Evidence map›Paper›PMID 35157022›Full record

ArticleBioinformatics (Oxford, England)2022

Cox regression is robust to inaccurate EHR-extracted event time: an application to EHR-based GWAS.

Rebecca Irlmeier, Jacob J Hughey, Lisa Bastarache, Joshua C Denny, Qingxia Chen

Abstract read
In one paragraph

Article in Bioinformatics (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

5 authors.

Rebecca IrlmeierDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN 37203, USA.ORCID 0000-0001-8210-9584
Jacob J HugheyDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
Lisa BastaracheDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
Joshua C DennyAll of Us Research Program, National Institutes of Health, Bethesda, MD 20892, USA.
Qingxia ChenDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN 37203, USA.

Funding

From GWAS to PheWAS: Scanning the EMR Phenome for Gene-disease AssociationsR01LM010685 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BASTARACHE, LISA · 2011 to 2022
$6.3M
Time-dependent and bidirectional effect of oxidative stress - a missing piece of the free radical theory of cancer and its potential implicationsR01CA237895 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CHEN, QINGXIA, YANG, GONG · 2020 to 2025
$3.4M
A Multi-scale Approach to the Mammalian Circadian System and Its Role in Human Health and Disease - Administrative SupplementR35GM124685 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HUGHEY, JACOB J · 2017 to 2021
$2.1M
NCI NIH HHS R01 CA237895NIGMS NIH HHS R35 GM124685NLM NIH HHS R01 LM010685
6 · The paper itself

Abstract

motivationLogistic regression models are used in genomic studies to analyze the genetic data linked to electronic health records (EHRs), and do not take full usage of the time-to-event information available in EHRs. Previous work has shown that Cox regression, which can account for left truncation and right censoring in EHRs, increased the power to detect genotype-phenotype associations compared to logistic regression. We extend this to evaluate the relative performance of Cox regression and various logistic regression models in the presence of positive errors in event time (delayed event time), relating to recorded event time accuracy.

resultsOne Cox model and three logistic regression models were considered under different scenarios of delayed event time. Extensive simulations and a genomic study application were used to evaluate the impact of delayed event time. While logistic regression does not model the time-to-event directly, various logistic regression models used in the literature were more sensitive to delayed event time than Cox regression. Results highlighted the importance to identify and exclude the patients diagnosed before entry time. Cox regression had similar or modest improvement in statistical power over various logistic regression models at controlled type I error. This was supported by the empirical data, where the Cox models steadily had the highest sensitivity to detect known genotype-phenotype associations under all scenarios of delayed event time. AVAILABILITY AND IMPLEMENTATION: Access to individual-level EHR and genotype data is restricted by the IRB. Simulation code and R script for data process are at: https://github.com/QingxiaCindyChen/CoxRobustEHR.git. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

Indexed as

Electronic Health RecordsGenome-Wide Association StudyComputer SimulationGenotypeLogistic ModelsProportional Hazards Models

Identifiers

PMID35157022
PMCPMC10060718

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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.