Ryan Hebdon, James Stamey, David Kahle, Xiang Zhang
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引用次数: 0
摘要
无法正确考虑未测量混杂因素会导致参数估计偏差、不确定性评估无效以及结论错误。敏感性分析是调查观察性研究中未测量混杂因素影响的一种方法。然而,由于缺乏可用的软件,这种方法的应用一直进展缓慢。在对用于考虑未测量混杂因素的可用 R 软件包进行的广泛审查中,列出了确定性灵敏度分析方法,但没有列出用于概率灵敏度分析的 R 软件包。R 软件包 unmconf 通过贝叶斯未测量混杂模型实现了第一个可用的概率敏感性分析软件包。该软件包可用于正态、二元、泊松或伽马反应,从正态分布或二项分布中考虑一个或两个未测量混杂因素。unmconf 的目标是实现一个用户友好型软件包,在存在未测量混杂因素的情况下执行贝叶斯建模,在前端使用简单的命令,而在后端执行更密集的计算。我们通过新颖的模拟研究调查了该软件包的适用性。结果表明,在不同的响应-未测量混杂因素分布族组合中,针对不同水平的内部/外部验证数据建立未测量混杂因素模型时,可信区间将具有接近标称的覆盖概率和较小的偏差。
unmconf : an R package for Bayesian regression with unmeasured confounders.
The inability to correctly account for unmeasured confounding can lead to bias in parameter estimates, invalid uncertainty assessments, and erroneous conclusions. Sensitivity analysis is an approach to investigate the impact of unmeasured confounding in observational studies. However, the adoption of this approach has been slow given the lack of accessible software. An extensive review of available R packages to account for unmeasured confounding list deterministic sensitivity analysis methods, but no R packages were listed for probabilistic sensitivity analysis. The R package unmconf implements the first available package for probabilistic sensitivity analysis through a Bayesian unmeasured confounding model. The package allows for normal, binary, Poisson, or gamma responses, accounting for one or two unmeasured confounders from the normal or binomial distribution. The goal of unmconf is to implement a user friendly package that performs Bayesian modeling in the presence of unmeasured confounders, with simple commands on the front end while performing more intensive computation on the back end. We investigate the applicability of this package through novel simulation studies. The results indicate that credible intervals will have near nominal coverage probability and smaller bias when modeling the unmeasured confounder(s) for varying levels of internal/external validation data across various combinations of response-unmeasured confounder distributional families.
期刊介绍:
BMC Medical Research Methodology is an open access journal publishing original peer-reviewed research articles in methodological approaches to healthcare research. Articles on the methodology of epidemiological research, clinical trials and meta-analysis/systematic review are particularly encouraged, as are empirical studies of the associations between choice of methodology and study outcomes. BMC Medical Research Methodology does not aim to publish articles describing scientific methods or techniques: these should be directed to the BMC journal covering the relevant biomedical subject area.