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Peisong Han

Publications and source records attributed to Peisong Han.

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A Model-Robust G-Computation Method for Analyzing Hybrid Control Studies Without Assuming Exchangeability

There is growing interest in a hybrid control design for treatment evaluation, where a randomized controlled trial is augmented with external control data from a previous trial or a real world data source. The hybrid control design has the potential to improve efficiency but also carries the risk of introducing bias. The potential bias in a hybrid control study can be mitigated by adjusting for baseline covariates that are related to the control outcome. Existing methods that serve this purpose commonly assume that the internal and external control outcomes are exchangeable upon conditioning on a set of measured covariates. Possible violations of the exchangeability assumption can be addressed using a g-computation method with variable selection under a correctly specified outcome regression model. In this article, we note that a particular version of this g-computation method is protected against misspecification of the outcome regression model. This observation leads to a model-robust g-computation method that is remarkably simple and easy to implement, consistent and asymptotically normal under minimal assumptions, and able to improve efficiency by exploiting similarities between the internal and external control groups. The method is evaluated in a simulation study and illustrated using real data from HIV treatment trials.

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A New Integrative Learning Framework for Integrating Multiple Secondary Outcomes into Primary Outcome Analysis: A Case Study on Liver Health

In the era of big data, secondary outcomes have become increasingly important alongside primary outcomes. These secondary outcomes, which can be derived from traditional endpoints in clinical trials, compound measures, or risk prediction scores, hold the potential to enhance the analysis of primary outcomes. Our method is motivated by the challenge of utilizing multiple secondary outcomes, such as blood biochemistry markers and urine assays, to improve the analysis of the primary outcome related to liver health. Current integration methods often fall short, as they impose strong model assumptions or require prior knowledge to construct over-identified working functions. This paper addresses these statistical challenges and potentially opens a new avenue in data integration by introducing a novel integrative learning framework that is applicable in a general setting. The proposed framework allows for the robust, data-driven integration of information from multiple secondary outcomes, promotes the development of efficient learning algorithms, and ensures optimal use of available data. Extensive simulation studies demonstrate that the proposed method significantly reduces variance in primary outcome analysis, outperforming existing integration approaches. Additionally, applying this method to UK Biobank (UKB) reveals that cigarette smoking is associated with increased fatty liver measures, with these effects being particularly pronounced in the older adult cohort.

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Exploring the big data paradox for various estimands using vaccination data from the global COVID-19 Trends and Impact Survey (CTIS)

Selection bias poses a challenge to statistical inference validity in non-probability surveys. This study compared estimates of the first-dose COVID-19 vaccination rates among Indian adults in 2021 from a large non-probability survey, COVID-19 Trends and Impact Survey (CTIS), and a small probability survey, the Center for Voting Options and Trends in Election Research (CVoter), against benchmark data from the COVID Vaccine Intelligence Network (CoWIN). Notably, CTIS exhibits a larger estimation error (0.39) compared to CVoter (0.16). Additionally, we investigated the estimation accuracy of the CTIS when using a relative scale and found a significant increase in the effective sample size by altering the estimand from the overall vaccination rate. These results suggest that the big data paradox can manifest in countries beyond the US and it may not apply to every estimand of interest.

stat.AP

Improving Estimation Efficiency for Two-Phase, Outcome-Dependent Sampling Studies

Two-phase outcome dependent sampling (ODS) is widely used in many fields, especially when certain covariates are expensive and/or difficult to measure. For two-phase ODS, the conditional maximum likelihood (CML) method is very attractive because it can handle zero Phase 2 selection probabilities and avoids modeling the covariate distribution. However, most existing CML-based methods use only the Phase 2 sample and thus may be less efficient than other methods. We propose a general empirical likelihood method that uses CML augmented with additional information in the whole Phase 1 sample to improve estimation efficiency. The proposed method maintains the ability to handle zero selection probabilities and avoids modeling the covariate distribution, but can lead to substantial efficiency gains over CML in the inexpensive covariates, or in the influential covariate when a surrogate is available, because of an effective use of the Phase 1 data. Simulations and a real data illustration using NHANES data are presented.

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Robust Causal Inference of Drug-drug Interactions

There is growing interest in developing causal inference methods for multi-valued treatments with a focus on pairwise average treatment effects. Here we focus on a clinically important, yet less-studied estimand: causal drug-drug interactions (DDIs), which quantifies the degree to which the causal effect of drug A is altered by the presence versus the absence of drug B. Confounding adjustment when studying the effects of DDIs can be accomplished via inverse probability of treatment weighting (IPTW), a standard approach originally developed for binary treatments and later generalized to multi-valued treatments. However, this approach generally results in biased results when the propensity score model is misspecified. Motivated by the need for more robust techniques, we propose two empirical likelihood-based weighting approaches that allow for specifying a set of propensity score models, with the second method balancing user-specified covariates directly, by incorporating additional, nonparametric constraints. The resulting estimators from both methods are consistent when the postulated set of propensity score models contains a correct one; this property has been termed multiple robustness. We then evaluate their finite sample performance through simulation. The results demonstrate that the proposed estimators outperform the standard IPTW method in terms of both robustness and efficiency. Finally, we apply the proposed methods to evaluate the impact of renin-angiotensin system inhibitors (RAS-I) on the comparative nephrotoxicity of nonsteroidal anti-inflammatory drugs (NSAID) and opioids, using data derived from electronic medical records from a large multi-hospital health system.

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Variable selection with multiply-imputed datasets: choosing between stacked and grouped methods

Penalized regression methods, such as lasso and elastic net, are used in many biomedical applications when simultaneous regression coefficient estimation and variable selection is desired. However, missing data complicates the implementation of these methods, particularly when missingness is handled using multiple imputation. Applying a variable selection algorithm on each imputed dataset will likely lead to different sets of selected predictors, making it difficult to ascertain a final active set without resorting to ad hoc combination rules. In this paper we consider a general class of penalized objective functions which, by construction, force selection of the same variables across multiply-imputed datasets. By pooling objective functions across imputations, optimization is then performed jointly over all imputed datasets rather than separately for each dataset. We consider two objective function formulations that exist in the literature, which we will refer to as "stacked" and "grouped" objective functions. Building on existing work, we (a) derive and implement efficient cyclic coordinate descent and majorization-minimization optimization algorithms for both continuous and binary outcome data, (b) incorporate adaptive shrinkage penalties, (c) compare these methods through simulation, and (d) develop an R package miselect for easy implementation. Simulations demonstrate that the "stacked" objective function approaches tend to be more computationally efficient and have better estimation and selection properties. We apply these methods to data from the University of Michigan ALS Patients Repository (UMAPR) which aims to identify the association between persistent organic pollutants and ALS risk.

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