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Model averaging for treatment effect estimation in subgroups.

Authors :
Bornkamp, Björn
Ohlssen, David
Magnusson, Baldur P.
Schmidli, Heinz
Source :
Pharmaceutical Statistics; Mar/Apr2017, Vol. 16 Issue 2, p133-142, 10p
Publication Year :
2017

Abstract

In many clinical trials, biological, pharmacological, or clinical information is used to define candidate subgroups of patients that might have a differential treatment effect. Once the trial results are available, interest will focus on subgroups with an increased treatment effect. Estimating a treatment effect for these groups, together with an adequate uncertainty statement is challenging, owing to the resulting 'random high' / selection bias. In this paper, we will investigate Bayesian model averaging to address this problem. The general motivation for the use of model averaging is to realize that subgroup selection can be viewed as model selection, so that methods to deal with model selection uncertainty, such as model averaging, can be used also in this setting. Simulations are used to evaluate the performance of the proposed approach. We illustrate it on an example early-phase clinical trial. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15391604
Volume :
16
Issue :
2
Database :
Complementary Index
Journal :
Pharmaceutical Statistics
Publication Type :
Academic Journal
Accession number :
121849133
Full Text :
https://doi.org/10.1002/pst.1796