Informed Bayesian Survival Analysis

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F67985807%3A_____%2F22%3A00560436" target="_blank" >RIV/67985807:_____/22:00560436 - isvavai.cz</a>

Výsledek na webu

<a href="https://dx.doi.org/10.1186/s12874-022-01676-9" target="_blank" >https://dx.doi.org/10.1186/s12874-022-01676-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12874-022-01676-9" target="_blank" >10.1186/s12874-022-01676-9</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Informed Bayesian Survival Analysis

Popis výsledku v původním jazyce

We overview Bayesian estimation, hypothesis testing, and model-averaging and illustrate how they benefit parametric survival analysis. We contrast the Bayesian framework to the currently dominant frequentist approach and highlight advantages, such as seamless incorporation of historical data, continuous monitoring of evidence, and incorporating uncertainty about the true data generating process. We illustrate the application of the Bayesian approaches on an example data set from a colon cancer trial. We compare the Bayesian parametric survival analysis and frequentist models with AIC/BIC model selection in fixed-n and sequential designs with a simulation study. In the example data set, the Bayesian framework provided evidence for the absence of a positive treatment effect on disease-free survival in patients with resected colon cancer. Furthermore, the Bayesian sequential analysis would have terminated the trial 13.3 months earlier than the standard frequentist analysis. In a simulation study with sequential designs, the Bayesian framework on average reached a decision in almost half the time required by the frequentist counterparts, while maintaining the same power, and an appropriate false-positive rate. Under model misspecification, the Bayesian framework resulted in higher false-negative rate compared to the frequentist counterparts, which resulted in a higher proportion of undecided trials. In fixed-n designs, the Bayesian framework showed slightly higher power, slightly elevated error rates, and lower bias and RMSE when estimating treatment effects in small samples. We have made the analytic approach readily available in RoBSA R package. The outlined Bayesian framework provides several benefits when applied to parametric survival analyses. It uses data more efficiently, is capable of greatly shortening the length of clinical trials, and provides a richer set of inferences.

Název v anglickém jazyce

Informed Bayesian Survival Analysis

Popis výsledku anglicky

We overview Bayesian estimation, hypothesis testing, and model-averaging and illustrate how they benefit parametric survival analysis. We contrast the Bayesian framework to the currently dominant frequentist approach and highlight advantages, such as seamless incorporation of historical data, continuous monitoring of evidence, and incorporating uncertainty about the true data generating process. We illustrate the application of the Bayesian approaches on an example data set from a colon cancer trial. We compare the Bayesian parametric survival analysis and frequentist models with AIC/BIC model selection in fixed-n and sequential designs with a simulation study. In the example data set, the Bayesian framework provided evidence for the absence of a positive treatment effect on disease-free survival in patients with resected colon cancer. Furthermore, the Bayesian sequential analysis would have terminated the trial 13.3 months earlier than the standard frequentist analysis. In a simulation study with sequential designs, the Bayesian framework on average reached a decision in almost half the time required by the frequentist counterparts, while maintaining the same power, and an appropriate false-positive rate. Under model misspecification, the Bayesian framework resulted in higher false-negative rate compared to the frequentist counterparts, which resulted in a higher proportion of undecided trials. In fixed-n designs, the Bayesian framework showed slightly higher power, slightly elevated error rates, and lower bias and RMSE when estimating treatment effects in small samples. We have made the analytic approach readily available in RoBSA R package. The outlined Bayesian framework provides several benefits when applied to parametric survival analyses. It uses data more efficiently, is capable of greatly shortening the length of clinical trials, and provides a richer set of inferences.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

10103 - Statistics and probability

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

BMC Medical Research Methodology

ISSN

1471-2288

e-ISSN

1471-2288

Svazek periodika

22

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

22

Strana od-do

238

Kód UT WoS článku

000852382600001

EID výsledku v databázi Scopus

2-s2.0-85138128795