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Some Statistical Methods to Deal With Patient Heterogeneity in Clinical Trial Design and Causal Inference
Some Statistical Methods to Deal With Patient Heterogeneity in Clinical Trial Design and C...
Some Statistical Methods to Deal With Patient Heterogeneity in Clinical Trial Design and Causal Inference

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103550
ISBN  
9798315795599
DDC  
574
저자명  
Chen, Yi.
서명/저자  
Some Statistical Methods to Deal With Patient Heterogeneity in Clinical Trial Design and Causal Inference
발행사항  
[Sl] : The University of Wisconsin - Madison, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
112 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisor: Chen, Guanhua.
학위논문주기  
Thesis (Ph.D.)--The University of Wisconsin - Madison, 2025.
초록/해제  
요약Heterogeneous patient data offers both unique opportunities and challenges in biomedical research. Effectively integrating this information while addressing the complexities it introduces is a crucial area of study. My research focuses on two scenarios where heterogeneous patient data are encountered, with the goal to develop methods that improve the reliability and efficiency of the statistical analysis. The first scenario is about incorporating patients' natural ordering information in randomized phase II studies. The exploratory nature of phase II trials makes it quite common to include heterogeneous patient subgroups with different prognoses in the same trial. Incorporating such patient heterogeneity or stratification into statistical calculation can improve efficiency and reduce sample sizes in single-arm phase II trials with binary outcomes. However, such consideration is lacking in randomized phase II trials. In Chapter 1, we propose methods that can utilize some natural order information which may exist in stratified population to gain statistical efficiency for randomized phase II designs. We consider both binary and time-to-event outcomes in our development. Compared with methods that do not use ordering information, our method is shown to improve the probabilities of correct selection and reduce sample size in our simulation and real examples. We also developed its related R package constrselect and we discuss its key functions and implementation in Chapter 2.The second scenario addresses the problem of causal generalization, where differences in the distribution of treatment effect modifiers across populations, known as covariate shift, can result in varying ATEs. Chen et al. (2023) introduced a weighting method to estimate the target ATE using only summary-level information from a target sample while accounting for the possible covariate shifts. However, the asymptotic variance of the estimate was shown to depend on individual-level data from the target sample, hindering statistical inference. In Chapter 3, we propose a resampling-based perturbation method for confidence interval construction for the estimated target ATE, utilizing additional summary-level information. We demonstrate the effectiveness of our approach through simulation and real data settings. We also developed its related R package EBalGen and we discuss its key functions and implementation in Chapter 4.
일반주제명  
Biostatistics
일반주제명  
Statistics
일반주제명  
Bioinformatics
키워드  
Patient heterogeneity
키워드  
Clinical trials
키워드  
Causal inference
키워드  
Order constrained strata
키워드  
R package
기타저자  
The University of Wisconsin - Madison Biomedical Data Science
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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MARC

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■020    ▼a9798315795599
■035    ▼a(MiAaPQ)AAI32041741
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a574
■1001  ▼aChen,  Yi.
■24510▼aSome  Statistical  Methods  to  Deal  With  Patient  Heterogeneity  in  Clinical  Trial  Design  and  Causal  Inference
■260    ▼a[Sl]▼bThe  University  of  Wisconsin  -  Madison▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a112  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisor:  Chen,  Guanhua.
■5021  ▼aThesis  (Ph.D.)--The  University  of  Wisconsin  -  Madison,  2025.
■520    ▼aHeterogeneous  patient  data  offers  both  unique  opportunities  and  challenges  in  biomedical  research.  Effectively  integrating  this  information  while  addressing  the  complexities  it  introduces  is  a  crucial  area  of  study.  My  research  focuses  on  two  scenarios  where  heterogeneous  patient  data  are  encountered,  with  the  goal  to  develop  methods  that  improve  the  reliability  and  efficiency  of  the  statistical  analysis.  The  first  scenario  is  about  incorporating  patients'  natural  ordering  information  in  randomized  phase  II  studies.  The  exploratory  nature  of  phase  II  trials  makes  it  quite  common  to  include  heterogeneous  patient  subgroups  with  different  prognoses  in  the  same  trial.  Incorporating  such  patient  heterogeneity  or  stratification  into  statistical  calculation  can  improve  efficiency  and  reduce  sample  sizes  in  single-arm  phase  II  trials  with  binary  outcomes.  However,  such  consideration  is  lacking  in  randomized  phase  II  trials.  In  Chapter  1,  we  propose  methods  that  can  utilize  some  natural  order  information  which  may  exist  in  stratified  population  to  gain  statistical  efficiency  for  randomized  phase  II  designs.  We  consider  both  binary  and  time-to-event  outcomes  in  our  development.  Compared  with  methods  that  do  not  use  ordering  information,  our  method  is  shown  to  improve  the  probabilities  of  correct  selection  and  reduce  sample  size  in  our  simulation  and  real  examples.  We  also  developed  its  related  R  package  constrselect  and  we  discuss  its  key  functions  and  implementation  in  Chapter  2.The  second  scenario  addresses  the  problem  of  causal  generalization,  where  differences  in  the  distribution  of  treatment  effect  modifiers  across  populations,  known  as  covariate  shift,  can  result  in  varying  ATEs.  Chen  et  al.  (2023)  introduced  a  weighting  method  to  estimate  the  target  ATE  using  only  summary-level  information  from  a  target  sample  while  accounting  for  the  possible  covariate  shifts.  However,  the  asymptotic  variance  of  the  estimate  was  shown  to  depend  on  individual-level  data  from  the  target  sample,  hindering  statistical  inference.  In  Chapter  3,  we  propose  a  resampling-based  perturbation  method  for  confidence  interval  construction  for  the  estimated  target  ATE,  utilizing  additional  summary-level  information.  We  demonstrate  the  effectiveness  of  our  approach  through  simulation  and  real  data  settings.  We  also  developed  its  related  R  package  EBalGen  and  we  discuss  its  key  functions  and  implementation  in  Chapter  4.
■590    ▼aSchool  code:  0262.
■650  4▼aBiostatistics
■650  4▼aStatistics
■650  4▼aBioinformatics
■653    ▼aPatient  heterogeneity
■653    ▼aClinical  trials
■653    ▼aCausal  inference
■653    ▼aOrder  constrained  strata
■653    ▼aR  package
■690    ▼a0308
■690    ▼a0769
■690    ▼a0715
■690    ▼a0463
■71020▼aThe  University  of  Wisconsin  -  Madison▼bBiomedical  Data  Science.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■790    ▼a0262
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357713▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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