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Daniel Sabanés Bové

Publications and source records attributed to Daniel Sabanés Bové.

6 recordsLinked to original sources

The RobinCar Family: R Tools for Robust Covariate Adjustment in Randomized Clinical Trials

Purpose: Covariate adjustment is a powerful statistical technique that can increase efficiency in clinical trials. Recent guidance from the U.S. FDA provided recommendations and best practices for using covariate adjustment. However, there has existed a gap between the extensive statistical literature on covariate adjustment and software that is easy to use and abides by these best practices. Methods: We have developed the RobinCar Family, which is comprised of RobinCar and RobinCar2. These two R packages enable covariate-adjusted analyses for continuous, discrete, and time-to-event outcomes that follow best practices. For continuous and discrete outcomes, the functions in the RobinCar Family facilitate traditional forms of covariate adjustment such as ANCOVA as well as more recent approaches like ANHECOVA, G-computation with generalized linear models and machine learning models, and adjustment for a super-covariate (as in PROCOVA(TM)). Functions for time-to-event outcomes implement the covariate-adjusted log-rank test, the stratified covariate-adjusted log-rank test, and the marginal covariate-adjusted hazard ratio. The RobinCar Family is supported by the ASA Biopharmaceutical Section Covariate Adjustment Scientific Working Group. Results: We provide an accessible overview of the covariate-adjusted statistical methods, and describe how they are implemented in RobinCar and RobinCar2. We highlight important usage notes for clinical trial practitioners. Conclusion: We apply RobinCar and RobinCar2 functions by analyzing data from the AIDS Clinical Trials Group Study 175, demonstrating that they are straightforward and user-friendly.

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Improving Software Engineering in Biostatistics: Challenges and Opportunities

Programming is ubiquitous in applied biostatistics; adopting software engineering skills will help biostatisticians do a better job. To explain this, we start by highlighting key challenges for software development and application in biostatistics. Silos between different statistician roles, projects, departments, and organizations lead to the development of duplicate and suboptimal code. Building on top of open-source software requires critical appraisal and risk-based assessment of the used modules. Code that is written needs to be readable to ensure reliable software. The software needs to be easily understandable for the user, as well as developed within testing frameworks to ensure that long term maintenance of the software is feasible. Finally, the reproducibility of research results is hindered by manual analysis workflows and uncontrolled code development. We next describe how the awareness of the importance and application of good software engineering practices and strategies can help address these challenges. The foundation is a better education in basic software engineering skills in schools, universities, and during the work life. Dedicated software engineering teams within academic institutions and companies can be a key factor for the establishment of good software engineering practices and catalyze improvements across research projects. Providing attractive career paths is important for the retainment of talents. Readily available tools can improve the reproducibility of statistical analyses and their use can be exercised in community events. [...]

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Using shrinkage methods to estimate treatment effects in overlapping subgroups in randomized clinical trials with a time-to-event endpoint

In randomized controlled trials, forest plots are frequently used to investigate the homogeneity of treatment effect estimates in subgroups. However, the interpretation of subgroup-specific treatment effect estimates requires great care due to the smaller sample size of subgroups and the large number of investigated subgroups. Bayesian shrinkage methods have been proposed to address these issues, but they often focus on disjoint subgroups while subgroups displayed in forest plots are overlapping, i.e., each subject appears in multiple subgroups. In our approach, we first build a flexible Cox model based on all available observations, including categorical covariates that identify the subgroups of interest and their interactions with the treatment group variable. We explore both penalized partial likelihood estimation with a lasso or ridge penalty for treatment-by-covariate interaction terms, and Bayesian estimation with a regularized horseshoe prior. One advantage of the Bayesian approach is the ability to derive credible intervals for shrunken subgroup-specific estimates. In a second step, the Cox model is marginalized to obtain treatment effect estimates for all subgroups. We illustrate these methods using data from a randomized clinical trial in follicular lymphoma and evaluate their properties in a simulation study. In all simulation scenarios, the overall mean-squared error is substantially smaller for penalized and shrinkage estimators compared to the standard subgroup-specific treatment effect estimator but leads to some bias for heterogeneous subgroups. We recommend that subgroup-specific estimators, which are typically displayed in forest plots, are more routinely complemented by treatment effect estimators based on shrinkage methods. The proposed methods are implemented in the R package bonsaiforest.

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Approximate Bayesian Model Selection with the Deviance Statistic

Bayesian model selection poses two main challenges: the specification of parameter priors for all models, and the computation of the resulting Bayes factors between models. There is now a large literature on automatic and objective parameter priors in the linear model. One important class are $g$-priors, which were recently extended from linear to generalized linear models (GLMs). We show that the resulting Bayes factors can be approximated by test-based Bayes factors (Johnson [Scand. J. Stat. 35 (2008) 354-368]) using the deviance statistics of the models. To estimate the hyperparameter $g$, we propose empirical and fully Bayes approaches and link the former to minimum Bayes factors and shrinkage estimates from the literature. Furthermore, we describe how to approximate the corresponding posterior distribution of the regression coefficients based on the standard GLM output. We illustrate the approach with the development of a clinical prediction model for 30-day survival in the GUSTO-I trial using logistic regression.

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Mixtures of g-Priors for Generalised Additive Model Selection with Penalised Splines

We propose an objective Bayesian approach to the selection of covariates and their penalised splines transformations in generalised additive models. Specification of a reasonable default prior for the model parameters and combination with a multiplicity-correction prior for the models themselves is crucial for this task. Here we use well-studied and well-behaved continuous mixtures of g-priors as default priors. We introduce the methodology in the normal model and extend it to non-normal exponential families. A simulation study and an application from the literature illustrate the proposed approach. An efficient implementation is available in the R-package "hypergsplines".

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Hyper-g Priors for Generalized Linear Models

We develop an extension of the classical Zellner's g-prior to generalized linear models. The prior on the hyperparameter g is handled in a flexible way, so that any continuous proper hyperprior f(g) can be used, giving rise to a large class of hyper-g priors. Connections with the literature are described in detail. A fast and accurate integrated Laplace approximation of the marginal likelihood makes inference in large model spaces feasible. For posterior parameter estimation we propose an efficient and tuning-free Metropolis-Hastings sampler. The methodology is illustrated with variable selection and automatic covariate transformation in the Pima Indians diabetes data set.

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