Pei Wang, Changrui Liu, Jiyeon Park, Suzanne L Tyas, Richard J Kryscio
{"title":"Finite Markov chains with absorbing states and mis-specified random effects: application to cognitive data.","authors":"Pei Wang, Changrui Liu, Jiyeon Park, Suzanne L Tyas, Richard J Kryscio","doi":"10.1080/24709360.2025.2451519","DOIUrl":"10.1080/24709360.2025.2451519","url":null,"abstract":"<p><p>Finite Markov chains with absorbing states are valuable tools for analyzing longitudinal data with categorical responses. However, defining the one-step transition probabilities in terms of fixed and random effects presents challenges due to the large number of unknown parameters involved. To address this, we employ a marginal model to estimate the fixed effects across various choices of the distribution governing the random effects. Subsequently, we utilize an <i>h</i>-likelihood method to estimate the random effects based on these fixed effect estimates. The estimation approach is applied to analyze longitudinal cognitive data from the Nun Study. Our findings highlight that the fixed effects remain relatively robust across a wide range of assumptions. However, the analysis of random effects utilizing tools such as AIC, Q-Q plots, and gradient plots appears to be sensitive to mis-specifications in the distribution of the random effects. Our proposed approach allows researchers to verify the assumptions of random effects and provides more accurate estimation of these effects. Additionally, the precisely estimated random effects enable researchers to identify individuals at high risk for absorbing states (e.g., incurable diseases) and to determine the progression rates for certain diseases.</p>","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eduard Poltavskiy, Dingning Liu, Shuai Chen, Heejung Bang, Hongwei Zhao
{"title":"Mean Cost and Cost-Effectiveness Ratios with Censored Data: a Tutorial and SAS<sup>®</sup> Macros.","authors":"Eduard Poltavskiy, Dingning Liu, Shuai Chen, Heejung Bang, Hongwei Zhao","doi":"10.1080/24709360.2025.2565537","DOIUrl":"10.1080/24709360.2025.2565537","url":null,"abstract":"<p><p>Censoring is an unignorable issue when analyzing survival data and/or medical cost data. Medical costs may be viewed as a type of survival data-in that they accrue over time until an endpoint such as death-or a 'mark' variable. Since Lin et al. (1997) and Mushlin et al. (1998) published landmark papers on this topic, censored cost data have been extensively studied. In this tutorial, we explain how to estimate mean cost and cost-effectiveness ratios, along with three examples under two different data scenarios: when only total cost data (so one observation per person) or longitudinal data (or cost history) are available. We also provide an updated literature review. SAS codes in the supplement could be useful to practitioners and data analysts.</p>","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12674633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiwei Chen, Heyang Ji, Yuanyuan Luan, Roger S Zoh, Lan Xue, Sneha Jadhav, Carmen D Tekwe
{"title":"Adjusting for bias due to measurement error in functional quantile regression models with error-prone functional and scalar covariates.","authors":"Xiwei Chen, Heyang Ji, Yuanyuan Luan, Roger S Zoh, Lan Xue, Sneha Jadhav, Carmen D Tekwe","doi":"10.1080/24709360.2024.2405439","DOIUrl":"10.1080/24709360.2024.2405439","url":null,"abstract":"<p><p>Wearable devices enable the continuous monitoring of physical activity (PA) but generate complex functional data with poorly characterized errors. Most work on functional data views the data as smooth, latent curves obtained at discrete time intervals with some random noise with mean zero and constant variance. Viewing this noise as homoscedastic and independent ignores potential serial correlations. Our preliminary studies indicate that failing to account for these serial correlations can bias estimations. In dietary assessments, epidemiologists often use self-reported measures based on food frequency questionnaires that are prone to recall bias. With the increased availability of complex, high-dimensional functional, and scalar biomedical data potentially prone to measurement errors, it is necessary to adjust for biases induced by these errors to permit accurate analyses in various regression settings. However, there has been limited work to address measurement errors in functional and scalar covariates in the context of quantile regression. Therefore, we developed new statistical methods based on simulation extrapolation (SIMEX) and mixed effects regression with repeated measures to correct for measurement error biases in this context. We conducted simulation studies to establish the finite sample properties of our new methods. The methods are illustrated through application to a real data set.</p>","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wesam R. Kadhum, Lyudmila Sviridova, Dmitry Snegirev
{"title":"The analysis of Salmonella’s ability to survive in different external environments","authors":"Wesam R. Kadhum, Lyudmila Sviridova, Dmitry Snegirev","doi":"10.1080/24709360.2023.2265277","DOIUrl":"https://doi.org/10.1080/24709360.2023.2265277","url":null,"abstract":"AbstractThe work aims to analyze the survival of the Salmonella pathogen in various objects of the outdoor environment (water, soil). Survival rates for Salmonella isolated in agar-agar from aqueous media (distilled water, tap water, well water, seawater) and soil were investigated. Every seven days, samples were subjected to bacteriological analysis, where they were streaked onto nutrient agar medium at a temperature of 36°C to determine the presence of viable Salmonella. In cases where Salmonella was not detected, microscopic examination was conducted to ascertain the presence of dead bacteria. Seasonal aspects of calf morbidity due to salmonellosis were examined. Salmonella survival in distilled water was maximal and exceeded four months; in well water, it survived two months (p ≤ 0.05 with distilled water); the survival rate in tap and sea water was one month (p ≤ 0.01). Salmonella was viable for more than eight months in artificially contaminated chernozem, five months in grey forest soil (p ≤ 0.05), and for at least three months in the soil at 0°C Salmonella (p ≤ 0.01). Salmonellosis is more common in 4–35% of calves 1–3 months of age. Salmonella can live outdoors, remaining viable and virulent in soil and water for 5–8 months.KEYWORDS: Salmonellaeexternal environmentaquatic environmentsoilsurvivalvirulence Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementData will be available on request.","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135798448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Notice of duplicate publication: public transportation network scan for rapid surveillance","authors":"","doi":"10.1080/24709360.2023.2275481","DOIUrl":"https://doi.org/10.1080/24709360.2023.2275481","url":null,"abstract":"","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135799650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana W Capuano, Robert Wilson, Julie A Schneider, Sue E Leurgans, David A Bennett
{"title":"Global Odds Model with Proportional Odds and Trend Odds Applied to Gross and Microscopic Brain Infarcts.","authors":"Ana W Capuano, Robert Wilson, Julie A Schneider, Sue E Leurgans, David A Bennett","doi":"10.1080/24709360.2018.1500089","DOIUrl":"10.1080/24709360.2018.1500089","url":null,"abstract":"<p><p>Medical and epidemiological researchers commonly study ordinal measures of symptoms or pathology. Some of these studies involve two correlated ordinal measures. There is often an interest in including both measures in the modeling. It is common to see analyses that consider one of the measures as a predictor in the model for the other measure as outcome. There are, however, issues with these analyses including biased estimate of the probabilities and a decreased power due to multicollinearity (since they share some predictors). These issues create a necessity to examine both variables as simultaneous outcomes, by assessing the marginal probabilities for each outcome (i.e. using a proportional odds model) and the association between the two outcomes (i.e. using a constant global odds model). In this work we extend this model using a parsimonious option when the constraints imposed by assumptions of proportional marginal odds and constant global odds do not hold. We compare approaches by using simulations and by analyzing data on brain infarcts in older adults. Age at death is a marginal predictor of gross infarcts and also a marginal predictor of microscopic infarcts, but does not modify the association between gross and microscopic infarcts.</p>","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10512893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A marginal structural model for estimation of the effect of HIV positivity awareness on risky sexual behavior","authors":"H. Twabi, Samuel O. M. Manda, D. Small, H. Kohler","doi":"10.1080/24709360.2023.2171537","DOIUrl":"https://doi.org/10.1080/24709360.2023.2171537","url":null,"abstract":"In this paper, a Marginal Structural Model (MSM) with inverse probability of treatment weights was used to estimate the causal effect of HIV positivity awareness on condom use and multiple sexual partners using data from the Malawi Longitudinal Study of Families and Health (MLSFH). Cumulative awareness of HIV positivity was measured as the number of times an individual was aware of their positive HIV status. Awareness of HIV positivity was associated with increased condom use (OR=2.22, 95%: (1.79, 2.75)). Only among women was it associated with multiple sexual partners (OR=1.76, 95%: (1.36, 2.28)). The use of MSM (over standard regression models for repeated measures) should be encouraged as it is more suited for assessing the cumulative treatment effects while controlling for time-varying confounders in longitudinal studies. There is a need to up-scale interventions that promote HIV testing, awareness of HIV status, and prevention of HIV transmission.","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"6 1","pages":"185 - 202"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49406406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Flexible and robust procedure for subgroup inference","authors":"Ao Yuan, Anqi Yin, M. Tan","doi":"10.1080/24709360.2022.2127650","DOIUrl":"https://doi.org/10.1080/24709360.2022.2127650","url":null,"abstract":"In subgroup analysis of clinical trials and precision medicine, it is important to assess the causal effect of a new treatment against an existing one and classify the new treatment favorable subgroup if it exists. As the original randomization does not apply to comparisons between subgroups, for unbiased estimate the causal inference method will be used, in particular the doubly robust procedure, in which a propensity score model and a regression model need to be specified. As long as one of the models is correctly specified, the causal effect will be estimated unbiased. However, it is known that any subjectively specified model more or less deviates from the true one, and so the doubly robust procedure may still not be robust. To overcome this issue, we apply a recently proposed method to allow the identification of subgroups and causal inference in subgroups. The model is a semiparametric robust and flexible procedure, in which both the propensity score model and the regression model are semiparametric, with monotone constraint on the nonparametric parts. Simulation studies are conducted to evaluate the performance of the proposed method and compare some existing methods. Then the method is applied to analyze a real clinical trial data.","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"6 1","pages":"314 - 328"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43377669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The “exposure-based cross-sectional” study design: a novel observational study design applicable to rare exposures","authors":"J. Poorolajal","doi":"10.1080/24709360.2022.2095244","DOIUrl":"https://doi.org/10.1080/24709360.2022.2095244","url":null,"abstract":"Current epidemiological studies are either inefficient or very expensive and time-consuming when the exposure of interest is very rare. The ‘exposure-based cross-sectional’ study is a new design that can overcome this problem. The ‘exposure-based cross-sectional’ study starts with exposed and unexposed groups. Then, these two groups are compared to determine what proportion of each group have the disease and what proportion do not. It is as if we were conducting a reversed case–control study in which the positions of the disease and exposures are altered. Dissimilar to retrospective cohort studies, the ‘exposure-based cross-sectional’ study does not depend on the basic existing records. This study measures the disease ‘prevalence’ rather than the disease ‘incidence’. The ‘exposure-based cross-sectional’ study design was examined in several real-life epidemiological studies with binary and continuous outcomes. The ‘exposure-based cross-sectional’ study is an efficient, inexpensive, expeditious, and easy to conduct study design for rare exposures. It can be performed for both binary and continuous outcomes.","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"6 1","pages":"285 - 291"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47766890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Propensity score-based adjustment for covariate effects on classification accuracy of bio-marker using ROC curve","authors":"Muntaha Mushfiquee, M. S. Rahman","doi":"10.1080/24709360.2022.2131994","DOIUrl":"https://doi.org/10.1080/24709360.2022.2131994","url":null,"abstract":"The potential performance of bio-marker in classifying diseased from healthy population may be affected by baseline covariates (X) that are associated with both the bio-marker (Y) and the disease status (D). Some existing approaches can be able to adjust for the effect of a single covariate at a time. However, several potential covariates can be available in practice for which simultaneous adjustment in the ROC curve is essential. This study proposed a propensity score (PS) based adjustment for the effects of several covariates in the ROC curve. The PS is first derived from a linear transformation of several covariates and the PS-adjusted (and PS-specific) ROC curve was then estimated using the existing non-parametric induced ROC regression framework. The method is illustrated for both continuous and binary bio-markers. The simulation study suggests that the PS-based adjustment performed well by providing a consistent estimate of the true ROC curve and showing robustness to the mis-specification of the propensity score model as well as to a non-linear function of covariates. Further, an application of the method is provided to evaluate the effectiveness of the body-mass-index in classifying patients with hypertension or diabetes after adjusting for the potential covariates such as age, sex, education, socio-economic status.","PeriodicalId":37240,"journal":{"name":"Biostatistics and Epidemiology","volume":"6 1","pages":"292 - 313"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49257477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}