Quantification of the influence of risk factors with application to cardiovascular diseases in subjects with type 1 diabetes.

Abstract

Future occurrence of a disease can be highly influenced by some specific risk factors. This work presents a comprehensive approach to quantify the event probability as a function of each separate risk factor by means of a parametric model. The proposed methodology is mainly described and applied here in the case of a linear model, but the non-linear case is also addressed. To improve estimation accuracy, three distinct methods are developed and their results are integrated. One of them is Bayesian, based on a non-informative prior. Each of the other two, uses aggregation of sample elements based on their factor values, which is optimized by means of a different specific criterion. For one of these two, optimization is performed by Simulated Annealing. The methodology presented is applicable across various diseases but here we quantify the risk for cardiovascular diseases in subjects with type 1 diabetes. The results obtained combining the three different methods show accurate estimates of cardiovascular risk variation rates for the factors considered. Furthermore, the detection of a biological activation phenomenon for one of the factors is also illustrated. To quantify the performances of the proposed methodology and to compare them with those from a known method used for this type of models, a large simulation study is done, whose results are illustrated here.