Evidence map›Paper›PMID 28960239›Full record

ArticleBiometrics2018

Estimation and evaluation of linear individualized treatment rules to guarantee performance.

Xin Qiu, Donglin Zeng, Yuanjia Wang

Abstract read
In one paragraph

Article in Biometrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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. Article
  2. Review
  3. Article
  4. Outcome weightedStat · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Outcome-Weighted Learning for Personalized Medicine with Multiple Treatment Options.Proceedings of the ... International Conference on Data Science and Advanced Analytics. IEEE International Conference on Data Science and Advanced Analytics · 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

3 authors.

Xin QiuDepartment of Biostatistics, Columbia University, New York, NY, U.S.A.
Donglin ZengDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.ORCID 0000-0003-0843-9280
Yuanjia WangDepartment of Biostatistics, Columbia University, New York, NY, U.S.A.ORCID 0000-0002-1510-3315

Funding

Statistical Methods for Integrating Mixed-type Biomarkers and Phenotypes in Neurodegenerative Disease ModelingR01NS073671 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WANG, YUANJIA · 2011 to 2025
$3.9M
Statistical and Machine Learning Methods to Improve Dynamic Treatment Regimens Estimation Using Real World Data.R01GM124104 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Yuanjia Wang, Donglin Zeng · 2018 to 2026
$3.1M
Identifying Huntington's disease markers by modern statistical learning methods.U01NS082062 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WANG, YUANJIA · 2014 to 2016
$1.1M
Integrative Learning to Combine Evidence for Personalized Treatment Strategies.R21MH117458 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WANG, YUANJIA · 2018 to 2019
$446k
NIGMS NIH HHS R01 GM124104NIMH NIH HHS R21 MH117458NINDS NIH HHS R01 NS073671NINDS NIH HHS U01 NS082062
6 · The paper itself

Abstract

In clinical practice, an informative and practically useful treatment rule should be simple and transparent. However, because simple rules are likely to be far from optimal, effective methods to construct such rules must guarantee performance, in terms of yielding the best clinical outcome (highest reward) among the class of simple rules under consideration. Furthermore, it is important to evaluate the benefit of the derived rules on the whole sample and in pre-specified subgroups (e.g., vulnerable patients). To achieve both goals, we propose a robust machine learning method to estimate a linear treatment rule that is guaranteed to achieve optimal reward among the class of all linear rules. We then develop a diagnostic measure and inference procedure to evaluate the benefit of the obtained rule and compare it with the rules estimated by other methods. We provide theoretical justification for the proposed method and its inference procedure, and we demonstrate via simulations its superior performance when compared to existing methods. Lastly, we apply the method to the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial on major depressive disorder and show that the estimated optimal linear rule provides a large benefit for mildly depressed and severely depressed patients but manifests a lack-of-fit for moderately depressed patients.

Indexed as

Supervised Machine LearningBiometryComputer SimulationDecision Support TechniquesHumansMajor Depressive DisorderPrecision MedicineStatistics as TopicDynamic treatment regimeMachine learningQualitative interactionRobust loss functionTreatment response heterogeneity

Identifiers

PMID28960239
PMCPMC5874184

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.