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Updated: Jun 22, 2026

Selecting Multiple Biomarker Subsets with Similarly Effective Binary Classification Performances
Published on: October 11, 2018
A nonlinear latent class model for joint analysis of multivariate longitudinal data and a binary outcome
Cécile Proust-Lima1, Luc Letenneur, Hélène Jacqmin-Gadda
1Institut National de la Santé et de la Recherche Médicale, Equipe de Biostatistique E0338, 33076 Bordeaux, France. cecile.proust@isped.u-bordeaux2.fr
This study introduces a new joint model to link longitudinal markers with clinical events. The model aids in early detection and prognosis by identifying distinct patient trajectories and associated risks.
Area of Science:
- Biostatistics
- Longitudinal Data Analysis
- Clinical Event Prediction
Background:
- Understanding the relationship between multiple longitudinal markers and clinical events is crucial for disease management.
- Existing models often struggle to account for complex marker interdependencies and non-Gaussian data.
Purpose of the Study:
- To develop a flexible joint model integrating nonlinear growth mixture models and logistic regression.
- To analyze associations between correlated longitudinal markers and a clinical event, accommodating non-Gaussian data.
- To provide tools for early detection and prognosis of clinical events.
Main Methods:
- A nonlinear growth mixture model was employed to capture latent classes of longitudinal marker evolution.
- Logistic regression modeled the probability of a clinical event based on latent classes.
- Flexible nonlinear transformations were used to link markers to the latent process, handling non-Gaussian outcomes.
Main Results:
- The model successfully described latent profiles of evolution associated with the clinical event, incorporating covariate effects.
- It demonstrated the utility of derived diagnostic and prognostic tools for early clinical event detection.
- The application on cognitive aging highlighted the model's ability to handle complex longitudinal data.
Conclusions:
- The proposed joint model offers a robust framework for analyzing longitudinal markers and clinical events.
- It provides valuable insights into disease progression and enables early risk assessment.
- The model facilitates the development of predictive tools for clinical decision-making.
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