在集群随机试验中对异质结果差异的层次贝叶斯模型建模
Guangyu Tong1,2,3, Jiaqi Tong2,3, Yi Jiang4
1Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Clinical trials (London, England)
|January 10, 2024
概括
新贝叶斯模型量化了集群随机试验中的异质变异,结果是连续的. 这些方法提高了对跨集群干预实施的理解,并有助于未来的试验设计.
科学领域:
- 统计 统计 统计 统计
- 生物统计学 生物统计学
- 临床试验 临床试验
背景情况:
- 结果相关性的异质性在用二进制终点进行的集群随机试验 (CRT) 中得到了认可.
- 对二进制结果存在分析方法,但对连续结果的集群特定差异仍然未得到充分研究.
研究的目的:
- 提出贝叶斯层次模型来量化连续结果的CRT中的集群特定结果差异.
- 确定与这种变异异质相关的集群级共变量.
主要方法:
- 开发了贝叶斯模型,用于连续结果的等级差异结构.
- 个人随机组治疗试验和部分嵌套设计的扩展模型.
- 进行模拟研究以评估模型性能.
主要成果:
- 模拟表明模型性能良好,偏差低,对关键参数的准确覆盖.
- 当异质性存在时,拟议的模型显示出与均质方差模型相比的更好的匹配.
- 对喀拉拉州糖尿病预防计划研究的分析发现了显著的差异异异质性和相关的集群特征.
结论:
- 介绍了具有连续结果的CRT的新型层次贝叶斯方差模型.
- 这些方法提高了对跨集群干预传播的理解.
- 这些发现可以为未来集群随机试验的设计提供信息和改进.
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