Evidence map›Paper›PMID 29775203›Full record

ArticleBiometrics2018

Optimal two-stage dynamic treatment regimes from a classification perspective with censored survival data.

Rebecca Hager, Anastasios A Tsiatis, Marie Davidian

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Review
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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

3 authors.

Rebecca HagerDivision of Biometrics III, OB/CDER, Food and Drug Administration, Silver Spring, Maryland, U.S.A.
Anastasios A TsiatisDepartment of Statistics, North Carolina State University, Raleigh, North Carolina, U.S.A.
Marie DavidianDepartment of Statistics, North Carolina State University, Raleigh, North Carolina, U.S.A.ORCID 0000-0002-9202-6341

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$177.3M
Statistical Methods for Cancer Clinical TrialsP01CA142538 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVIDIAN, MARIE, KOSOROK, MICHAEL R · 2010 to 2019
$21.3M
Statistical Methods for Complex Data in Cardiovascular DiseaseR01HL118336 · NHLBI · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI O'BRIEN, SEAN M, TSIATIS, ANASTASIOS A · 2013 to 2016
$1.5M
NCI NIH HHS P01 CA142538NCI NIH HHS U10 CA180821NHLBI NIH HHS R01 HL118336
6 · The paper itself

Abstract

Clinicians often make multiple treatment decisions at key points over the course of a patient's disease. A dynamic treatment regime is a sequence of decision rules, each mapping a patient's observed history to the set of available, feasible treatment options at each decision point, and thus formalizes this process. An optimal regime is one leading to the most beneficial outcome on average if used to select treatment for the patient population. We propose a method for estimation of an optimal regime involving two decision points when the outcome of interest is a censored survival time, which is based on maximizing a locally efficient, doubly robust, augmented inverse probability weighted estimator for average outcome over a class of regimes. By casting this optimization as a classification problem, we exploit well-studied classification techniques such as support vector machines to characterize the class of regimes and facilitate implementation via a backward iterative algorithm. Simulation studies of performance and application of the method to data from a sequential, multiple assignment randomized clinical trial in acute leukemia are presented.

Indexed as

Decision Support TechniquesSupport Vector MachineSurvival AnalysisAcute DiseaseAlgorithmsBiometryComputer SimulationHumansLeukemiaOutcome Assessment, Health CareRandomized Controlled Trials as TopicDoubly robustInverse probability weightingOptimal treatment regimeSequential multiple assignment randomized trialSupport vector machineValue search

Identifiers

PMID29775203
PMCPMC6240504

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.