Evidence map›Paper›PMID 28303074›Full record

ArticleJournal of the American Statistical Association2016

Hierarchical models for semi-competing risks data with application to quality of end-of-life care for pancreatic cancer.

Kyu Ha Lee, Francesca Dominici, Deborah Schrag, Sebastien Haneuse

Abstract read
In one paragraph

Article in Journal of the American Statistical Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Effect of Rural Versus Urban Residence on Risk of Unplanned Readmission and Death in Older Veterans Discharged From VA Hospitals.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Observational
  3. Article
  4. Article
  5. Bayesian semi-parametric inference for clustered recurrent events with zero inflation and a terminal event.Journal of the Royal Statistical Society. Series C, Applied statistics · 2024
    Article
  6. Competing Risk Modeling with Bivariate Varying Coefficients to Understand the Dynamic Impact of COVID-19.Journal of computational and graphical statistics : a joint publication of American Statistical Association, Institute of Mathematical Statistics, Interface Foundation of North America · 2024
    Article
  7. Article
  8. Analysis of hospital readmissions with competing risks.Statistical methods in medical research · 2022
    Article
  9. Article
  10. MEASURING PERFORMANCE FOR END-OF-LIFE CARE.The annals of applied statistics · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Optimizing natural killer cell doses for heterogeneous cancer patients on the basis of multiple event times.Journal of the Royal Statistical Society. Series C, Applied statistics · 2019
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kyu Ha LeeEpidemiology and Biostatistics Core, The Forsyth Institute, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine.
Francesca DominiciDepartment of Biostatistics, Harvard T.H. Chan School of Public Health.
Deborah SchragDepartment of Medical Oncology, Dana Farber Cancer Institute.
Sebastien HaneuseDepartment of Biostatistics, Harvard T.H. Chan School of Public Health.

Funding

Statistical Methods for Analysis of Massive Genetic and Genomic Data in Cancer ResearchR35CA197449 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI XIHONG LIN · 2015 to 2026
$10.9M
Statistical Methods for the Spatio-Temporal Assessment of Social Disparities in CancerP01CA134294 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI DOMINICI, FRANCESCA, LIN, XIHONG · 2008 to 2017
$6.8M
Causal Inference with Interference for Evaluating Air Quality PoliciesR01ES026217 · NIEHS · UNIVERSITY OF TEXAS AT AUSTIN · PI ZIGLER, CORWIN MATTHEW · 2016 to 2021
$2.2M
Clustered semi-competing risks analysis in quality of end-of-life care studiesR01CA181360 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI HANEUSE, SEBASTIEN · 2014 to 2017
$1.8M
Analysis of High-Dimensional Environmental Health DataR01ES012044 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI COULL, BRENT ANDREW · 2004 to 2009
$1.2M
Partnerships Between Medicaid, Tumor Registries & Cancer Control ResearchersK05CA169384 · NCI · DANA-FARBER CANCER INST · PI SCHRAG, DEBORAH · 2012 to 2016
$586k
A Translational Framework for Methodological Rigor to Improve Patient Centered OuK18HS021991 · AHRQ · HARVARD SCHOOL OF PUBLIC HEALTH · PI DOMINICI, FRANCESCA · 2013 to 2014
$307k
AHRQ HHS K18 HS021991NCI NIH HHS K05 CA169384NCI NIH HHS P01 CA134294NCI NIH HHS R01 CA181360NCI NIH HHS R35 CA197449NIEHS NIH HHS R01 ES012044NIEHS NIH HHS R01 ES026217
6 · The paper itself

Abstract

Readmission following discharge from an initial hospitalization is a key marker of quality of health care in the United States. For the most part, readmission has been studied among patients with 'acute' health conditions, such as pneumonia and heart failure, with analyses based on a logistic-Normal generalized linear mixed model (Normand et al., 1997). Naïve application of this model to the study of readmission among patients with 'advanced' health conditions such as pancreatic cancer, however, is problematic because it ignores death as a competing risk. A more appropriate analysis is to imbed such a study within the semi-competing risks framework. To our knowledge, however, no comprehensive statistical methods have been developed for cluster-correlated semi-competing risks data. To resolve this gap in the literature we propose a novel hierarchical modeling framework for the analysis of cluster-correlated semi-competing risks data that permits parametric or non-parametric specifications for a range of components giving analysts substantial flexibility as they consider their own analyses. Estimation and inference is performed within the Bayesian paradigm since it facilitates the straightforward characterization of (posterior) uncertainty for all model parameters, including hospital-specific random effects. Model comparison and choice is performed via the deviance information criterion and the log-pseudo marginal likelihood statistic, both of which are based on a partially marginalized likelihood. An efficient computational scheme, based on the Metropolis-Hastings-Green algorithm, is developed and had been implemented in the SemiCompRisks R package. A comprehensive simulation study shows that the proposed framework performs very well in a range of data scenarios, and outperforms competitor analysis strategies. The proposed framework is motivated by and illustrated with an on-going study of the risk of readmission among Medicare beneficiaries diagnosed with pancreatic cancer. Using data on n=5,298 patients at

Indexed as

Bayesian survival analysiscluster-correlated dataillness-death modelsreversible jump Markov chain Monte Carlosemi-competing risksshared frailty

Identifiers

PMID28303074
PMCPMC5347153

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.