Mismeasured Covariates Research Articles

A Simulation-Extrapolation Approach to the Analysis of Interval-Censored Failure Time Data with Mis-Measured Covariates

A Simulation-Extrapolation Approach to the Analysis of Interval-Censored Failure Time Data with Mis-Measured Covariates

Simulation extrapolation method for measurement error: A review.

Measurement error is pervasive in statistics due to the non-availability of authentic data. The reasons for measurement error mainly relate to cost, convenience, and human error. Measurement error can result in non-negligible bias due to attenuated estimates, reduced power of statistical tests, and lower coverage probabilities of the coefficient estimators in a regression model. Several methods have been proposed to correct for measurement error, all of which can be grouped into two broad categories based on the underlying model-functional and structural. Functional models provide flexibility and robustness to estimators by placing minimal or no assumptions on the distribution of the mismeasured covariate or by treating them as a fixed entity, as opposed to a structural model which treats the underlying mismeasured covariates as random with a specified structure. The simulation extrapolation method is one method that is used for the partial correction of measurement error in both structural and functional models. Reviews of measurement error correction techniques are available in the literature. However, none of the previously conducted reviews has exclusively focused on simulation extrapolation and its application in continuous measurement error models, despite its widespread use and ease of application. We attempt to close this gap in the literature by highlighting its development over the past two and a half decades.

New estimation for heteroscedastic single-index measurement error models

In this paper, we propose a novel estimation for heteroscedastic single-index models with covariate measurement errors, in which both the conditional mean and conditional variance functions of the response given the covariates have a single-index structure. When covariates are directly observable, we show that the index parameter vector can be estimated consistently by the estimation obtained by fitting a misspecified linear quantile regression model under some mild regularity conditions. It is well known that naively treating mismeasured covariates as error-free usually leads to inconsistent estimators. To account for measurement errors in covariates, we establish a new estimation procedure based on corrected quantile loss function, and obtain the asymptotic consistency and normality of the resulting estimators. Finally, the finite sample performance of the proposed estimation method is illustrated by simulation studies and an empirical analysis of a real dataset.

Discrete-time survival data with longitudinal covariates.

Survival analysis has been conventionally performed on a continuous time scale. In practice, the survival time is often recorded or handled on a discrete scale; when this is the case, the discrete-time survival analysis would provide analysis results more relevant to the actual data scale. Besides, data on time-dependent covariates in the survival analysis are usually collected through intermittent follow-ups, resulting in the missing and mismeasured covariate data. In this work, we propose the sufficient discrete hazard (SDH) approach to discrete-time survival analysis with longitudinal covariates that are subject to missingness and mismeasurement. The SDH method employs the conditional score idea available for dealing with mismeasured covariates, and the penalized least squares for estimating the missing covariate value using the regression spline basis. The SDH method is developed for the single event analysis with the logistic discrete hazard model, and for the competing risks analysis with the multinomial logit model. Simulation results revel good finite-sample performances of the proposed estimator and the associated asymptotic theory. The proposed SDH method is applied to the scleroderma lung study data, where the time to medication withdrawal and time to death were recorded discretely in months, for illustration.

Bayesian cure fraction models with measurement error in the scale mixture of normal distribution.

Cure fraction models have been widely used to model time-to-event data when part of the individuals survives long-term after disease and are considered cured. Most cure fraction models neglect the measurement error that some covariates may experience which leads to poor estimates for the cure fraction. We introduce a Bayesian promotion time cure model that accounts for both mismeasured covariates and atypical measurement errors. This is attained by assuming a scale mixture of the normal distribution to describe the uncertainty about the measurement error. Extending previous works, we also assume that the measurement error variance is unknown and should be estimated. Three classes of prior distributions are assumed to model the uncertainty about the measurement error variance. Simulation studies are performed evaluating the proposed model in different scenarios and comparing it to the standard promotion time cure fraction model. Results show that the proposed models are competitive ones. The proposed model is fitted to analyze a dataset from a melanoma clinical trial assuming that the Breslow depth is mismeasured.

Propensity Score-Based Estimators With Multiple Error-Prone Covariates.

Propensity score methods are an important tool to help reduce confounding in nonexperimental studies. Most propensity score methods assume that covariates are measured without error. However, covariates are often measured with error, which leads to biased causal effect estimates if the true underlying covariates are the actual confounders. Although some groups have investigated the impact of a single mismeasured covariate on estimating a causal effect and proposed methods for handling the measurement error, fewer have investigated the case where multiple covariates are mismeasured, and we found none that discussed correlated measurement errors. In this study, we examined the consequences of multiple error-prone covariates when estimating causal effects using propensity score-based estimators via extensive simulation studies and real data analyses. We found that causal effect estimates are less biased when the propensity score model includes mismeasured covariates whose true underlying values are strongly correlated with each other. However, when the measurement errors are correlated with each other, additional bias is introduced. In addition, it is beneficial to include correctly measured auxiliary variables that are correlated with confounders whose true underlying values are mismeasured in the propensity score model.

Mixed Effects Models with Censored Covariates, with Applications in HIV/AIDS Studies

Mixed effects models are widely used for modelling clustered data when there are large variations between clusters, since mixed effects models allow for cluster-specific inference. In some longitudinal studies such as HIV/AIDS studies, it is common that some time-varying covariates may be left or right censored due to detection limits, may be missing at times of interest, or may be measured with errors. To address these “incomplete data“ problems, a common approach is to model the time-varying covariates based on observed covariate data and then use the fitted model to “predict” the censored or missing or mismeasured covariates. In this article, we provide a review of the common approaches for censored covariates in longitudinal and survival response models and advocate nonlinear mechanistic covariate models if such models are available.

Bayesian joint analysis of heterogeneous- and skewed-longitudinal data and a binary outcome, with application to AIDS clinical studies.

In medical studies, heterogeneous- and skewed-longitudinal data with mis-measured covariates are often observed together with a clinically important binary outcome. A finite mixture of joint models is currently used to fit heterogeneous-longitudinal data and binary outcome, in which these two parts are connected by the individual latent class membership. The skew distributions, such as skew-normal and skew-t, have shown beneficial in dealing with asymmetric data in various applications in literature. However, there has been relatively few studies concerning joint modeling of heterogeneous- and skewed-longitudinal data and a binary outcome. In this article, we propose a joint model in which a flexible finite mixture of nonlinear mixed-effects models with skew distributions is connected with binary logistic model by a latent class membership indicator. Simulation studies are conducted to assess the performance of the proposed models and method, and a real example from an AIDS clinical trial study illustrates the methodology by modeling the viral dynamics to compare potential models with different distribution specifications; the analysis results are reported.

Circulation : Clinical Summaries

<i>Circulation</i> : Clinical Summaries

Identification and estimation of endogenous selection models in the presence of misclassification errors

This paper shows the semi-parametric identification and estimation of sample selection models when the primary equation contains a discrete mismeasured endogenous covariate. Assuming that appropriate instruments for the presence of endogeneity are available, I apply a control function approach to remove the possible endogeneity. Based on the conditional mean independence between the model error and the selection error, the model can be regarded as a semi-parametric regression model with a discrete mismeasured covariate, thereby permitting a non-classical measurement error. Additional identification assumptions include monotonicity restrictions on the regression function and an empirical testable rank condition. I then use the identification result to construct a sieve maximum likelihood estimation estimator to estimate the model parameters consistently and recover the selection rule and joint probabilities of the accurately measured endogenous variable and the mismeasured observed variable. The proposed estimation method allows for a rather flexible functional form of the mismeasured endogenous covariate, requires only one valid instrument to control for both endogeneity and measurement errors for the variable of interest, and imposes no distribution assumptions on the selection rule.

Smoothed and Corrected Score Approach to Censored Quantile Regression With Measurement Errors

Censored quantile regression is an important alternative to the Cox proportional hazards model in survival analysis. In contrast to the usual central covariate effects, quantile regression can effectively characterize the covariate effects at different quantiles of the survival time. When covariates are measured with errors, it is known that naively treating mismeasured covariates as error-free would result in estimation bias. Under censored quantile regression, we propose smoothed and corrected estimating equations to obtain consistent estimators. We establish consistency and asymptotic normality for the proposed estimators of quantile regression coefficients. Compared with the naive estimator, the proposed method can eliminate the estimation bias under various measurement error distributions and model error distributions. We conduct simulation studies to examine the finite-sample properties of the new method and apply it to a lung cancer study. Supplementary materials for this article are available online.

Trend-constrained corrected score for proportional hazards model with covariate measurement error.

In many medical research studies, survival time is typically the primary outcome of interest. The Cox proportional hazards model is the most popular method to investigate the relationship between covariates and possibly right-censored survival time. However, in many clinical trials, the true covariates may not always be accurately measured due to natural biological fluctuation or instrument error. It is well know that for regression analysis in general, naively using mismeasured covariates in conventional inference procedures may incur substantial estimation bias. In the presence of covariate measurement error, several functional modeling methods have been proposed under the situation where the distribution of the measurement error is known. Among them are parametric corrected score and conditional score. Although both methods are consistent, each suffers from severe problem of multiple roots or absence of appropriate root when the measurement error is substantial. The problem persists even when the sample size is practically large. We conduct a detailed investigation on the pathological behaviors of parametric corrected score and propose an approach of incorporating additional estimating functions to remedy these pathological behaviors. The estimation and inference are then accomplished by means of quadratic inference function. Extensive simulation studies are conducted to evaluate the performance of proposed method.

An imputation-based solution to using mismeasured covariates in propensity score analysis.

Although covariate measurement error is likely the norm rather than the exception, methods for handling covariate measurement error in propensity score methods have not been widely investigated. We consider a multiple imputation-based approach that uses an external calibration sample with information on the true and mismeasured covariates, multiple imputation for external calibration, to correct for the measurement error, and investigate its performance using simulation studies. As expected, using the covariate measured with error leads to bias in the treatment effect estimate. In contrast, the multiple imputation for external calibration method can eliminate almost all the bias. We confirm that the outcome must be used in the imputation process to obtain good results, a finding related to the idea of congenial imputation and analysis in the broader multiple imputation literature. We illustrate the multiple imputation for external calibration approach using a motivating example estimating the effects of living in a disadvantaged neighborhood on mental health and substance use outcomes among adolescents. These results show that estimating the propensity score using covariates measured with error leads to biased estimates of treatment effects, but when a calibration data set is available, multiple imputation for external calibration can be used to help correct for such bias.

A functional inference for multivariate current status data with mismeasured covariate.

Covariate measurement error problems have been recently studied for current status failure time data but not yet for multivariate current status data. Motivated by the three-hypers dataset from a health survey study, where the failure times for three-hypers (hyperglycemia, hypertension, hyperlipidemia) are subject to current status censoring and the covariate self-reported body mass index may be subject to measurement error, we propose a functional inference method under the proportional odds model for multivariate current status data with mismeasured covariates. The new proposal utilizes the working independence strategy to handle correlated current status observations from the same subject, as well as the conditional score approach to handle mismeasured covariate without specifying the covariate distribution. The asymptotic theory, together with a stable computation procedure combining the Newton-Raphson and self-consistency algorithms, is established for the proposed estimation method. We evaluate the method through simulation studies and illustrate it with three-hypers data.

Censored quantile regression with covariate measurement errors

We study censored quantile regression with covariates measured with er- rors. We propose a composite quantile objective function based on inverse censoring- probability weighting, and an averaging estimator to improve estimation efficiency. Our procedure can eliminate the bias in the naive estimator that is obtained by treating mismeasured covariates as error-free. Using a combination of martingale and quantile regression techniques, we show that the proposed estimators for the regression coefficients are consistent and asymptotically normal. We conducted simulation studies to examine the finite-sample properties of the new method, and demonstrated efficiency gain of the averaging estimator over the single quantile regression estimator. For illustration, we applied our model to a lung cancer study.

Modeling continuous auxiliary covariate data in generalized linear mixed models using the kernel smoother

Auxiliary covariate data are often collected in biomedical studies when the primary exposure variable is only assessed on a subset of the study subjects. In this study, we investigate a semiparametric-estimated likelihood estimation for the generalized linear mixed models (GLMM) in the presence of a continuous auxiliary variable. We use a kernel smoother to handle continuous auxiliary data. The method can be used to deal with missing or mismeasured covariate data problems in a variety of applications when an auxiliary variable is available and cluster sizes are not too small. Simulation study results show that the proposed method performs better than that which ignores the random effects in GLMM and that which only uses data in the validation data set. We illustrate the proposed method with a real data set from a recent environmental epidemiology study on the maternal serum 1,1-dichloro-2,2-bis(p-chlorophenyl) ethylene level in relationship to preterm births.

Cure Rate Model With Mismeasured Covariates Under Transformation

Cure rate models explicitly account for the survival fraction in failure time data. When the covariates are measured with errors, naively treating mismeasured covariates as error-free would cause estimation bias and thus lead to incorrect inference. Under the proportional hazards cure model, we propose a corrected score approach as well as its generalization, and implement a transformation on the mismeasured covariates toward error additivity and/or normality. The corrected score equations can be easily solved through the backfitting procedure, and the biases in the parameter estimates are successfully eliminated. We show that the proposed estimators for the regression coefficients are consistent and asymptotically normal. We conduct simulation studies to examine the finite-sample properties of the new method and apply it to a real data set for illustration.

GENERALIZED PARTIALLY LINEAR MIXED-EFFECTS MODELS INCORPORATING MISMEASURED COVARIATES.

In this article we consider a semiparametric generalized mixed-effects model, and propose combining local linear regression, and penalized quasilikelihood and local quasilikelihood techniques to estimate both population and individual parameters and nonparametric curves. The proposed estimators take into account the local correlation structure of the longitudinal data. We establish normality for the estimators of the parameter and asymptotic expansion for the estimators of the nonparametric part. For practical implementation, we propose an appropriate algorithm. We also consider the measurement error problem in covariates in our model, and suggest a strategy for adjusting the effects of measurement errors. We apply the proposed models and methods to study the relation between virologic and immunologic responses in AIDS clinical trials, in which virologic response is classified into binary variables. A dataset from an AIDS clinical study is analyzed.

Orthogonal Locally Ancillary Estimating Functions for Matched Pair Studies and Errors in Covariates

SummaryWe propose an estimating function method for two related applications, matched pair studies and studies with errors in covariates under a functional model, where a mismeasured unknown scalar covariate is treated as a fixed nuisance parameter. Our method addresses the severe inferential problem that is posed by an abundance of nuisance parameters in these two applications. We propose orthogonal locally ancillary estimating functions for these two applications that depend on merely the mean model and partial modelling of the variances of the observations (and observed mismeasured covariate, if applicable), and we achieve first-order bias correction of inferences under a ‘small dispersion and large sample size’ asymptotic. Simulation results confirm that the estimator proposed is largely improved over that using a regular profile estimating function. We apply the approach proposed to a length of hospital stay study with a mismeasured covariate.

Commentary: Correlated errors and energy adjustment--where are the data?

Commentary: Correlated errors and energy adjustment--where are the data?