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Efficient Blockwise Permutation Tests Preserving Exchangeability
Pages 145-152
Chunxiao Zhou, Chris E. Zwilling, Vince D. Calhoun and Michelle Y. Wang
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.02.8
Published: 30 April 2014


Abstract: In this paper, we present a new blockwise permutation test approach based on the moments of the test statistic. The method is of importance to neuroimaging studies. In order to preserve the exchangeability condition required in permutation tests, we divide the entire set of data into certain exchangeability blocks. In addition, computationally efficient moments-based permutation tests are performed by approximating the permutation distribution of the test statistic with the Pearson distribution series. This involves the calculation of the first four moments of the permutation distribution within each block and then over the entire set of data. The accuracy and efficiency of the proposed method are demonstrated through simulated experiment on the magnetic resonance imaging (MRI) brain data, specifically the multi-site voxel-based morphometry analysis from structural MRI (sMRI).

Keywords: Efficient nonparametric test, moments, Pearson distribution series, structural MRI, voxel-based morphometry.
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ijsmr logo-pdf 1349088093

Interpreting Long-Term Trends in Time Series Intervention Studies of Smoke-Free Legislation and Health
Pages 55-65
Ruth Salway, Michelle Sims and Anna B. Gilmore
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.01.7
Published: 31 January 2014Open Access


Abstract: Background: Numerous studies have investigated the impact of smoke-free laws on health outcomes. Large differences in estimates are in part attributable to how the long-term trend is modelled. However, the choice of appropriate trend is not always straightforward. We explore these complexities in an analysis of myocardial infarction (MI) mortality in England before and after the introduction of smoke-free legislation in July 2007.

Methods: Weekly rates of MI mortality among men aged 40+ between July 2002 and December 2010 were analysed using quasi-Poisson generalised additive models. We explore two ways of modelling the long-term trend: (1) a parametric approach, where we fix the shape of the trend, and (2) a penalised spline approach, in which we allow the model to decide on the shape of the trend.

Results: While both models have similar measures of fit and near identical fitted values, they have different interpretations of the legislation effect. The parametric approach estimates a significant immediate reduction in mortality rate of 13.7% (95% CI: 7.5, 19.5), whereas the penalised spline approach estimates a non-significant reduction of 2% (95% CI:-0.9, 4.8). After considering the implications of the models, evidence from sensitivity analyses and other studies, we conclude that the second model is to be preferred.

Conclusions: When there is a strong long-term trend and the intervention of interest also varies over time, it is difficult for models to separate out the two components. Our recommendations will help further studies determine the best way of modelling their data.

Keywords: Smoke-free law, myocardial infarction, mortality, second-hand smoke, passive smoke.
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The Suppression Variables in Clinical Research
Pages 1-2
Akiyoshi Kinoshita
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.01.1
Published: 31 January 2014Open Access



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Modeling Survival After Diagnosis of a Specific Disease Based on Case Surveillance Data
Pages 3-10
Ruiguang Song, Gengsheng Qin, Kathleen McDavid Harrison, Xinjian Zhang and H. Irene Hall
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.01.2
Published: 31 January 2014Open Access


Abstract: Motivated by a study assessing the impact of treatments on survival of AIDS (Acquired Immune Deficiency Syndrome) patients, we developed a semi-parametric method to estimate the life expectancy after diagnosis using data from case surveillance. With the proposed method, the life expectancy is estimated based on the traditional non-parametric life table method, but the age-specific death rates are estimated using a parametric model to derive more robust estimates from limited numbers of deaths by single year of age. The uncertainties associated with the semi-parametric estimates are provided. In addition, the life expectancy among people with the disease is compared with the life expectancy among those with similar demographic characteristics in the general population. The average years of life lost is used to measure the impact of the disease or the treatment on the survival after diagnosis. The trend of impact over time can be evaluated by the annual estimates of life expectancy and average years of life lost in the past.

Keywords: AIDS, Average years of life lost, HIV, Life expectancy, Mean survival time.
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