Abstract

Measurement error in a covariate or the outcome of regression models is common, but is often ignored, even though measurement error can lead to substantial bias in the estimated covariate-outcome association. While several texts on measurement error correction methods are available, these methods remain seldomly applied. To improve the use of measurement error correction methodology, we developed mecor, an R package that implements measurement error correction methods for regression models with a continuous outcome. Measurement error correction requires information about the measurement error model and its parameters. This information can be obtained from four types of studies, used to estimate the parameters of the measurement error model: an internal validation study, a replicates study, a calibration study and an external validation study. In the package mecor, regression calibration methods and a maximum likelihood method are implemented to correct for measurement error in a continuous covariate in regression analyses. Additionally, methods of moments methods are implemented to correct for measurement error in the continuous outcome in regression analyses. Variance estimation of the corrected estimators is provided in closed form and using the bootstrap.

Highlights

  • Measurement error is common across research fields, affecting the measurement of outcomes as well as important covariates

  • Several texts have been published describing the impact of measurement error and, measurement error correction methodology [1, 2, 3, 4]

  • In this paper we present and describe mecor, an R package for measurement error correction in linear regression models with a continuous outcome

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Summary

Introduction

Measurement error is common across research fields, affecting the measurement of outcomes as well as important covariates. To facilitate and encourage the use of measurement error correction methodology, we developed mecor, an R package that provides measurement error correction methods for linear models with continuous outcomes. The package mecor allows for random or systematic measurement error in a covariate, systematic measurement error in the outcome and, differential outcome measurement error in a univariable analysis This broad spectrum of validation study types, measurement error models and correction methods in our easy-to-use software package should improve the application of measurement error corrections in research practice. We introduce notation, derive expressions for the impact of measurement error on covariate-outcome associations and introduce the data structure of four different types of studies, that provide input for measurement error correction methods.

Covariate measurement error
Outcome measurement error
Differential outcome measurement error in univariable analyses
Validation study data structures for measurement error correction
Internal validation study
Measurement error correction
Variance estimation
Maximum likelihood estimation for replicates studies
Sensitivity analyses
The MeasError object
The MeasErrorExt object
The MeasErrorRandom object
Replicates study
Calibration study
External validation study
Conclusion
Standard regression calibration
Findings
Maximum Likelihood for replicates studies
Full Text
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