Abstract:
:The use of classification and regression tree (CART) methodology is explored for the diagnosis of patients complaining of anterior chest pain. The results are compared with those previously obtained using correspondence analysis and independent Bayes classification. The technique is shown to be of potential value for identifying important indicators and cutpoints for continuous variables, although the overall classification performance was rather disappointing. Suggestions are made for extensions to the methodology to make it more suitable for clinical practice.
journal_name
Stat Medjournal_title
Statistics in medicineauthors
Crichton NJ,Hinde JP,Marchini Jdoi
10.1002/(sici)1097-0258(19970415)16:7<717::aid-simsubject
Has Abstractpub_date
1997-04-15 00:00:00pages
717-27issue
7eissn
0277-6715issn
1097-0258pii
10.1002/(SICI)1097-0258(19970415)16:7<717::AID-SIMjournal_volume
16pub_type
杂志文章abstract::We examine the properties of several tests for goodness-of-fit for multinomial logistic regression. One test is based on a strategy of sorting the observations according to the complement of the estimated probability for the reference outcome category and then grouping the subjects into g equal-sized groups. A g x c c...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.3202
更新日期:2008-09-20 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::Frequently, multiple doses of an active treatment and multiple endpoints are simultaneously considered in the designs of clinical trials. For these trials, traditional multiplicity adjustment procedures such as Bonferroni, Hochberg and Hommel procedures can be applied when treating the comparisons of different doses t...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2101
更新日期:2005-07-30 00:00:00
abstract::Health authorities are often alerted to suspected cancer clusters near the vicinity of potential point sources by members of the public. A surveillance system, where administrative regions around the potential point sources are regularly monitored for high disease rates, would allow for responses which are easier to o...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0258(19960415)15:7/9<727::aid-s
更新日期:1996-04-15 00:00:00
abstract::In some randomized controlled trials, subjects with a better prognosis may be diverted into the treatment group. This subverting of randomization results in an unobserved non-compliance with the originally intended treatment assignment. Consequently, the estimate of treatment effect from these trials may be biased. Th...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.715
更新日期:2001-02-28 00:00:00
abstract::Equal allocation of patients to treatment in a randomized clinical trial may have disadvantages ethically if the new treatment is believed to be at least as beneficial as the standard treatment. Others have considered, in a non-sequential setting, unbalanced randomized designs which allocate fewer patients to the pote...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780010309
更新日期:1982-07-01 00:00:00
abstract::In noninferiority studies, a limit of indifference is used to express a tolerance in results such that the clinician would regard such results as being acceptable or 'not worse'. We applied this concept to a measure of accuracy, the Receiver Operating Characteristic (ROC) curve, for a sequence of tests. We expressed a...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5741
更新日期:2013-07-20 00:00:00
abstract::Combining multiple markers can improve classification accuracy compared with using a single marker. In practice, covariates associated with markers or disease outcome can affect the performance of a biomarker or biomarker combination in the population. The covariate-adjusted receiver operating characteristic (ROC) cur...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.7274
更新日期:2017-07-10 00:00:00
abstract::In this study, 401 cases of childhood cancer in four California counties in 1980-1988 were analysed with the innovative methodology of density equalizing map projections. The data were originally collected and analysed by the California State Department of Health Services (DHS). In addition to the new analytic techniq...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.686
更新日期:2001-05-15 00:00:00
abstract::A study of long term survival of 1487 patients given an allogeneic bone marrow transplant for acute myelogenous leukaemia and 729 patients given a transplant for severe aplastic anaemia was conducted by the International Bone Marrow Transplant Registry. One aim of this study is to determine if the mortality rates of t...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0258(19990630)18:12<1529::aid-s
更新日期:1999-06-30 00:00:00
abstract::The FDA permits marketing of a generic formulation of a drug G for the same indications as a standard preparation S if one can show that G is bioequivalent to S. Present implementation requires convincing evidence that the population mean difference in bioavailability (drug exposure) between the two preparations lies ...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780111311
更新日期:1992-09-30 00:00:00
abstract::Competing compartment models of different complexities have been used for the quantitative analysis of dynamic contrast-enhanced magnetic resonance imaging data. We present a spatial elastic net approach that allows to estimate the number of compartments for each voxel such that the model complexity is not fixed a pri...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5997
更新日期:2014-03-15 00:00:00
abstract::Zero-inflated Poisson regression is a popular tool used to analyze data with excessive zeros. Although much work has already been performed to fit zero-inflated data, most models heavily depend on special features of the individual data. To be specific, this means that there is a sizable group of respondents who endor...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5650
更新日期:2013-04-30 00:00:00
abstract::The 'at least as good as' criterion, introduced by Laster and Johnson for a continuous response variate, is developed here for applications with dichotomous data. This approach is adaptive in nature, as the margin of non-inferiority is not taken as a fixed difference; it varies as a function of the positive control re...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2476
更新日期:2006-04-15 00:00:00
abstract::Although hypertension is regarded as a causal factor for coronary heart disease (CHD) a reduction in the risk of CHD as a result of lowering blood pressure in mild hypertension could not be demonstrated. This conclusion is based on an overview analysis of all published randomized trials in mild hypertension, including...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780071104
更新日期:1988-11-01 00:00:00
abstract::We present methods for binomial regression when the outcome is determined using the results of a single diagnostic test with imperfect sensitivity and specificity. We present our model, illustrate it with the analysis of real data, and provide an example of WinBUGS program code for performing such an analysis. Conditi...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.1656
更新日期:2004-04-15 00:00:00
abstract::Patient non-compliance and drop-out can bias analyses of clinical trial data. I describe a parametric model for treatment cross-over and drop-out and demonstrate how the concept of ignorability, originally defined for incomplete-data problems, can elucidate sources of bias in clinical trials. I discuss some implicatio...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0258(19990915/30)18:17/18<2421:
更新日期:1999-09-15 00:00:00
abstract::When the accrual rate is low and the treatment period is long, a long observational period is required before information concerning the primary end point, such as binary response, becomes available in the study. Simon's two-stage designs are often employed in Phase II clinical trials to avoid giving patient an ineffe...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.3424
更新日期:2008-12-20 00:00:00
abstract::We present an approach for inference on contrasts of clinically meaningful functionals of a survivor distribution (e.g., restricted mean, quantiles) that can avoid strong parametric or semiparametric assumptions on the underlying structure of the data. In this multistage approach, we first use an adaptive predictive m...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4505
更新日期:2012-07-20 00:00:00
abstract::Spatial scan statistics are widely used for count data to detect geographical disease clusters of high or low incidence, mortality or prevalence and to evaluate their statistical significance. Some data are ordinal or continuous in nature, however, so that it is necessary to dichotomize the data to use a traditional s...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2607
更新日期:2007-03-30 00:00:00
abstract::A decision-theoretic framework is proposed for designing sequential dose-finding trials with multiple outcomes. The optimal strategy is solvable theoretically via backward induction. However, for dose-finding studies involving k doses, the computational complexity is the same as the bandit problem with k-dependent arm...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.2322
更新日期:2006-05-30 00:00:00
abstract::With the increasing availability of detailed clinical information, there is optimism that treatment choices can be selectively directed to those individuals most likely to benefit. While standard clinical trials can establish whether a treatment appears to be effective on average, subsequent work is needed to determin...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.6138
更新日期:2014-07-30 00:00:00
abstract::We propose a joint model to analyze the structure and intensity of the association between longitudinal measurements of an ordinal marker and time to a relevant event. The longitudinal process is defined in terms of a proportional-odds cumulative logit model. Time-to-event is modeled through a left-truncated proportio...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.7065
更新日期:2016-12-10 00:00:00
abstract::Ordinal data appear in a wide variety of scientific fields. These data are often analyzed using ordinal logistic regression models that assume proportional odds. When this assumption is not met, it may be possible to capture the lack of proportionality using a constrained structural relationship between the odds and t...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.5689
更新日期:2013-06-15 00:00:00
abstract::In lifetime data, like cancer studies, there may be long term survivors, which lead to heavy censoring at the end of the follow-up period. Since a standard survival model is not appropriate to handle these data, a cure model is needed. In the literature, covariate hypothesis tests for cure models are limited to parame...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.8530
更新日期:2020-07-30 00:00:00
abstract::We discuss some of the statistical approaches to the design and analysis of phase I clinical trials in cancer. An attempt is made to identify the issues, particular to this type of trial, that should be addressed by an appropriate methodology. A brief review of schemes currently in use is provided together with our vi...
journal_title:Statistics in medicine
pub_type: 杂志文章,评审
doi:10.1002/sim.4780101104
更新日期:1991-11-01 00:00:00
abstract::In cancer clinical trials, patients often experience a recurrence of disease prior to the outcome of interest, overall survival. Additionally, for many cancers, there is a cured fraction of the population who will never experience a recurrence. There is often interest in how different covariates affect the probability...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.6056
更新日期:2014-05-10 00:00:00
abstract::We present a new approach to training back-propagation artificial neural nets (BP-ANN) based on regularization and cross-validation and on initialization by a logistic regression (LR) model. The new approach is expected to produce a BP-ANN predictor at least as good as the LR-based one. We have applied the approach to...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.1107
更新日期:2002-05-15 00:00:00
abstract::The Response Evaluation Criteria in Solid Tumors are used as standard guidelines for the clinical evaluation of cancer treatments. The assessment is based on the anatomical tumor burden: change in size of target lesions and evolution of nontarget lesions (NTL). Despite unquestionable advantages of this standard tool, ...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.7640
更新日期:2018-06-15 00:00:00
abstract::In a phase I clinical trial in cancer patients, the drug involved had one known main adverse effect, which also occurs spontaneously in cancer patients with a fairly high frequency. Experiments in rats have shown marked effects of the drug on tumour growth in high doses, but also dose-dependent toxicity. Consequently,...
journal_title:Statistics in medicine
pub_type: 杂志文章
doi:10.1002/sim.4780140909
更新日期:1995-05-15 00:00:00