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arXiv 2108.04096stat.ME
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稀疏响应下多元匹配比例的贝叶斯分析

Bayesian Analysis of Multivariate Matched Proportions with Sparse Response

Mark J. Meyer, Haobo Cheng, Katherine Hobbs Knutson

AI总结:

针对多元匹配比例数据的稀疏响应导致现有非贝叶斯方法方差低估等问题,提出基于贝叶斯probit模型的三种分析方法,其中结合贝叶斯FPCA的多元分析性能更优,且在精神障碍儿童照护体系数据再分析中获得了新洞见。

摘要:

多元匹配比例(Multivariate matched proportions, MMP)数据广泛存在于药物上市后不良事件监测、疾病分类、医疗服务提供者一致性评估等多种场景中,由同一受试者的多组成对二分类测量结果构成。尽管近期研究提出了非贝叶斯方法来处理MMP数据的复杂性,但稀疏响应问题(即一组或多组数据中记录的“是”响应为零或极少)尚未得到解决。稀疏响应组的存在会导致现有方法出现方差低估、置信区间覆盖率不足以及检验效能降低的问题。贝叶斯方法此前尚未被应用于MMP数据,但在存在稀疏响应的情况下能提供有效的分析框架,其中贝叶斯probit模型为方差低估问题提供了简洁的解决方案。我们研究了基于该模型的三种方法:采用平坦先验的朴素分析、对均值模型方差使用半柯西先验的惩罚化分析,以及结合贝叶斯函数主成分分析(functional principal component analysis, FPCA)对潜变量协方差建模的多元分析。结果表明,该多元分析在存在稀疏响应的MMP数据上表现优异,性能优于现有的非贝叶斯方法。在对一项针对精神与行为障碍儿童的照护体系(system of care, SOC)框架研究的数据进行再分析时,我们能够更完整地呈现数据中的关联关系,提供了此前单变量分析未能发现的关于SOC运行机制的额外洞见。

英文摘要:

Multivariate matched proportions (MMP) data appears in a variety of contexts including post-market surveillance of adverse events in pharmaceuticals, disease classification, and agreement between care providers. It consists of multiple sets of paired binary measurements taken on the same subject. While recent work proposes non-Bayesian methods to address the complexities of MMP data, the issue of sparse response, where no or very few "yes" responses are recorded for one or more sets, is unaddressed. The presence of sparse response sets results in underestimates of variance, loss of coverage, and lowered power in existing methods. Bayesian methods have not previously been considered for MMP data but provide a useful framework when sparse responses are present. In particular, the Bayesian probit model provides an elegant solution to the problem of variance underestimation. We examine three approaches built on that model: a naive analysis with flat priors, a penalized analysis using half-Cauchy priors on the mean model variances, and a multivariate analysis with a Bayesian functional principal component analysis (FPCA) to model the latent covariance. We show that the multivariate analysis performs well on MMP data with sparse responses and outperforms existing non-Bayesian methods. In a re-analysis of data from a study of the system of care (SOC) framework for children with mental and behavioral disorders, we are able to provide a more complete picture of the relationships in the data. Our analysis provides additional insights into the functioning on the SOC that a previous univariate analysis missed.

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