Evidence map›Paper›PMID 28833347›Full record

ArticleStatistics in medicine2017

A semiparametric joint model for terminal trend of quality of life and survival in palliative care research.

Zhigang Li, H R Frost, Tor D Tosteson, Lihui Zhao, Lei Liu, Kathleen Lyons, Huaihou Chen, Bernard Cole, David Currow, Marie Bakitas

Abstract read
In one paragraph

Article in Statistics in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Guideline
  2. Flexible modeling of longitudinal health-related quality of life data accounting for informative dropout in a cancer clinical trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Trial
  3. Article
  4. Article
  5. Article
  6. Semiparametric regression of panel count data with informative terminal event.Bernoulli : official journal of the Bernoulli Society for Mathematical Statistics and Probability · 2023
    Article
  7. Review
  8. Article
  9. Observational
  10. Survival models and health sequences.Lifetime data analysis · 2018
    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

10 authors.

Zhigang LiDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Hanover, NH, 03755, USA.ORCID http://orcid.org/0000-0002-6224-1833
H R FrostDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Hanover, NH, 03755, USA.
Tor D TostesonDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Hanover, NH, 03755, USA.
Lihui ZhaoDepartment of Preventive Medicine, Northwestern University, Chicago, IL, 60611, USA.
Lei LiuDepartment of Preventive Medicine, Northwestern University, Chicago, IL, 60611, USA.ORCID http://orcid.org/0000-0003-1844-338X
Kathleen LyonsDepartment of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, 03755, USA.
Huaihou ChenBiogen, 225 Binney St, Cambridge, MA, 02142, USA.
Bernard ColeDepartment of Mathematics and Statistics, University of Vermont, Burlington, VT, 05405, USA.
David CurrowDiscipline of Palliative and Supportive Services, Flinders University, Bedford Park, SA, 5042, Australia.
Marie BakitasSchool of Nursing, The University of Alabama at Birmingham, Birmingham, AL, 35233, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Relation Between In-utero Vitamin D and Immune Function in Early Childhood P20GM104416 · NIGMS · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA · 2013 to 2022
$23.7M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Quantitative Biology Research InstituteP20GM103534 · NIGMS · DARTMOUTH COLLEGE · PI AMOS, CHRISTOPHER I. · 2012 to 2016
$8.6M
Project 3: Placental Biomarkers of Exposure and Outcome (Marsit)P01ES022832 · NIEHS · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA · 2013 to 2018
$4.7M
Improving Palliative Care for Patients with CancerR01CA101704 · NCI · DARTMOUTH COLLEGE · PI HEGEL, MARK T · 2003 to 2007
$2.8M
Innovative methods for modeling longitudianl medical costsR01HS020263 · AHRQ · UNIVERSITY OF VIRGINIA · PI LIU, LEI · 2011 to 2015
$2.0M
Early vs. Later Palliative Cancer Care: Clinical and Biobehavioral EffectsR01NR011871 · NINR · DARTMOUTH COLLEGE · PI BAKITAS, MARIE ANNE · 2009 to 2011
$1.4M
Tissue-specific gene set testingK01LM012426 · NLM · DARTMOUTH COLLEGE · PI FROST, HILDRETH · 2016 to 2018
$259k
Design and Analysis of Palliative Care Trials Evaluating Early InterventionsR03NR014915 · NINR · DARTMOUTH COLLEGE · PI LI, ZHIGANG · 2014 to 2015
$160k
AHRQ HHS R01 HS020263NCATS NIH HHS UL1 TR001086NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA101704NIEHS NIH HHS P01 ES022832NIGMS NIH HHS P20 GM103534NIGMS NIH HHS P20 GM104416NINR NIH HHS R01 NR011871NINR NIH HHS R03 NR014915NLM NIH HHS K01 LM012426
6 · The paper itself

Abstract

Palliative medicine is an interdisciplinary specialty focusing on improving quality of life (QOL) for patients with serious illness and their families. Palliative care programs are available or under development at over 80% of large US hospitals (300+ beds). Palliative care clinical trials present unique analytic challenges relative to evaluating the palliative care treatment efficacy which is to improve patients' diminishing QOL as disease progresses towards end of life (EOL). A unique feature of palliative care clinical trials is that patients will experience decreasing QOL during the trial despite potentially beneficial treatment. Often longitudinal QOL and survival data are highly correlated which, in the face of censoring, makes it challenging to properly analyze and interpret terminal QOL trend. To address these issues, we propose a novel semiparametric statistical approach to jointly model the terminal trend of QOL and survival data. There are two sub-models in our approach: a semiparametric mixed effects model for longitudinal QOL and a Cox model for survival. We use regression splines method to estimate the nonparametric curves and AIC to select knots. We assess the model performance through simulation to establish a novel modeling approach that could be used in future palliative care research trials. Application of our approach in a recently completed palliative care clinical trial is also presented.

Indexed as

Palliative CareProportional Hazards ModelsQuality of LifeRegression AnalysisClinical Trials as TopicComputer SimulationHumansLongitudinal StudiesNeoplasmsRandomized Controlled Trials as TopicStatistics, NonparametricTreatment Outcomeend-of-lifejoint modelingpalliative caresemiparametricterminal trend

Identifiers

PMID28833347
PMCPMC5698117

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.