Evidence map›Paper›PMID 28992064›Full record

ArticleAmerican journal of epidemiology2017

Estimating the Comparative Effectiveness of Feeding Interventions in the Pediatric Intensive Care Unit: A Demonstration of Longitudinal Targeted Maximum Likelihood Estimation.

Noémi Kreif, Linh Tran, Richard Grieve, Bianca De Stavola, Robert C Tasker, Maya Petersen

Abstract read
In one paragraph

Article in American journal of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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  8. Machine learning in causal inference for epidemiology.European journal of epidemiology · 2024
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  11. MULTIPLY ROBUST ESTIMATORS OF CAUSAL EFFECTS FOR SURVIVAL OUTCOMES.Scandinavian journal of statistics, theory and applications · 2022
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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

6 authors.

Noémi KreifCentre for Health Economics, University of York, York, United Kingdom.
Linh TranDivision of Biostatistics, School of Public Health, University of California, Berkeley, Berkeley, California.
Richard GrieveCentre for Statistical Methodology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Bianca De StavolaCentre for Statistical Methodology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Robert C TaskerDepartment of Anesthesiology, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, Massachusetts.
Maya PetersenDivision of Biostatistics, School of Public Health, University of California, Berkeley, Berkeley, California.

Funding

Targeted Learning using adaptive designs for HIV Epidemic control in East AfricaR01AI074345 · NIAID · UNIVERSITY OF CALIFORNIA BERKELEY · PI PETERSEN, MAYA LIV, VANDERLAAN, MARK J · 2007 to 2023
$6.6M
Medical Research Council MR/L012332/1Medical Research Council MR/L012332/2NIAID NIH HHS R01 AI074345
6 · The paper itself

Abstract

Longitudinal data sources offer new opportunities for the evaluation of sequential interventions. To adjust for time-dependent confounding in these settings, longitudinal targeted maximum likelihood based estimation (TMLE), a doubly robust method that can be coupled with machine learning, has been proposed. This paper provides a tutorial in applying longitudinal TMLE, in contrast to inverse probability of treatment weighting and g-computation based on iterative conditional expectations. We apply these methods to estimate the causal effect of nutritional interventions on clinical outcomes among critically ill children in a United Kingdom study (Control of Hyperglycemia in Paediatric Intensive Care, 2008-2011). We estimate the probability of a child's being discharged alive from the pediatric intensive care unit by a given day, under a range of static and dynamic feeding regimes. We find that before adjustment, patients who follow the static regime "never feed" are discharged by the end of the fifth day with a probability of 0.88 (95% confidence interval: 0.87, 0.90), while for the patients who follow the regime "feed from day 3," the probability of discharge is 0.64 (95% confidence interval: 0.62, 0.66). After adjustment for time-dependent confounding, most of this difference disappears, and the statistical methods produce similar results. TMLE offers a flexible estimation approach; hence, we provide practical guidance on implementation to encourage its wider use.

Indexed as

Hospital MortalityModels, StatisticalComparative Effectiveness ResearchComputer SimulationCritical IllnessEnteral NutritionFeeding MethodsHumansIntensive Care Units, PediatricLikelihood FunctionsMachine LearningParenteral NutritionTime FactorsUnited Kingdomcausal inferenceepidemiologic methodslongitudinal targeted maximum likelihood estimationmachine learningSuper Learnertime-dependent confounding

Identifiers

PMID28992064
PMCPMC5860499

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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.