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Pitfalls in subgroup analysis based on growth mixture models: a commentary on Van Leeuwen et al. (2012)
1National Crime Prevention Centre, Public Safety Canada, 269 Laurier Avenue West, Ottawa, ON, K1A 0P8, Canada, cameron.mcintosh@ps-sp.gc.ca.
Objectives:
This article is a brief commentary in response to "van Leeuwen et al. (Qual Life Res 21:1499-1508, 2012)"
Methods And Results:
The commentary argues that in the context of mixture modeling, assigning individuals to specific subgroups for conducting a secondary set of analyses ignores the original uncertainty in group membership, thereby biasing any subsequent results and inference.
Conclusions:
Alternative approaches to subgroup analysis that attempt to preserve uncertainty in group membership are discussed and illustrated.
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