Evidence map›Paper›PMID 32838484›Full record

ArticleStatistics in medicine2020

A marginal estimate for the overall treatment effect on a survival outcome within the joint modeling framework.

Floor M van Oudenhoven, Sophie H N Swinkels, Joseph G Ibrahim, Dimitris Rizopoulos

Open access · hybridAbstract read
In one paragraph

Article in Statistics in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Interleukin-6 is a mediator of therapeutic efficacy in acute lung injury.American journal of respiratory and critical care medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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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 3 institutions in 2 countries.

Floor M van OudenhovenDepartment of Biostatistics, Erasmus MC, Rotterdam, The Netherlands.ORCID 0000-0001-5042-2250
Sophie H N SwinkelsDanone Nutricia Research, Utrecht, The Netherlands.
Joseph G IbrahimDepartment of Biostatistics, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-2428-6552
Dimitris RizopoulosDepartment of Biostatistics, Erasmus MC, Rotterdam, The Netherlands.
Erasmus MC · NLDanone (Netherlands) · NLUniversity of North Carolina at Chapel Hill · US

Funding

Bayesian Approaches to Model Selection for Survival DataR01GM070335 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI IBRAHIM, JOSEPH G · 2003 to 2019
$4.0M
NIGMS NIH HHS R01 GM070335
6 · The paper itself

Abstract

Joint models for longitudinal and survival data are increasingly used and enjoy a wide range of application areas. In this article, we focus on the application of joint models on clinical trial data with special interest in the treatment effect on the survival outcome. Within a joint model, the estimated treatment effect on the survival outcome is an aggregate comprising the indirect treatment effect through the longitudinal outcome and the direct treatment effect on the survival outcome. This overall treatment effect is, however, conditional on random effects, and therefore has a subject-specific interpretation. The conditional interpretation arises from the shared random effects between the longitudinal and survival process in combination with the nonlinear link function of the survival model. The overall treatment effect is, therefore, not valid for population-based inference, which is the goal for most clinical trials. We propose a method to obtain a marginal estimate of the overall treatment effect on the survival outcome in a joint model. Additionally, we extend our proposal to allow for different parameterizations for the association between the longitudinal and survival outcome. The proposed method is demonstrated on data of a clinical study on the effect of synbiotic on the gut microbiota of cesarean delivered infants, where we estimate the marginal overall treatment effect on the risk of eczema or atopic dermatitis using longitudinal information on fecal bifidobacteria.

Indexed as

Research DesignComputer SimulationHumansLongitudinal Studiesjoint modelsmarginal estimatesoverall treatment effectsurvival outcome.

Identifiers

PMID32838484
PMCPMC7674249
OpenAlexW3080448349

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.