An Evaluation of Statistical Methods for Analyzing Follow-Up Gaussian Laboratory Data with a Lower Quantification Limit.

Abstract:

:Laboratory data with a lower quantification limit (censored data) are sometimes analyzed by replacing non-quantifiable values with a single value equal to or less than the quantification limit, yielding possibly biased point estimates and variance estimates that are too small. Motivated by a three-period, three-treatment crossover study of a candidate vaginal microbicide in human immunodeficiency virus (HIV)-infected women, we consider four analysis methods for censored Gaussian data with a single follow-up measurement: nonparametric methods, mixed models, mixture models, and dichotomous measures of a treatment effect. We apply these methods to the crossover study data and use simulation to evaluate the statistical properties of these methods in analyzing the treatment effect in a two-treatment parallel-arm or crossover study with censored Gaussian data. Our simulated data and our mixed and mixture models consider treated follow-up data with the same variance as the baseline data or with an inflated variance. Mixed models have the correct type I error, the best power, the least biased Gaussian parameter treatment-effect estimates, and appropriate confidence interval coverage for these estimates. A crossover study analysis with a period effect can greatly increase the required study sample size. For both designs and both variance assumptions, published sample-size estimation methods do not yield a good estimate of the sample size to obtain the stated power.

journal_name

J Biopharm Stat

authors

Karon JM,Wiegand RE,van de Wijgert JH,Kilmarx PH

doi

10.1080/10543406.2014.920858

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

812-29

issue

4

eissn

1054-3406

issn

1520-5711

journal_volume

25

pub_type

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