同时聚类和联合建模多变量二进制纵向和时间到事件数据
Srijan Chattopadhyay1, Sevantee Basu1, Swapnaneel Bhattacharyya1
1Indian Statistical Institute, 203 B.T. Road, Kolkata, India.
Lifetime data analysis
|July 11, 2025
概括
这项研究引入了一种新的贝叶斯方法,用于对异质患者群体进行纵向和时间到事件数据的联合建模. 该方法有效地识别了不同的患者亚组,改善了癌症复发预测的统计推断.
科学领域:
- 生物统计学 生物统计学
- 医学统计 医学统计
- 临床试验分析
背景情况:
- 纵向和时间到事件数据的联合建模在医学研究中至关重要.
- 不同质的群体需要聚类,以便进行可靠的统计推断.
- 现有的方法可能无法充分解决复杂的患者子组.
研究的目的:
- 开发一个贝叶斯联合建模框架,包括对多变量二进制纵向结果和时间到事件数据的聚类.
- 分析来自癌症患者的临床试验数据集,以确定不同的亚组.
- 评估已识别的集群对复发预测的影响.
主要方法:
- 从多变量二进制纵向数据中利用贝叶斯数据增强来获得潜在连续结果.
- 采用贝叶斯共识集群来识别患者子组.
- 使用通用线性混合模型和比例危险模型进行了集群特定的联合分析.
- 将该方法应用于癌症临床试验数据集,其中包括生物标志物测量和复发时间.
主要成果:
- 确定了三个不同的潜伏患者群.
- 在群集中表现出共同变量效应和中位数非复发概率的实质差异.
- 模拟研究证实了同时聚类和联合建模方法的有效性.
结论:
- 拟议的贝叶斯框架有效地在联合建模中将异质患者群集集在一起.
- 这种方法增强了统计推断,并为时间到事件结果提供了更精确的预测.
- 这些发现对个性化医学和瘤学临床试验设计有重大影响.
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