

UW Biostatistics Working Paper Series

Consider a continuous marker for predicting a binary outcome. For example, serum concentration of prostate specific antigen (PSA) may be used to calculate the risk of finding prostate cancer in a biopsy. In this paper we argue that the predictive capacity of a marker has to do with the population distribution of risk given the marker and suggest a graphical tool, the predictiveness curve, that displays this distribution. The display provides a common meaningful scale for comparing markers that may not be comparable on their original scales. Some existing measures of predictiveness are shown to be summary indices derived from …

Comparing The Predictive Values Of Diagnostic Tests: Sample Size And Analysis For Paired Study Designs, Chaya S. Moskowitz, Margaret S. Pepe

Memorial Sloan-Kettering Cancer Center, Dept. of Epidemiology & Biostatistics Working Paper Series

In this paper we consider the design and analysis of studies comparing the positive and negative predictive values of two diagnostic tests that are measured on all subjects. Although statistical methodology is well developed for comparing diagnostic tests in terms of their sensitivities and specificities, comparative inference about predictive values is not. We derive analytic variance expressions for the relative predictive values. Sample size formulas for study design ensue. In addition, two new methods for analyzing the resulting data are presented and compared with an existing marginal regression methodology.

Regression Analysis For The Partial Area Under The Roc Curve, Tianxi Cai, Lori E. Dodd

Harvard University Biostatistics Working Paper Series

No abstract provided.

Comparison Of Haplotype-Based And Tree-Based Snp Imputation In Association Studies, James Y. Dai, Ingo Ruczinski, Michael Leblanc, Charles Kooperberg

UW Biostatistics Working Paper Series

Missing single nucleotide polymorphisms (SNPs) are quite common in genetic association studies. Subjects with missing SNPs are often discarded in analyses, which may seriously undermine the inference of SNP-disease association. In this article, we compare two haplotype-based imputation approaches and one regression tree-based imputation approach for association studies. The goal is to assess the imputation accuracy, and to evaluate the impact of imputation on parameter estimation. Haplotype-based approaches build on haplotype reconstruction by the expectation-maximization (EM) algorithm or a weighted EM (WEM) algorithm, depending on whether case-control status is taken into account. The tree-based approach uses a Gibbs sampler to …

Model Checking For Roc Regression Analysis, Tianxi Cai, Yingye Zheng

Harvard University Biostatistics Working Paper Series

The Receiver Operating Characteristic (ROC) curve is a prominent tool for characterizing the accuracy of continuous diagnostic test. To account for factors that might invluence the test accuracy, various ROC regression methods have been proposed. However, as in any regression analysis, when the assumed models do not fit the data well, these methods may render invalid and misleading results. To date practical model checking techniques suitable for validating existing ROC regression models are not yet available. In this paper, we develop cumulative residual based procedures to graphically and numerically assess the goodness-of-fit for some commonly used ROC regression models, and …

Issues Of Processing And Multiple Testing Of Seldi-Tof Ms Proteomic Data, Merrill D. Birkner, Alan E. Hubbard, Mark J. Van Der Laan, Christine F. Skibola, Christine M. Hegedus, Martyn T. Smith

U.C. Berkeley Division of Biostatistics Working Paper Series

A new data filtering method for SELDI-TOF MS proteomic spectra data is described. We examined technical repeats (2 per subject) of intensity versus m/z (mass/charge) of bone marrow cell lysate for two groups of childhood leukemia patients: acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL). As others have noted, the type of data processing as well as experimental variability can have a disproportionate impact on the list of "interesting" proteins (see Baggerly et al. (2004)). We propose a list of processing and multiple testing techniques to correct for 1) background drift; 2) filtering using smooth regression and cross-validated bandwidth …

Data Adaptive Pathway Testing, Merrill D. Birkner, Alan E. Hubbard, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

A majority of diseases are caused by a combination of factors, for example, composite genetic mutation profiles have been found in many cases to predict a deleterious outcome. There are several statistical techniques that have been used to analyze these types of biological data. This article implements a general strategy which uses data adaptive regression methods to build a specific pathway model, thus predicting a disease outcome by a combination of biological factors and assesses the significance of this model, or pathway, by using a permutation based null distribution. We also provide several simulation comparisons with other techniques. In addition, …

Application Of A Variable Importance Measure Method To Hiv-1 Sequence Data, Merrill D. Birkner, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

van der Laan (2005) proposed a method to construct variable importance measures and provided the respective statistical inference. This technique involves determining the importance of a variable in predicting an outcome. This method can be applied as an inverse probability of treatment weighted (IPTW) or double robust inverse probability of treatment weighted (DR-IPTW) estimator. A respective significance of the estimator is determined by estimating the influence curve and hence determining the corresponding variance and p-value. This article applies the van der Laan (2005) variable importance measures and corresponding inference to HIV-1 sequence data. In this data application, protease and reverse …

Estimating A Treatment Effect With Repeated Measurements Accounting For Varying Effectiveness Duration, Ying Qing Chen, Jingrong Yang, Su-Chun Cheng

UW Biostatistics Working Paper Series

To assess treatment efficacy in clinical trials, certain clinical outcomes are repeatedly measured for same subject over time. They can be regarded as function of time. The difference in their mean functions between the treatment arms usually characterises a treatment effect. Due to the potential existence of subject-specific treatment effectiveness lag and saturation times, erosion of treatment effect in the difference may occur during the observation period of time. Instead of using ad hoc parametric or purely nonparametric time-varying coefficients in statistical modeling, we first propose to model the treatment effectiveness durations, which are the varying time intervals between the …

Model Evaluation Based On The Distribution Of Estimated Absolute Prediction Error, Lu Tian, Tianxi Cai, Els Goetghebeur, L. J. Wei

Harvard University Biostatistics Working Paper Series

The construction of a reliable, practically useful prediction rule for future response is heavily dependent on the "adequacy" of the fitted regression model. In this article, we consider the absolute prediction error, the expected value of the absolute difference between the future and predicted responses, as the model evaluation criterion. This prediction error is easier to interpret than the average squared error and is equivalent to the mis-classification error for the binary outcome. We show that the distributions of the apparent error and its cross-validation counterparts are approximately normal even under a misspecified fitted model. When the prediction rule is …

Efficacy Studies Of Malaria Treatments In Africa: Efficient Estimation With Missing Indicators Of Failure, Rhoderick N. Machekano, Grant Dorsey, Alan E. Hubbard

U.C. Berkeley Division of Biostatistics Working Paper Series

Efficacy studies of malaria treatments can be plagued by indeterminate outcomes for some patients. The study motivating this paper defines the outcome of interest (treatment failure) as recrudescence and for some subjects, it is unclear whether a recurrence of malaria is due to that or new infection. This results in a specific kind of missing data. The effect of missing data in causal inference problems is widely recognized. Methods that adjust for possible bias from missing data include a variety of imputation procedures (extreme case analysis, hot-deck, single and multiple imputation), inverse weighting methods, and likelihood based methods (data augmentation, …

Population Intervention Models In Causal Inference, Alan E. Hubbard, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

Marginal structural models (MSM) provide a powerful tool for estimating the causal effect of a] treatment variable or risk variable on the distribution of a disease in a population. These models, as originally introduced by Robins (e.g., Robins (2000a), Robins (2000b), van der Laan and Robins (2002)), model the marginal distributions of treatment-specific counterfactual outcomes, possibly conditional on a subset of the baseline covariates, and its dependence on treatment. Marginal structural models are particularly useful in the context of longitudinal data structures, in which each subject's treatment and covariate history are measured over time, and an outcome is recorded at …

Gauss-Seidel Estimation Of Generalized Linear Mixed Models With Application To Poisson Modeling Of Spatially Varying Disease Rates, Subharup Guha, Louise Ryan

Harvard University Biostatistics Working Paper Series

Generalized linear mixed models (GLMMs) provide an elegant framework for the analysis of correlated data. Due to the non-closed form of the likelihood, GLMMs are often fit by computational procedures like penalized quasi-likelihood (PQL). Special cases of these models are generalized linear models (GLMs), which are often fit using algorithms like iterative weighted least squares (IWLS). High computational costs and memory space constraints often make it difficult to apply these iterative procedures to data sets with very large number of cases.

This paper proposes a computationally efficient strategy based on the Gauss-Seidel algorithm that iteratively fits sub-models of the GLMM …

Is The Number Of Sick Persons In A Cohort Constant Over Time?, Paula Diehr, Ann Derleth, Anne Newman, Liming Cai

UW Biostatistics Working Paper Series

Objectives: To estimate the number of persons in a cohort who are sick, over time.

Methods: We calculated the number of sick persons in the Cardiovascular Health Study (CHS), a cohort study of older adults followed up to 14 years, using eight definitions of “healthy” and “sick”. We projected the number in each health state over time for a birth cohort.

Results: The number of sick persons in CHS was approximately constant for 14 years, for all definitions of “sick”. The estimated number of sick persons in the birth cohort was approximately constant from ages 55-75, after which it decreased. …

A Pseudolikelihood Approach For Simultaneous Analysis Of Array Comparative Genomic Hybridizations (Acgh), David A. Engler, Gayatry Mohapatra, David N. Louis, Rebecca Betensky

Harvard University Biostatistics Working Paper Series

DNA sequence copy number has been shown to be associated with cancer development and progression. Array-based Comparative Genomic Hybridization (aCGH) is a recent development that seeks to identify the copy number ratio at large numbers of markers across the genome. Due to experimental and biological variations across chromosomes and across hybridizations, current methods are limited to analyses of single chromosomes. We propose a more powerful approach that borrows strength across chromosomes and across hybridizations. We assume a Gaussian mixture model, with a hidden Markov dependence structure, and with random effects to allow for intertumoral variation, as well as intratumoral clonal …

Direct Effect Models, Mark J. Van Der Laan, Maya L. Petersen

U.C. Berkeley Division of Biostatistics Working Paper Series

The causal effect of a treatment on an outcome is generally mediated by several intermediate variables. Estimation of the component of the causal effect of a treatment that is mediated by a given intermediate variable (the indirect effect of the treatment), and the component that is not mediated by that intermediate variable (the direct effect of the treatment) is often relevant to mechanistic understanding and to the design of clinical and public health interventions. Under the assumption of no-unmeasured confounders for treatment and the intermediate variable, Robins & Greenland (1992) define an individual direct effect as the counterfactual effect of …