Department of Biostatistics, School of medicine, 13155Yokohama City University, Japan.
13507The Institute of Statistical Mathematics, Japan.
Stat Methods Med Res. 2022 Jul;31(7):1280-1291. doi: 10.1177/09622802221085864. Epub 2022 Mar 14.
The generalized linear mixed model (GLMM) is one of the most common method in the analysis of longitudinal and clustered data in biological sciences. However, issues of model complexity and misspecification can occur when applying the GLMM. To address these issues, we extend the standard GLMM to a nonlinear mixed-effects model based on quasi-linear modeling. An estimation algorithm for the proposed model is provided by extending the penalized quasi-likelihood and the restricted maximum likelihood which are known in the GLMM inference. Also, the conditional AIC is formulated for the proposed model. The proposed model should provide a more flexible fit than the GLMM when there is a nonlinear relation between fixed and random effects. Otherwise, the proposed model is reduced to the GLMM. The performance of the proposed model under model misspecification is evaluated in several simulation studies. In the analysis of respiratory illness data from a randomized controlled trial, we observe the proposed model can capture heterogeneity; that is, it can detect a patient subgroup with specific clinical character in which the treatment is effective.
广义线性混合模型(GLMM)是生物科学中分析纵向和聚类数据最常用的方法之一。然而,在应用 GLMM 时,可能会出现模型复杂性和误设定的问题。为了解决这些问题,我们将标准 GLMM 扩展为基于拟线性建模的非线性混合效应模型。通过扩展在 GLMM 推断中已知的惩罚拟似然和约束最大似然,为所提出的模型提供了一种估计算法。此外,还为所提出的模型制定了条件 AIC。当固定效应和随机效应之间存在非线性关系时,与 GLMM 相比,所提出的模型应该提供更灵活的拟合。否则,所提出的模型将简化为 GLMM。在几项模拟研究中评估了模型误设定下所提出模型的性能。在对一项随机对照试验的呼吸疾病数据进行分析时,我们观察到所提出的模型可以捕捉异质性;也就是说,它可以检测出具有特定临床特征的患者亚组,其中治疗是有效的。