- Author: Statistics Views and Peter C. Austin
- Date: 11 octubre 2013
The latest Tutorial in Biostatistics from Statistics in Medicine
is now available to download for free for a limited period. The
tutorial is published within Early View, where articles are published
online before they are allocated to an issue.
'A tutorial on the use of propensity
score methods with survival or time-to-event outcomes: reporting
measures of effect similar to those used in randomized experiments' is
written by Peter C. Austin.
Propensity score methods are
increasingly being used to estimate causal treatment effects in
observational studies. In medical and epidemiological studies, outcomes
are frequently time-to-event in nature. Propensity-score methods are
often applied incorrectly when estimating the effect of treatment on
time-to-event outcomes. This article describes how two different
propensity score methods (matching and inverse probability of treatment
weighting) can be used to estimate the measures of effect that are
frequently reported in randomized controlled trials: (i) marginal
survival curves, which describe survival in the population if all
subjects were treated or if all subjects were untreated; and (ii)
marginal hazard ratios. The use of these propensity score methods allows
one to replicate the measures of effect that are commonly reported in
randomized controlled trials with time-to-event outcomes: both absolute
and relative reductions in the probability of an event occurring can be
determined. We also provide guidance on variable selection for the
propensity score model, highlight methods for assessing the balance of
baseline covariates between treated and untreated subjects, and describe
the implementation of a sensitivity analysis to assess the effect of
unmeasured confounding variables on the estimated treatment effect when
outcomes are time-to-event in nature. The methods in the paper are
illustrated by estimating the effect of discharge statin prescribing on
the risk of death in a sample of patients hospitalized with acute
myocardial infarction. In this tutorial article, we describe and
illustrate all the steps necessary to conduct a comprehensive analysis
of the effect of treatment on time-to-event outcomes.
The tutorial is available to read for free until 31st October.
Information in:http://www.statisticsviews.com/details/news/5356861/Latest-Tutorial-in-Biostatistics-available-for-free.html
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