Level-adjusted funnel plots based on predicted marginal expectations: an application to prophylactic antibiotics in gallstone surgery.

Abstract:

:Funnel plots are widely used to visualize grouped data, for example, in institutional comparison. This paper extends the concept to a multi-level setting, displaying one level at a time, adjusted for the other levels, as well as for covariates at all levels. These level-adjusted funnel plots are based on a Markov chain Monte Carlo fit of a random effects model, translating the estimated model parameters to predicted marginal expectations. Working within the estimation framework, we accommodate outlying institutions using heavy-tailed random effects distributions. We also develop computer-efficient methods to compute predicted probabilities in the case of dichotomous outcome data and various random effect distributions. We apply the method to a data set on prophylactic antibiotics in gallstone surgery.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Lindhagen L,Darkahi B,Sandblom G,Berglund L

doi

10.1002/sim.5677

subject

Has Abstract

pub_date

2014-09-20 00:00:00

pages

3655-75

issue

21

eissn

0277-6715

issn

1097-0258

journal_volume

33

pub_type

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