Evidence map›Paper›PMID 28983189›Full record

ArticleJournal of the Royal Statistical Society. Series B, Statistical methodology2017

On Estimation of Optimal Treatment Regimes For Maximizing

Runchao Jiang, Wenbin Lu, Rui Song, Marie Davidian

Abstract read
In one paragraph

Article in Journal of the Royal Statistical Society. Series B, Statistical methodology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

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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.

Runchao JiangNorth Carolina State University, Raleigh, USA.
Wenbin LuNorth Carolina State University, Raleigh, USA.
Rui SongNorth Carolina State University, Raleigh, USA.
Marie DavidianNorth Carolina State University, Raleigh, USA.

Funding

Statistical Methods for Cancer Clinical TrialsP01CA142538 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVIDIAN, MARIE, KOSOROK, MICHAEL R · 2010 to 2019
$21.3M
Flexible Statistical Methods for Complex Survival Data in Biomedical StudiesR01CA140632 · NCI · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI LU, WENBIN · 2010 to 2013
$795k
NCI NIH HHS P01 CA142538NCI NIH HHS R01 CA140632
6 · The paper itself

Abstract

A treatment regime is a deterministic function that dictates personalized treatment based on patients' individual prognostic information. There is increasing interest in finding optimal treatment regimes, which determine treatment at one or more treatment decision points so as to maximize expected long-term clinical outcome, where larger outcomes are preferred. For chronic diseases such as cancer or HIV infection, survival time is often the outcome of interest, and the goal is to select treatment to maximize survival probability. We propose two nonparametric estimators for the survival function of patients following a given treatment regime involving one or more decisions, i.e., the so-called value. Based on data from a clinical or observational study, we estimate an optimal regime by maximizing these estimators for the value over a prespecified class of regimes. Because the value function is very jagged, we introduce kernel smoothing within the estimator to improve performance. Asymptotic properties of the proposed estimators of value functions are established under suitable regularity conditions, and simulations studies evaluate the finite-sample performance of the proposed regime estimators. The methods are illustrated by application to data from an AIDS clinical trial.

Indexed as

Inverse probability weighted estimationKaplan-Meier estimatoroptimal treatment regimepersonalized medicinesurvival probabilityvalue function

Identifiers

PMID28983189
PMCPMC5624740

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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.