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Analytical methods for correlated data arising from multicenter hearing studies.

Yanghui Sheng1, Ce Yang2, Sharon Curhan3,4

  • 1Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Statistics in Medicine
|September 20, 2022
PubMed
Summary
This summary is machine-generated.

This study introduces a linear mixed-effects model to accurately analyze hearing loss data. The proposed method accounts for complex correlations, offering more reliable estimates than traditional single-ear models, especially when dealing with confounding factors.

Keywords:
audiometryboth earsclustered datahearing data analysismixed-effects modelmulti-level clustersingle-ear method

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Area of Science:

  • Epidemiology
  • Biostatistics
  • Audiology

Background:

  • Estimating hearing loss associations with exposures is complex due to clustered data.
  • Traditional methods often overlook multilevel correlations from ears, testing sites, and audiologists.

Purpose of the Study:

  • To propose and evaluate a linear mixed-effects model for epidemiological hearing studies.
  • To compare the performance of the proposed model against commonly used single-ear regression models.

Main Methods:

  • Development of a linear mixed-effects model accounting for multilevel data structures.
  • Comparison of single-ear linear regression with both-ears linear mixed models.
  • Theoretical analysis and simulation studies.

Main Results:

  • Single-ear models can be less efficient or biased with participant or ear-level confounders.
  • The proposed both-ears model provides unbiased and more efficient estimators.
  • Adjusting for testing sites and audiologists further improves the both-ears model's efficiency.

Conclusions:

  • Linear mixed-effects models offer superior accuracy for analyzing hearing loss data.
  • The both-ears approach is recommended for robust estimation of exposure-hearing loss associations.
  • Accurate statistical modeling is crucial for reliable epidemiological findings in hearing research.