Time-dependent efficacy of longitudinal biomarker for clinical endpoint.

Abstract:

:Joint modelling of longitudinal biomarker and event-time processes has gained its popularity in recent years as they yield more accurate and precise estimates. Considering this modelling framework, a new methodology for evaluating the time-dependent efficacy of a longitudinal biomarker for clinical endpoint is proposed in this article. In particular, the proposed model assesses how well longitudinally repeated measurements of a biomarker over various time periods (0,t) distinguish between individuals who developed the disease by time t and individuals who remain disease-free beyond time t. The receiver operating characteristic curve is used to provide the corresponding efficacy summaries at various t based on the association between longitudinal biomarker trajectory and risk of clinical endpoint prior to each time point. The model also allows detecting the time period over which a biomarker should be monitored for its best discriminatory value. The proposed approach is evaluated through simulation and illustrated on the motivating dataset from a prospective observational study of biomarkers to diagnose the onset of sepsis.

journal_name

Stat Methods Med Res

authors

Kolamunnage-Dona R,Williamson PR

doi

10.1177/0962280216673084

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1909-1924

issue

6

eissn

0962-2802

issn

1477-0334

journal_volume

27

pub_type

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