Abstract:
:Summarizing the information of many studies using a meta-analysis becomes more and more important, also in the field of diagnostic studies. The special challenge in meta-analysis of diagnostic accuracy studies is that in general sensitivity and specificity are co-primary endpoints. Across the studies both endpoints are correlated, and this correlation has to be considered in the analysis. The standard approach for such a meta-analysis is the bivariate logistic random effects model. An alternative approach is to use marginal beta-binomial distributions for the true positives and the true negatives, linked by copula distributions. In this article, we propose a new, nonparametric approach of analysis, which has greater flexibility with respect to the correlation structure, and always converges. In a simulation study, it becomes apparent that the empirical coverage of all three approaches is in general below the nominal level. Regarding bias, empirical coverage, and mean squared error the nonparametric model is often superior to the standard model, and comparable with the copula model. The three approaches are also applied to two example meta-analyses.
journal_name
Stat Medjournal_title
Statistics in medicineauthors
Zapf A,Hoyer A,Kramer K,Kuss Odoi
10.1002/sim.6583subject
Has Abstractpub_date
2015-12-20 00:00:00pages
3831-41issue
29eissn
0277-6715issn
1097-0258journal_volume
34pub_type
杂志文章abstract::Joint models initially dedicated to a single longitudinal marker and a single time-to-event need to be extended to account for the rich longitudinal data of cohort studies. Multiple causes of clinical progression are indeed usually observed, and multiple longitudinal markers are collected when the true latent trait of...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.6731
更新日期:2016-02-10 00:00:00
abstract::Experimental designs with repeated measures allow response patterns over time (or dose) to be modelled and compared between different homogeneous groups. Issues in data analysis often focus on the pattern of variation of the repeated measures, the appropriateness of a univariate or multivariate analysis, and the shape...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780100116
更新日期:1991-01-01 00:00:00
abstract::Nutritional exposures are often measured with considerable error in commonly used surrogate instruments such as the food frequency questionnaire (FFQ) (denoted by Q(i) for the ith subject). The error can be both systematic and random. The diet record (DR) denoted by R(i) for the ith subject is considered an alloyed go...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.3238
更新日期:2008-08-15 00:00:00
abstract::Studies in health research are commonly carried out in clustered settings, where the individual response data are correlated within clusters. Estimation and modelling of the extent of between-cluster variation contributes to understanding of the current study and to design of future studies. It is common to express be...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2304
更新日期:2006-05-15 00:00:00
abstract::One may encounter the application of the two independent samples t-test to ordinal scaled data (for example, data that assume only the values 0, 1, 2, 3) from small samples. This situation clearly violates the underlying normality assumption for the t-test and one cannot appeal to large sample theory for validity. In ...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780060110
更新日期:1987-01-01 00:00:00
abstract::A mixture model incorporating long-term survivors has been adopted in the field of biostatistics where some individuals may never experience the failure event under study. The surviving fractions may be considered as cured. In most applications, the survival times are assumed to be independent. However, when the survi...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.932
更新日期:2001-06-15 00:00:00
abstract::Appropriate methods for meta-regression applied to a set of clinical trials, and the limitations and pitfalls in interpretation, are insufficiently recognized. Here we summarize recent research focusing on these issues, and consider three published examples of meta-regression in the light of this work. One principal m...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.1187
更新日期:2002-06-15 00:00:00
abstract::The change in c-statistic is frequently used to summarize the change in predictive accuracy when a novel risk factor is added to an existing logistic regression model. We explored the relationship between the absolute change in the c-statistic, Brier score, generalized R(2) , and the discrimination slope when a risk f...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5598
更新日期:2013-02-20 00:00:00
abstract::A stochastic approximation EM algorithm (SAEM) is described for exploratory factor analysis of dichotomous or ordinal variables. The factor structure is obtained from sufficient statistics that are updated during iterations with the Robbins-Monro procedure. Two large-scale simulations are reported that compare accurac...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.8217
更新日期:2019-09-20 00:00:00
abstract::R2 has been criticized as a measure of model performance when predicting a dichotomous outcome, both because its value is often low and because it is sensitive to the prevalence of the event of interest. The C statistic is more widely used to measure model performance in a 0/1 setting. We use a simple parametric famil...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0258(19990228)18:4<375::aid-sim
更新日期:1999-02-28 00:00:00
abstract::Methods for addressing multiplicity in clinical trials have attracted much attention during the past 20 years. They include the investigation of new classes of multiple test procedures, such as fixed sequence, fallback and gatekeeping procedures. More recently, sequentially rejective graphical test procedures have bee...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5711
更新日期:2013-05-10 00:00:00
abstract::Case-control studies are usually defined to investigate risk factors for a single disease of interest. However, subsequent to data collection, investigators may wish to examine as an 'outcome' a variable that was an exposure in the original study. A naive analysis that disregards the sampling strategy that gave rise t...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2398
更新日期:2005-12-30 00:00:00
abstract::The Jimma Infant Survival Differential Longitudinal Study is an Ethiopian study, set up to establish risk factors affecting infant survival and to investigate socio-economic, maternal and infant-rearing factors that contribute most to the child's early survival. Here, a subgroup of about 1500 children born in Jimma to...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0258(19990415)18:7<835::aid-sim
更新日期:1999-04-15 00:00:00
abstract::Mediation analysis is a standard approach to understanding how and why an intervention works in social and medical sciences. However, the presence of missing data, especially missing not at random data, poses a great challenge for the applicability of this approach in practice. Current methods for handling such missin...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.7413
更新日期:2017-11-10 00:00:00
abstract::Multivariate outcomes measured longitudinally over time are common in medicine, public health, psychology and sociology. The typical (saturated) longitudinal multivariate regression model has a separate set of regression coefficients for each outcome. However, multivariate outcomes are often quite similar and many out...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.3589
更新日期:2009-06-15 00:00:00
abstract::Statistical tests have been proposed for determining whether incident cases of adverse health effects are 'clustered' together. Several procedures, termed 'focused', specifically analyse disease surveillance data around pre-specified putative sources of environmental hazard. Little has been done to compare the perform...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780142103
更新日期:1995-11-15 00:00:00
abstract::Before introducing a new measurement tool it is necessary to evaluate its performance. Several statistical methods have been developed, or used, to evaluate the reliability and validity of a new assessment method in such circumstances. In this paper we review some commonly used methods. Data from a study that was cond...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.1804
更新日期:2004-05-30 00:00:00
abstract::The additional time to complete a three-period two-treatment (3P2T) cross-over trial may cause a greater number of patient dropouts than with a two-period trial. This paper develops maximum likelihood (ML), single imputation and multiple imputation missing data analysis methods for the 3P2T cross-over designs. We use ...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0258(19960130)15:2<127::AID-SIM
更新日期:1996-01-30 00:00:00
abstract::Elevated plasma levels of apolipoproteins A1 (apoA1) and B (apoB) are important protective factors and risk factors, respectively, for atherosclerosis and coronary heart disease. It is well known that both apoA1 and apoB reveal strong familial aggregation. Our goal was to investigate whether exogenous variables influe...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/1097-0258(20001230)19:24<3345::aid-sim829>
更新日期:2000-12-30 00:00:00
abstract::Generalized linear models are often assumed to fit propensity scores, which are used to compute inverse probability weighted (IPW) estimators. To derive the asymptotic properties of IPW estimators, the propensity score is supposed to be bounded away from zero. This condition is known in the literature as strict positi...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.7827
更新日期:2018-10-30 00:00:00
abstract::Huntington's disease (HD) is a neurodegenerative disorder with a dominant genetic mode of inheritance caused by an expansion of CAG repeats on chromosome 4. Typically, a longer sequence of CAG repeat length is associated with increased risk of experiencing earlier onset of HD. Previous studies of the association betwe...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5971
更新日期:2014-04-15 00:00:00
abstract::This paper reviews methods for mapping geographical variation in disease incidence and mortality. Recent results in Bayesian hierarchical modelling of relative risk are discussed. Two approaches to relative risk estimation, along with the related computational procedures, are described and compared. The first is an em...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780110802
更新日期:1992-06-15 00:00:00
abstract::Providing personalized treatments designed to maximize benefits and minimizing harms is of tremendous current medical interest. One problem in this area is the evaluation of the interaction between the treatment and other predictor variables. Treatment effects in subgroups having the same direction but different magni...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5429
更新日期:2012-12-10 00:00:00
abstract::This paper presents a procedure for obtaining short-term projections and lower bounds on the size of the acquired immunodeficiency syndrome (AIDS) epidemic. The method is similar to that proposed by Brookmeyer and Gail but adapted to the situation where individual dates of AIDS diagnosis are available. It gives result...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780081210
更新日期:1989-12-01 00:00:00
abstract::In psychiatry, clinicians use criteria sets from the Diagnostic and Statistical Manual of Mental Disorders to diagnose mental disorders. Most criteria sets have several symptom domains, and in order to be diagnosed, an individual must meet the minimum number of symptoms required by each domain. Some efforts are now fo...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.8173
更新日期:2019-07-20 00:00:00
abstract::In this paper the following problem of clinical research is explored. Several potential new treatments are available for use against a certain disease. These are evaluated in a series of pilot studies which will constitute phase II clinical trials. The most promising will then be compared with a standard treatment in ...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780050510
更新日期:1986-09-01 00:00:00
abstract::Health questionnaires are often built up from sets of questions that are totaled to obtain a sum score. An important consideration in designing questionnaires is to minimize respondent burden. An increasingly popular method for efficient measurement is computerized adaptive testing; unfortunately, many health question...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5936
更新日期:2014-02-10 00:00:00
abstract::In this paper we study the problem of variable selection for the proportional odds model, which is a useful alternative to the proportional hazards model and might be appropriate when the proportional hazards assumption is not satisfied. We propose to fit the proportional odds model by maximizing the marginal likeliho...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2833
更新日期:2007-09-10 00:00:00
abstract::Repeated cross-sectional samples are common in national surveys of health like the National Health Interview Survey (NHIS). Because population health outcomes generally evolve slowly, pooling data across years can improve the precision of current-year annual estimates of disease prevalence and other health outcomes. P...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.3897
更新日期:2011-02-28 00:00:00
abstract::Diseases can be interconnected. In the recent years, there has been a surge of multidisease studies. Among them, HDN (human disease network) analysis takes a system perspective, examines the interconnections among diseases along with their individual properties, and has demonstrated great potential. Most of the existi...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.8472
更新日期:2020-04-30 00:00:00