Evidence map›Paper›PMID 32952236›Full record

ArticleJournal of the American Statistical Association2020

Estimating Dynamic Treatment Regimes in Mobile Health Using V-learning.

Daniel J Luckett, Eric B Laber, Anna R Kahkoska, David M Maahs, Elizabeth Mayer-Davis, Michael R Kosorok

Abstract read
In one paragraph

Article in Journal of the American Statistical Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Machine Learning and Health Science Research: Tutorial.Journal of medical Internet research · 2024
    Article
  12. Federated Offline Reinforcement Learning.Journal of the American Statistical Association · 2024
    Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. The Future of Causal Inference.American journal of epidemiology · 2022
    Article
  18. Article
  19. Article
  20. Article
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.

Daniel J LuckettDepartment of Biostatistics, University of North Carolina at Chapel Hill.
Eric B LaberDepartment of Statistics, North Carolina State University.
Anna R KahkoskaDepartment of Nutrition, University of North Carolina at Chapel Hill.
David M MaahsDepartment of Pediatrics, Stanford University.
Elizabeth Mayer-DavisDepartment of Nutrition, University of North Carolina at Chapel Hill.
Michael R KosorokDepartment of Biostatistics, University of North Carolina at Chapel Hill.

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 1999 to 2026
$31.6M
Statistical Methods for Cancer Clinical TrialsP01CA142538 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TSIATIS, ANASTASIOS A · 2010 to 2019
$21.3M
Statistical methods for healthcare in complex patients with diabetesR01DK108073 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ZHAO, YINGQI · 2015 to 2019
$1.5M
NCI NIH HHS P01 CA142538NIDDK NIH HHS P30 DK056350NIDDK NIH HHS R01 DK108073
6 · The paper itself

Abstract

The vision for precision medicine is to use individual patient characteristics to inform a personalized treatment plan that leads to the best possible health-care for each patient. Mobile technologies have an important role to play in this vision as they offer a means to monitor a patient's health status in real-time and subsequently to deliver interventions if, when, and in the dose that they are needed. Dynamic treatment regimes formalize individualized treatment plans as sequences of decision rules, one per stage of clinical intervention, that map current patient information to a recommended treatment. However, most existing methods for estimating optimal dynamic treatment regimes are designed for a small number of fixed decision points occurring on a coarse time-scale. We propose a new reinforcement learning method for estimating an optimal treatment regime that is applicable to data collected using mobile technologies in an out-patient setting. The proposed method accommodates an indefinite time horizon and minute-by-minute decision making that are common in mobile health applications. We show that the proposed estimators are consistent and asymptotically normal under mild conditions. The proposed methods are applied to estimate an optimal dynamic treatment regime for controlling blood glucose levels in patients with type 1 diabetes.

Indexed as

Markov decision processesPrecision medicineReinforcement learningType 1 diabetes

Identifiers

PMID32952236
PMCPMC7500510

What OpenQuestion holds

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Registered trials

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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.