Abstract

Estimating the impact of a treatment on a given response is needed in many biomedical applications. However, methodology is lacking for the case when the response is a continuous temporal curve, treatment covariates suffer extensively from measurement error, and even the exact timing of the treatments is unknown. We introduce a novel method for this challenging scenario. We model personalized treatment-response curves as a combination of parametric response functions, hierarchically sharing information across individuals, and a sparse Gaussian process for the baseline trend. Importantly, our model accounts for errors not only in treatment covariates, but also in treatment timings, a problem arising in practice for example when data on treatments are based on user self-reporting. We validate our model with simulated and real patient data, and show that in a challenging application of estimating the impact of diet on continuous blood glucose measurements, accounting for measurement error significantly improves estimation and prediction accuracy.

Highlights

  • I NCREASING popularity of electronic health records (EHRs) and smart healthcare services has led to Manuscript received October 28, 2019; revised March 2, 2020; accepted April 6, 2020

  • Throughout, we present the model in generic terms, and outline the specific model used in Section IV-B to estimate the impact of diet on continuous blood glucose measurements

  • As the first simple experiment we study the identifiability of the EIV model when there is measurement error in covariates

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Summary

Introduction

I NCREASING popularity of electronic health records (EHRs) and smart healthcare services has led to Manuscript received October 28, 2019; revised March 2, 2020; accepted April 6, 2020. Date of publication April 20, 2020; date of current version January 5, 2021. This article has supplementary downloadable material available at https://ieeexplore.ieee.org, provided by the authors. Color versions of one or more of the figures in this paper are available online at https://ieeexplore.ieee.org

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