Evidence map›Paper›PMID 30052809›Full record

ArticleBiostatistics (Oxford, England)2020

Individualized treatment effects with censored data via fully nonparametric Bayesian accelerated failure time models.

Nicholas C Henderson, Thomas A Louis, Gary L Rosner, Ravi Varadhan

Open access · greenAbstract read
In one paragraph

Article in Biostatistics (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
0.3field-weighted citation impact, top 34% of its field
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

32 citing papers in PubMed, 4 citations in OpenAlex.

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  8. Augmentation Samplers for Multinomial Probit Bayesian Additive Regression Trees.Journal of computational and graphical statistics : a joint publication of American Statistical Association, Institute of Mathematical Statistics, Interface Foundation of North America · 2025
    Article
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  14. Machine Learning Methods to Estimate Individualized Treatment Effects for Use in Health Technology Assessment.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    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

4 authors at 2 institutions in 1 country.

Nicholas C HendersonOncology Biostatistics and Bioinformatics, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 550 N. Broadway, Suite 1101, Baltimore, MD, USA.
Thomas A LouisDepartment of Biostatistics, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD, USA.
Gary L RosnerDepartment of Biostatistics, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD, USA.
Ravi VaradhanDepartment of Biostatistics, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD, USA.
Johns Hopkins University · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
NCATS NIH HHS UL1 TR001079NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

Individuals often respond differently to identical treatments, and characterizing such variability in treatment response is an important aim in the practice of personalized medicine. In this article, we describe a nonparametric accelerated failure time model that can be used to analyze heterogeneous treatment effects (HTE) when patient outcomes are time-to-event. By utilizing Bayesian additive regression trees and a mean-constrained Dirichlet process mixture model, our approach offers a flexible model for the regression function while placing few restrictions on the baseline hazard. Our nonparametric method leads to natural estimates of individual treatment effect and has the flexibility to address many major goals of HTE assessment. Moreover, our method requires little user input in terms of model specification for treatment covariate interactions or for tuning parameter selection. Our procedure shows strong predictive performance while also exhibiting good frequentist properties in terms of parameter coverage and mitigation of spurious findings of HTE. We illustrate the merits of our proposed approach with a detailed analysis of two large clinical trials (N = 6769) for the prevention and treatment of congestive heart failure using an angiotensin-converting enzyme inhibitor. The analysis revealed considerable evidence for the presence of HTE in both trials as demonstrated by substantial estimated variation in treatment effect and by high proportions of patients exhibiting strong evidence of having treatment effects which differ from the overall treatment effect.

Indexed as

Models, StatisticalPrecision MedicineAngiotensin-Converting Enzyme InhibitorsHeart FailureHumansOutcome Assessment, Health CareAngiotensin-Converting Enzyme InhibitorsDirichlet process mixtureEnsemble methodsHeterogeneity of treatment effectInteractionPersonalized medicineSubgroup analysis

Identifiers

PMID30052809
PMCPMC8972560
OpenAlexW2671325247

What OpenQuestion holds

Textmetadata
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.