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Testing the Equivalence of Survival Distributions using PP- and PPP-Plots
Pages 161-173
Trevor F. Cox
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.02.10
Published: 14 May 2014Open Access


Abstract: This paper discusses the use of PP-plots for survival distributions where for a pair of survival distributions, one is plotted against the other. This is another way of visualizing the nature of the relationship between the two survival distributions along with typical Kaplan-Meier plots. For three survival distributions, the PPP-plot is introduced where the survival distributions are plotted against each other in three-dimensions. At the population level, measures of divergence between distributions are introduced based on areas and lengths associated with the PP- and PPP- plots. At the sample level, two test statistics are defined, based on these areas and lengths, to test the null hypothesis of equivalent survival curves. A simulation exercise showed that, overall, the new tests are worthy competitors to the log-rank and Wilcoxon tests and also to a Levine-type test and a Kolmogorov-Smirnov type test for the case of crossing survival curves. The paper also shows how the PP-plot can be used to estimate the hazard ratio and to assess the ratio of hazard functions if proportional hazards are not appropriate. Finally, the methods introduced are illustrated on two cancer data sets.

Keywords: Crossing survival curves, Hazard ratio, Kaplan-Meier, Log-rank test, PP-plot, Wilcoxon test.

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Comparison of Some Methods of Testing Statistical Hypotheses: (Part I. Parallel Methods)
Pages 174-197
K.J. Kachiashvili
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.02.11
Published: 14 May 2014


Abstract: The article focuses on the discussion of basic approaches to hypotheses testing, which are Fisher, Jeffreys, Neyman, Berger approaches and a new one proposed by the author of this paper and called the constrained Bayesian method (CBM). Wald and Berger sequential tests and the test based on CBM are presented also. The positive and negative aspects of these approaches are considered on the basis of computed examples. Namely, it is shown that CBM has all positive characteristics of the above-listed methods. It is a data-dependent measure like Fisher’s test for making a decision, uses a posteriori probabilities like the Jeffreys test and computes error probabilities Type I and Type II like the Neyman-Pearson’s approach does. Combination of these properties assigns new properties to the decision regions of the offered method. In CBM the observation space contains regions for making the decision and regions for no-making the decision. The regions for no-making the decision are separated into the regions of impossibility of making a decision and the regions of impossibilityof making a unique decision. These properties bring the statistical hypotheses testing rule in CBM much closer to the everyday decision-making rule when, at shortage of necessary information, the acceptance of one of made suppositions is not compulsory. Computed practical examples clearly demonstrate high quality and reliability of CBM. In critical situations, when other tests give opposite decisions, it gives the most logical decision. Moreover, for any information on the basis of which the decision is made, the set of error probabilities is defined for which the decision with given reliability is possible.

Keywords: Hypotheses testing, -value, likelihood ratio, frequentist approaches, Bayesian approach, constrained Bayesian method, decision regions.

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Hardy-Weinberg Equilibrium as Foundational
Pages 198-202
Alan E. Stark and Eugene Seneta
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.02.12
Published: 14 May 2014


Abstract: The Hardy-Weinberg Principle explains how random mating can produce and maintain a population in equilibrium, that is: with constant genotypic proportions. The Hardy-Weinberg formula is in constant use as a basis for developing population genetics theory. Here we give a complete description of a model which can sustain equilibrium but with a general mating system, thereby giving a much broader basis on which to develop population genetics. It was S. N. Bernstein who first showed how Mendel’s first law could be justified simply on the basis of observations of populations in equilibrium. We show how the model can be applied to exploring the change in incidence of a genetic disorder.

Keywords: Hardy-Weinberg Equilibrium, Non-random Mating, Mendel’s First Law, Population Genetics Theory, Tay-Sachs disease.

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Adjusting Complex Heterogeneity in Treatment Assignment in Observational Studies
Pages 203-214
Jichang Yu, Haibo Zhou, Xianchen Liu, Fei Zou and Richard J. Willke
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.02.13
Published: 14 May 2014


Abstract: Treatment assignment in observational studies is complex and can be influenced by many factors that include patient characteristics, physician practices, and health care systems. These influences can present heterogeneity or clustering effects in the treatment assignment. If those heterogeneity or clustering effects are not appropriately adjusted, the estimated treatment effect may be severely biased. Through a series of models that mimic various level of heterogeneity in treatment assignment in observational studies, we evaluate, through simulation study, the performance of several estimators under the impact of different types of heterogeneity. These estimators include propensity score stratification, propensity score inverse probability weighting, propensity score regression and the partial least squares method. Our results suggest that the partial least squares method is most robust while the dummy variable adjustment method in propensity regression also performs fairly consistently. We use the proposed method to analyze a data set from the German Breast Cancer Study Group study.

Keywords: Heterogeneity, partial least squares, propensity score.
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Biologic Therapy for Psoriatic Arthritis or Moderate to Severe Plaque Psoriasis: Systematic Review with Pairwise and Network Meta-Analysis
Pages 74-87
Mariangela Peruzzi, Delia Colombo, Elena De Falco, Isotta Chimenti, Antonio Abbate, Giacomo Frati and Giuseppe Biondi-Zoccai
DOI:
http://dx.doi.org/10.6000/1929-6029.2014.03.02.1
Published: 30 April 2014Open Access


Background: A comprehensive assessment of the risk-benefit profile of biologic agents in psoriasis is lacking. We conducted a network meta-analysis of randomized trials on biologic agents in psoriasis.

Methods: Trials on biologic agents in psoriasis (including psoriatic arthritis) were sought in several databases. Endpoints were ≥75% Reduction in the Psoriasis Area and Severity Index (PASI75), ≥20% improvement in the American College of Rheumatology core set of outcomes (ACR20), serious adverse events (SAE), and adverse events (AE) at the longest available non-cross-over follow-up. Random-effect methods were used to obtain pairwise and network pooled estimates.

Results: A total of 52 trials with 17,617 patients and 9 different biologic agents included, with 52% affected by psoriatic arthritis. After an average follow-up of 18 weeks, treatment with placebo was associated with a 5.9% (5.2%-6.6%) rate of PASI75, 17.4% (15.1%-19.6%) of ACR20, 2.4% (1.9%-2.8%) of SAE, and 51.8% (50.2%-53.4%) of AE. Several biologic agents provided higher PASI75 rates than placebo, with golimumab yielding the most favorable results (relative risk [RR]=14.02 [6.85-17.11]). Accordingly, several agents provided higher ACR20 rates than placebo, with infliximab yielding the most favorable results (RR=3.02 [1.67-4.55]). Overall, rates of SAE and AE were higher for several but not all biologic agents versus placebo, with golimumab being associated with the most favorable results for SAE (RR=0.40 [0.11-1.41]), and abatacept for AE (RR=1.00 [0.79-1.22]).

Conclusions: Efficacy and safety of biologic agents for psoriasis differ, and clinicians should bear in mind these features to maximize safety and efficacy in the individual patient.

Keywords: Meta-analysis, Mixed treatment comparison, Network meta-analysis, Plaque psoriasis, Psoriasis, Psoriatic arthritis, Systematic review.

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