Evidence map›Paper›PMID 37260471›Full record

ArticleJournal of applied statistics2023

A novel outlier statistic in multivariate survival models and its application to identify unusual under-five mortality sub-districts in Malawi.

Tsirizani M Kaombe, Samuel O M Manda

Abstract read
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Article in Journal of applied statistics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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3 · Its place in the literature

Who cites it

6 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

2 authors.

Tsirizani M KaombeDepartment of Mathematical Sciences, Faculty of Science, University of Malawi, Zomba, Malawi.ORCID https://orcid.org/0000-0003-2951-3507
Samuel O M MandaDepartment of Mathematical Sciences, Faculty of Science, University of Malawi, Zomba, Malawi.ORCID https://orcid.org/0000-0002-9672-3312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although under-five mortality (U5M) rates have declined worldwide, many countries in sub-Saharan Africa still have much higher rates. Detection of subnational areas with unusually higher U5M rates could support targeted high impact child health interventions. We propose a novel group outlier detection statistic for identifying areas with extreme U5M rates under a multivariate survival data model. The performance of the proposed statistic was evaluated through a simulation study. We applied the proposed method to an analysis of child survival data in Malawi to identify sub-districts with unusually higher or lower U5M rates. The simulation study showed that the proposed outlier statistic can detect unusual high or low mortality groups with a high accuracy of at least 90%, for datasets with at least 50 clusters of size 80 or more. In the application, at most 7 U5M outlier sub-districts were identified, based on the best fitting model as measured by the Akaike information criterion (AIC).

Indexed as

Clustered datamultivariate Cox PH modeloutlier statisticoutlying sub-districtsunder-five mortality

Identifiers

PMID37260471
PMCPMC10228329

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.