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9780817643683

Advances in Statistical Methods for the Health Sciences

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  • ISBN13:

    9780817643683

  • ISBN10:

    0817643680

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2006-12-30
  • Publisher: Birkhauser

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Summary

Statistical methods have become increasingly important and now form integral part of research in the health sciences. Many sophisticated methodologies have been developed for specific applications and problems. This self-contained volume, an outgrowth of an "International Conference on Statistical Methods in Health Sciences," covers a wide range of topics pertaining to new statistical methods and novel applications in the health sciences. The chapters, written by leading experts in their respective fields, are thematically divided into the following areas:* Prognostic studies and general epidemiology* Pharmacovigilance* Quality of life* Survival analysis* Clustering* Safety and efficacy assessment* Clinical design* Models for the environment* Genomic analysis* Animal health This comprehensive volume will be highly useful an of great interest to the health science community as well as practitioners, researchers, and graduate students in applied probability, statistics, and biostatistics.

Table of Contents

Preface xix
Contributors xxi
List of Tables
xxix
List of Figures
xxxv
PART I: PROGNOSTIC STUDIES AND GENERAL EPIDEMIOLOGY
Systematic Review of Multiple Studies of Prognosis: The Feasibility of Obtaining Individual Patient Data
3(16)
D. G. Altman
M. Trivella
F. Pezzella
A. L. Harris
U. Pastorino
Introduction
3(2)
Systematic Review Based on Individual Patient Data
5(1)
A Case Study: Microvessel Density in Non-Small Cell Lung Cancer
6(6)
Identifying studies (data sets) and obtaining the data
7(2)
Checking the data
9(2)
MVD measurements
11(1)
Meta-analysis
12(1)
Discussion
12(7)
Systematic review of prognostic studies using individual patient data
13(1)
The need for higher-quality prognostic studies
14(2)
References
16(3)
On Statistical Approaches for the Multivariable Analysis of Prognostic Marker Studies
19(20)
N. Hollander
W. Sauerbrei
Introduction
19(1)
Examples: Two Prognostic Studies in Breast Cancer
20(1)
Statistical Methods
21(2)
Regression models
21(1)
Classification and regression trees (CART)
22(1)
Formation of risk groups
23(1)
Results in the GBSG-2 Study
23(7)
Regression models -- standard applications
23(2)
Regression models -- the MFP-approach
25(1)
Summary assessment -- implication of the modelling strategy
25(3)
Application of classification and regression trees
28(2)
Formation and Validation of Risk Groups
30(2)
Discussion
32(7)
References
35(4)
Where Next for Evidence Synthesis of Prognostic Marker Studies? Improving the Quality and Reporting of Primary Studies to Facilitate Clinically Relevant Evidence-Based Results
39(22)
R. D. Riley
K. R. Abrams
P. C. Lambert
A. J. Sutton
D. G. Altman
Introduction and Aims
40(2)
Prognostic Markers and prognostic marker studies
40(1)
The need for formal evidence syntheses of prognostic marker studies
40(1)
Aims of this chapter
41(1)
Difficulties of an Evidence Synthesis of Prognostic Marker Studies
42(7)
Poor and heterogeneous reporting
42(2)
Poor study design and problems clarifying study purpose
44(1)
Little indication of how to implement markers in clinical practice
45(1)
Small sample sizes
46(1)
Publication bias, selective within-study reporting, and selective analyses
46(2)
Lack of appreciation or validation of previous findings
48(1)
What Improvements Are Needed in Primary Prognostic Marker Studies?
49(2)
Evidence Synthesis Using Individual Patient Data Rather than Summary Statistics
51(3)
Discussion
54(7)
References
55(6)
PART II: PHARMACOVIGILANCE
Sentinel Event Methods for Monitoring Unanticipated Adverse Events
61(14)
P. A. Lachenbruch
J. Wittes
Introduction
61(2)
Examples
63(1)
Usual Approaches to Monitoring Safety
64(2)
Methods for Sentinel Events
66(5)
Constant follow-up time
66(2)
Censoring at a fixed calendar time
68(3)
Methods for Sentinel Event Rates
71(1)
Bayesian Models
72(1)
Summary
73(2)
References
74(1)
Spontaneous Reporting System Modelling for the Evaluation of Automatic Signal Generation Methods in Pharmacovigilance
75(20)
E. Roux
F. Thiessard
A. Fourrier
B. Begaud
P. Tubert-Bitter
Introduction
76(2)
Methods
78(6)
Spontaneous reporting system modelling
78(1)
Exposure to the drug (Ti)
79(1)
Events' relative risk (RRij)
79(1)
Reporting probability (pij)
80(4)
Data generation process
84(1)
Application
84(2)
Values of the model parameters
84(2)
Application of the empirical Bayes method
86(1)
Results
86(2)
Discussion
88(1)
Conclusion
89(6)
References
90(5)
PART III: QUALITY OF LIFE
Latent Covariates in Generalized Linear Models: A Rasch Model Approach
95(14)
K. B. Christensen
Introduction
95(1)
Generalized Linear Mixed Models
96(2)
Latent regression models
97(1)
Interpretation of Parameters
98(1)
Generalized Linear Models with a Latent Covariate
98(3)
Model
99(1)
Interpretation of parameters
99(1)
Parameter estimation
100(1)
Example
101(3)
Latent covariate
102(1)
Job group level effect of the latent covariate
103(1)
Discussion
104(5)
References
105(4)
Sequential Analysis of Quality of Life Measurements with the Mixed Partial Credit Model
109(18)
V. Sebille
T. Challa
M. Mesbah
Introduction
110(1)
Methods
111(5)
The partial credit model
111(1)
Estimation of the parameters
112(1)
Sequential analysis
112(1)
The Z and V statistics
112(1)
Traditional sequential analysis
113(1)
Sequential analysis based on partial credit measurements
113(2)
The sequential probability ratio test and the triangular test
115(1)
Simulation design
115(1)
Results
116(5)
Discussion
121(1)
Conclusion
122(5)
Appendix
122(1)
References
123(4)
A Parametric Degradation Model Used in Reliability, Survival Analysis, and Quality of Life
127(12)
M. Nikulin
L. Gerville-Reache
S. Orazio
Introduction
127(2)
Degradation Process
129(1)
Estimation Problem
130(1)
Linear MVUE for a
131(1)
Solution of the Optimizatio Problem
132(1)
Estimation of σ2 and θ0
132(7)
References
134(5)
Agreement Between Two Ratings with Different Ordinal Scales
139(12)
S. Natarajan
M. B. McHenry
S. Lipsitz
N. Klar
S. Lipshultz
Introduction
139(3)
Notation and Model
142(2)
Examples and Interpretation
144(3)
Discussion
147(4)
References
147(4)
PART IV: SURVIVAL ANALYSIS
The Role of Correlated Frailty Models in Studies of Human Health, Ageing, and Longevity
151(16)
A. Wienke
P. Lichtenstein
K. Czene
A. I. Yashin
Introduction
151(2)
Shared Frailty Model
153(2)
Correlated Frailty Model
155(1)
Correlated Gamma Frailty Model
156(7)
Swedish breast cancer twin data
157(1)
Parametric and semiparametric models
158(1)
Correlated gamma frailty model with covariates
159(1)
Cure-mixture models
160(3)
Discussion
163(4)
References
164(3)
Prognostic Factors and Prediction of Residual Survival for Hospitalized Elderly Patients
167(12)
M. L. Calle
P. Roura
A. Arnau
A. Yanez
A. Leiva
Introduction
167(1)
Cohort Description and Follow-Up
168(3)
Multistate Survival Model
171(5)
Predictive process
173(3)
Discussion
176(3)
References
177(2)
New Models and Methods for Survival Analysis of Experimental Data
179(16)
G. V. Semenchenko
A. I. Yashin
T. E. Johnson
J. W. Cypser
Introduction
179(1)
Semiparametric Model of Mortality in Heterogeneous Populations Influenced by Exogenous Interventions
180(7)
The heterogeneous mortality model
180(1)
Changes in the baseline hazard and frailty distribution
181(2)
Semiparametric representation of the model
183(1)
Interpretation of parameters
184(3)
One Example of the Model Application to the Analysis of Poststress Survival Data
187(3)
Heat shock of different duration applied to populations of nematodes Caenorhabditis elegans
187(1)
Technical details
188(1)
Results of fitting the model to the data
188(2)
Discussion
190(5)
References
191(4)
Uniform Consistency for Conditional Lifetime Distribution Estimators Under Random Right-Censorship
195(16)
P. Deheuvels
G. Derzko
Introduction and Results
195(8)
Notation and statement of the problem
195(3)
Definition of the estimators and uniform consistency
198(5)
Proofs
203(8)
Construction of the estimators
203(3)
A useful auxiliary result
206(2)
Concluding comments
208(1)
References
208(3)
Sequential Estimation for the Semiparametric Additive Hazard Model
211(14)
L. Bordes
C. Breuils
Introduction
211(2)
Example and Numerical Study
213(2)
Assumptions and Theoretical Results
215(5)
Technical Tools
220(5)
Complete convergence, Anscombe condition, and exponential inequality
220(1)
Technical results
221(1)
References
222(3)
Variance Estimation of a Survival Function with Doubly Censored Failure Time Data
225(14)
C. Zhu
J. Sun
Introduction
225(2)
Preliminaries
227(1)
Variance Estimation
228(3)
Simple bootstrap method
228(1)
Generalized Greenwood formula
229(1)
Imputation methods I and II
230(1)
Numerical Results
231(2)
Concluding Remarks
233(6)
References
234(5)
PART V: CLUSTERING
Statistical Models and Artificial Neural Networks: Supervised Classification and Prediction Via Soft Trees
239(24)
A. Ciampi
Y. Lechevallier
Introduction
240(1)
The Prediction Problem: Statistical Models and ANNs
241(7)
Generalized linear models as ANNs
243(2)
Generalized additive models as ANNs
245(1)
Classification and regression trees as ANNs
246(2)
Combining Prediction Models: Hierarchy of Experts
248(2)
The Soft Tree
250(7)
General concepts in tree construction
251(1)
Constructing a soft tree from data
252(1)
An example of data analysis
253(3)
An evaluation study
256(1)
Extending the Soft Tree
257(2)
Conclusions
259(4)
References
260(3)
Multilevel Clustering for Large Databases
263(12)
Y. Lechevallier
A. Ciampi
Introduction
263(2)
Data Reduction by Kohonen SOMs
265(4)
Kohonen SOMs and PCA initialization
266(1)
Binning of the original data matrix using a Kohonen map
266(2)
Dissimilarity for microregimens
268(1)
Clustering Multilevel Systems
269(2)
A two-level statistical model
270(1)
Estimating parameters by the EM algorithm
270(1)
Extracting Dietary Patterns from the Nutritional Data
271(4)
References
273(2)
Neural Networks: An Application for Predicting Smear Negative Pulmonary Tuberculosis
275(14)
A. M. Santos
B. B. Pereira
J. M. Seixas
F. C. Q. Mello
A. L. Kritski
Introduction
276(1)
Materials and Methods
277(6)
Data set
277(1)
Neural network design
278(1)
Data selection for network design
279(4)
Relevance of Explanatory Variables
283(1)
Results
283(1)
Conclusions
284(5)
References
285(4)
Assessing Drug Resistance in HIV Infection Using Viral Load Using Segmented Regression
289(16)
H. Liang
W.-Y. Tan
X. Xiong
Introduction
289(3)
The Model
292(5)
The likelihood function
294(1)
The prior distribution
294(1)
The posterior distributions
295(2)
The Gibbs Sampling Procedure
297(1)
Analysis of the ACTG 315 Data
298(3)
Conclusion and Dicussion
301(4)
References
303(2)
Assessment of Treatment Effects on HIV Pathogenesis Under Treatment By State Space Models
305(18)
W.-Y. Tan
P. Zhang
X. Xiong
P. Flynn
Introduction
305(1)
A Stochastic Model for HIV Pathogenesis Under Treatment
306(3)
Stochastic differential equations of state variables
307(1)
The probability distribution of state variables
308(1)
A State Space Model for HIV Pathogenesis Under Antiretroviral Drugs
309(1)
Estimation of Unknown Parameters and State Variables
310(1)
An Illustrative Example
311(3)
Conclusions and Discussion
314(9)
References
317(6)
PART VI: SAFETY AND EFFICACY ASSESSMENT
Safety Assessment Versus Efficacy Assessment
323(12)
M. A. Foulkes
Introduction
323(1)
Design Issues
324(2)
Outcomes
324(1)
Power
325(1)
Population
326(1)
Comparison
326(1)
Analytic Issues
326(3)
Compliance
326(1)
Missing data
327(1)
Confounding
327(1)
Bias
328(1)
Misclassification
328(1)
Multiplicity
328(1)
Analytic Approaches
329(1)
Inferences
330(1)
Conclusions
330(5)
References
332(3)
Cancer Clinical Trials with Efficacy and Toxicity Endpoints: A Simulation Study to Compare Two Nonparametric Methods
335(14)
A. Letierce
P. Tubert-Bitter
Introduction
336(1)
Setting
337(3)
Method for the Simulation Study
340(2)
Results
342(4)
Conclusion
346(3)
References
347(2)
Safety Assessment in Pilot Studies When Zero Events Are Observed
349(12)
R. E. Carter
R. F. Woolson
Introduction
349(1)
Clinical Setting
350(1)
Notation
351(1)
Binomial Setting
351(1)
Geometric Setting
352(2)
Bayesian Credible Interval
354(2)
Clinical Setting: Revisited
356(1)
Summary
357(4)
References
357(4)
PART VII: CLINICAL DESIGNS
An Assessment of Up-and-Down Designs and Associated Estimators in Phase I Trials
361(26)
H. K. T. Ng
S. G. Mohanty
N. Balakrishnan
Introduction
361(1)
Notation and Designs
362(3)
The biased coin design (BCD)
363(1)
The k-in-a-row rule (KROW)
364(1)
The Narayana rule (NAR)
364(1)
Continual reassessment method (CRM)
364(1)
Estimation of Maximum Tolerated Dose
365(2)
Simulation Setting
367(1)
Comparison of Estimators
368(1)
Comparison of Designs
369(18)
References
385(2)
Design of Multicentre Clinical Trials with Random Enrolment
387(14)
V. V. Anisimov
V. V. Fedorov
Introduction
387(2)
Recruitment Time Analysis
389(4)
Analysis of Variance of the Estimated ECRT
393(2)
Inflation of the Variance Due to Random Enrolment
395(1)
Solution of the Optimization Problem
396(2)
Conclusions
398(3)
Appendix
398(2)
References
400(1)
Statistical Methods for Combining Clinical Trial Phases II and III
401(18)
N. Stallard
S. Todd
Introduction
401(1)
Background
402(5)
The clinical evaluation programme for new drugs
402(1)
Combining clinical trial phases II and III
403(1)
Background to sequential clinical trials
404(3)
Methods for Combining Phases II and III
407(6)
Two-stage methods
408(1)
A multistage group-sequential method
408(1)
A multistage adaptive design method
409(1)
Example---a multistage trial comparing three doses of a new drug for the treatment of Alzheimer's disease
410(3)
Discussion and Future Directions
413(6)
References
415(4)
SCPRT: A Sequential Procedure That Gives Another Reason to Stop Clinical Trials Early
419(18)
X. Xiong
M. Tan
J. Boyett
Introduction
420(1)
The SCPRT Procedure
421(3)
Controlling the boundary
423(1)
Boundaries in terms of P-values
423(1)
An Example
424(2)
SCPRT with Unknown Variance
426(2)
Clinical Trials with Survival Data
428(4)
Conclusion
432(5)
References
432(5)
PART VIII: MODELS FOR THE ENVIRONMENT
Seasonality Assessment for Biosurveillance Systems
437(14)
E. N. Naumova
I. B. MacNeill
Introduction
438(2)
Conceptual framework for seasonality assessment
438(2)
δ-Method in Application to a Seasonality Model
440(6)
Single-variable case
440(1)
Two-variables case
441(1)
Application to a seasonality model
442(1)
Potential model extension
443(1)
Additional considerations
444(2)
Application to Temperature and Infection Incidence Analysis
446(3)
Conclusion
449(2)
References
450(1)
Comparison of Three Convolution Prior Spatial Models for Cancer Incidence
451(16)
E.-A. Sauleau
M. Musio
A. Etienne
A. Buemi
Introduction
451(2)
Materials and Methods
453(3)
ICAR model
455(1)
Distance model based on the exponential function
455(1)
Two-dimensional P-splines model
456(1)
Implementation of the models
456(1)
Results
456(3)
Discussion
459(8)
References
463(4)
Longitudinal Analysis of Short-Term Bronchiolitis Air Pollution Association Using Semiparametric Models
467(24)
S. Willems
C. Segala
M. Maidenberg
M. Mesbah
Introduction
467(2)
Data
469(1)
Sanitary data
469(1)
Environmental data
469(1)
Methods
470(5)
Generalized additive models
470(1)
Air pollution time series studies strategy
471(3)
Criticism about the use of standard statistical software to fit GAM to epidemiological time series data
474(1)
Results
475(9)
Series of number of hospital consultations: Results with S-Plus
475(7)
Series of number of hospital consultations: Results with R
482(1)
SAS results
483(1)
Discussion
484(7)
References
486(5)
PART IX: GENOMIC ANALYSIS
Are There Correlated Genomic Substitutions?
491(28)
M. Karnoub
P. K. Sen
F. Seillier-Moiseiwitsch
Introduction
491(1)
The Probabilistic Model
492(4)
Parameter Estimation
496(1)
New Test Statistic
497(3)
Power Studies
500(1)
Numerical Studies
501(3)
Data Analysis
504(3)
Discussion
507(12)
Appendix 31.1
509(1)
Appendix 31.2
510(3)
References
513(6)
PART X: ANIMAL HEALTH
Swiss Federal Veterinary Office Risk Assessments: Advantages and Limitations of the Qualitative Method
519(8)
R. Hauser
E. Breidenbach
K. D. C. Stark
Introduction
520(1)
Health Risks from Consumption of Milk and Dairy Products: An Example of a Qualitative Risk Assessment
521(4)
Risk profile
521(1)
Hazard identification
521(1)
Risk network
522(1)
Risk estimation
523(1)
Recommendations for random sample planning and risk managers
524(1)
Advantages and Disadvantages of Qualitative Risk Assessment
525(1)
Statistics' Part in Qualitative Risk Assessment
526(1)
References
526(1)
Qualitative Risk Analysis in Animal Health: A Methodological Example
527(12)
B. Dufour
F. Moutou
Introduction
528(1)
Global Presentation of the Method
528(2)
Qualitative Appreciation of the Probability of Each Event
530(1)
Qualitative Risk Appreciation
531(1)
Qualitative Appreciation Examples
532(2)
Discussion
534(5)
References
536(3)
Index 539

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