Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.
Biometrics. 2021 Jun;77(2):561-572. doi: 10.1111/biom.13318. Epub 2020 Jun 25.
Observational epidemiological studies often confront the problem of estimating exposure-disease relationships when the exposure is not measured exactly. Regression calibration (RC) is a common approach to correct for bias in regression analysis with covariate measurement error. In survival analysis with covariate measurement error, it is well known that the RC estimator may be biased when the hazard is an exponential function of the covariates. In the paper, we investigate the RC estimator with general hazard functions, including exponential and linear functions of the covariates. When the hazard is a linear function of the covariates, we show that a risk set regression calibration (RRC) is consistent and robust to a working model for the calibration function. Under exponential hazard models, there is a trade-off between bias and efficiency when comparing RC and RRC. However, one surprising finding is that the trade-off between bias and efficiency in measurement error research is not seen under linear hazard when the unobserved covariate is from a uniform or normal distribution. Under this situation, the RRC estimator is in general slightly better than the RC estimator in terms of both bias and efficiency. The methods are applied to the Nutritional Biomarkers Study of the Women's Health Initiative.
观察性流行病学研究在暴露未被准确测量时,常常需要估计暴露与疾病之间的关系。回归校准(RC)是一种常见的方法,可以纠正协变量测量误差回归分析中的偏差。在协变量测量误差的生存分析中,众所周知,当危险函数是协变量的指数函数时,RC 估计量可能存在偏差。在本文中,我们研究了具有一般危险函数的 RC 估计量,包括协变量的指数函数和线性函数。当危险函数是协变量的线性函数时,我们表明,对于校准函数的工作模型,风险集回归校准(RRC)是一致的和稳健的。在指数危险模型下,RC 和 RRC 之间在偏差和效率之间存在权衡。然而,一个令人惊讶的发现是,在线性危险模型下,当未观测到的协变量来自均匀或正态分布时,在测量误差研究中,偏差和效率之间的权衡并不明显。在这种情况下,RRC 估计量在偏差和效率方面通常都略优于 RC 估计量。该方法应用于妇女健康倡议的营养生物标志物研究。