• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

通过随机对照试验和观察性研究中的亚组识别来估计最佳治疗方案。

Estimating optimal treatment regimes via subgroup identification in randomized control trials and observational studies.

作者信息

Fu Haoda, Zhou Jin, Faries Douglas E

机构信息

Eli Lilly and Company, Lilly Corporate Center, Indianapolis, 46285, IN, U.S.A.

Biostatistics Department, University of Arizona, Tucson, AZ, 85721, U.S.A.

出版信息

Stat Med. 2016 Aug 30;35(19):3285-302. doi: 10.1002/sim.6920. Epub 2016 Feb 18.

DOI:10.1002/sim.6920
PMID:26892174
Abstract

With new treatments and novel technology available, personalized medicine has become an important piece in the new era of medical product development. Traditional statistics methods for personalized medicine and subgroup identification primarily focus on single treatment or two arm randomized control trials. Motivated by the recent development of outcome weighted learning framework, we propose an alternative algorithm to search treatment assignments which has a connection with subgroup identification problems. Our method focuses on applications from clinical trials to generate easy to interpret results. This framework is able to handle two or more than two treatments from both randomized control trials and observational studies. We implement our algorithm in C++ and connect it with R. Its performance is evaluated by simulations, and we apply our method to a dataset from a diabetes study. Copyright © 2016 John Wiley & Sons, Ltd.

摘要

随着新的治疗方法和新技术的出现,个性化医疗已成为医疗产品开发新时代的重要组成部分。用于个性化医疗和亚组识别的传统统计方法主要集中在单一治疗或双臂随机对照试验上。受结果加权学习框架近期发展的启发,我们提出了一种替代算法来搜索与亚组识别问题相关的治疗分配。我们的方法专注于临床试验中的应用,以生成易于解释的结果。该框架能够处理来自随机对照试验和观察性研究的两种或两种以上治疗。我们用C++实现了我们的算法,并将其与R连接。通过模拟评估其性能,我们将我们的方法应用于一项糖尿病研究的数据集。版权所有© 2016约翰·威利父子有限公司。

相似文献

1
Estimating optimal treatment regimes via subgroup identification in randomized control trials and observational studies.通过随机对照试验和观察性研究中的亚组识别来估计最佳治疗方案。
Stat Med. 2016 Aug 30;35(19):3285-302. doi: 10.1002/sim.6920. Epub 2016 Feb 18.
2
Tutorial in biostatistics: data-driven subgroup identification and analysis in clinical trials.生物统计学教程:临床试验中数据驱动的亚组识别与分析
Stat Med. 2017 Jan 15;36(1):136-196. doi: 10.1002/sim.7064. Epub 2016 Aug 3.
3
Selecting Optimal Subgroups for Treatment Using Many Covariates.利用多个协变量选择最佳治疗亚组。
Epidemiology. 2019 May;30(3):334-341. doi: 10.1097/EDE.0000000000000991.
4
A general statistical framework for subgroup identification and comparative treatment scoring.用于亚组识别和比较治疗评分的通用统计框架。
Biometrics. 2017 Dec;73(4):1199-1209. doi: 10.1111/biom.12676. Epub 2017 Feb 17.
5
CAPITAL: Optimal subgroup identification via constrained policy tree search.首都:通过受限策略树搜索进行最优子群识别。
Stat Med. 2022 Sep 20;41(21):4227-4244. doi: 10.1002/sim.9507. Epub 2022 Jul 7.
6
Studying treatment-effect heterogeneity in precision medicine through induced subgroups.通过诱导亚组研究精准医学中的治疗效果异质性。
J Biopharm Stat. 2019;29(3):491-507. doi: 10.1080/10543406.2019.1579220. Epub 2019 Feb 22.
7
Simple subgroup approximations to optimal treatment regimes from randomized clinical trial data.基于随机临床试验数据的简单亚组近似最优治疗方案
Biostatistics. 2015 Apr;16(2):368-82. doi: 10.1093/biostatistics/kxu049. Epub 2014 Nov 13.
8
Identification of subgroups with differential treatment effects for longitudinal and multiresponse variables.对纵向和多响应变量具有不同治疗效果的亚组识别。
Stat Med. 2016 Nov 20;35(26):4837-4855. doi: 10.1002/sim.7020. Epub 2016 Jun 27.
9
A nonparametric method for value function guided subgroup identification via gradient tree boosting for censored survival data.一种基于梯度提升树的非参数方法,通过价值函数引导亚组识别,用于处理删失生存数据。
Stat Med. 2020 Dec 10;39(28):4133-4146. doi: 10.1002/sim.8714. Epub 2020 Aug 12.
10
Observational studies - should we simply ignore them in assessing transfusion outcomes?观察性研究——在评估输血结果时我们是否应干脆忽略它们?
BMC Anesthesiol. 2016 Oct 14;16(1):96. doi: 10.1186/s12871-016-0264-4.

引用本文的文献

1
Estimating Optimal Treatment Rule for Major Depressive Disorder Using Penalized Regression Method.使用惩罚回归方法估计重度抑郁症的最佳治疗规则
Oman Med J. 2024 Sep 30;39(5):e668. doi: 10.5001/omj.2024.95. eCollection 2024 Sep.
2
An Approach for Combining Clinical Judgment with Machine Learning to Inform Medical Decision Making: Analysis of Nonemergency Surgery Strategies for Acute Appendicitis in Patients with Multiple Long-Term Conditions.一种结合临床判断与机器学习以辅助医疗决策的方法:对伴有多种长期疾病的急性阑尾炎患者的非紧急手术策略的分析。
Med Decis Making. 2024 Nov;44(8):944-960. doi: 10.1177/0272989X241289336. Epub 2024 Oct 23.
3
Estimating individualized treatment rules for multicategory type 2 diabetes treatments using electronic health records.
利用电子健康记录估计多类别2型糖尿病治疗的个体化治疗规则。
Stat Interface. 2023;16(4):505-515. doi: 10.4310/22-sii739. Epub 2023 Apr 14.
4
Post hoc subgroup analysis and identification-learning more from existing data.事后亚组分析与识别——从现有数据中获取更多信息。
Eur J Clin Nutr. 2023 Aug;77(8):843-844. doi: 10.1038/s41430-023-01297-5. Epub 2023 Jun 13.
5
CAPITAL: Optimal subgroup identification via constrained policy tree search.首都:通过受限策略树搜索进行最优子群识别。
Stat Med. 2022 Sep 20;41(21):4227-4244. doi: 10.1002/sim.9507. Epub 2022 Jul 7.
6
Systematic literature review of machine learning methods used in the analysis of real-world data for patient-provider decision making.系统文献综述机器学习方法在分析真实世界数据中的应用,以支持患者与提供者的决策。
BMC Med Inform Decis Mak. 2021 Feb 15;21(1):54. doi: 10.1186/s12911-021-01403-2.
7
Matched Learning for Optimizing Individualized Treatment Strategies Using Electronic Health Records.利用电子健康记录进行匹配学习以优化个性化治疗策略
J Am Stat Assoc. 2020;115(529):380-392. doi: 10.1080/01621459.2018.1549050. Epub 2019 Apr 23.
8
Machine Learning for Precision Health Economics and Outcomes Research (P-HEOR): Conceptual Review of Applications and Next Steps.用于精准健康经济学与结果研究(P-HEOR)的机器学习:应用概念综述与下一步举措
J Health Econ Outcomes Res. 2020 May 12;7(1):35-42. doi: 10.36469/jheor.2020.12698. eCollection 2020.
9
An Algorithm for Generating Individualized Treatment Decision Trees and Random Forests.一种生成个性化治疗决策树和随机森林的算法。
J Comput Graph Stat. 2018;27(4):849-860. doi: 10.1080/10618600.2018.1451337. Epub 2018 Jun 14.
10
Estimating individualized treatment regimes from crossover designs.从交叉设计中估计个体化治疗方案。
Biometrics. 2020 Sep;76(3):778-788. doi: 10.1111/biom.13186. Epub 2019 Dec 19.