PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Bayesian analysis”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 901 records · Page 50Linked to original sources

Being sceptical about meta-analyses: a Bayesian perspective on magnesium trials in myocardial infarction.

BACKGROUND: There has been extensive discussion of the apparent conflict between meta-analyses and a mega-trial investigating the benefits of intravenous magnesium following myocardial infarction, in which the early trial results have been said to be 'too good to be true'. METHODS: We apply Bayesian methods of meta-analysis to the trials available before and after the publication of the ISIS-4 results. We show how scepticism can be formally incorporated into an analysis as a Bayesian prior distribution, and how Bayesian meta-analysis models allow appropriate exploration of hypotheses that the treatment effect depends on the size of the trial or the risk in the control group. RESULTS: Adoption of a sceptical prior would have led early enthusiasm for magnesium to be suitably tempered, but only if combined with a random effects meta-analysis, rather than the fixed effect analysis that was actually conducted. CONCLUSIONS: We argue that neither a fixed effect nor a random effects analysis is appropriate when the mega-trial is included. The Bayesian framework provides many possibilities for flexible exploration of clinical hypotheses, but there can be considerable sensitivity to apparently innocuous assumptions.

Bayes Theorem↗

Oligogenic model selection using the Bayesian Information Criterion: linkage analysis of the P300 Cz event-related brain potential.

The traditional likelihood-based approach to hypothesis testing may not be an optimal strategy for evaluating oligogenic models of inheritance. Under oligogenic inheritance the number of possible multilocus models can become very large; there may be several competing linkage models having similar likelihoods; and comparisons among non-nested models can be required to determine if a given multilocus model provides a significantly better fit to observed phenotypic variation than an alternative model. We propose an efficient Bayesian approach to oligogenic model selection that makes use of existing model likelihoods, and show how model uncertainty can be incorporated into parameter estimation.

Alcoholism↗

Bayesian sparse hidden components analysis for transcription regulation networks.

MOTIVATION: In systems like Escherichia Coli, the abundance of sequence information, gene expression array studies and small scale experiments allows one to reconstruct the regulatory network and to quantify the effects of transcription factors on gene expression. However, this goal can only be achieved if all information sources are used in concert. RESULTS: Our method integrates literature information, DNA sequences and expression arrays. A set of relevant transcription factors is defined on the basis of literature. Sequence data are used to identify potential target genes and the results are used to define a prior distribution on the topology of the regulatory network. A Bayesian hidden component model for the expression array data allows us to identify which of the potential binding sites are actually used by the regulatory proteins in the studied cell conditions, the strength of their control, and their activation profile in a series of experiments. We apply our methodology to 35 expression studies in E.Coli with convincing results. AVAILABILITY: www.genetics.ucla.edu/labs/sabatti/software.html SUPPLEMENTARY INFORMATION: The supplementary material are available at Bioinformatics online.

Algorithms↗

Bayesian estimation, simulation and uncertainty analysis: the cost-effectiveness of ganciclovir prophylaxis in liver transplantation.

This paper demonstrates the usefulness of combining simulation with Bayesian estimation methods in analysis of cost-effectiveness data collected alongside a clinical trial. Specifically, we use Markov Chain Monte Carlo (MCMC) to estimate a system of generalized linear models relating costs and outcomes to a disease process affected by treatment under alternative therapies. The MCMC draws are used as parameters in simulations which yield inference about the relative cost-effectiveness of the novel therapy under a variety of scenarios. Total parametric uncertainty is assessed directly by examining the joint distribution of simulated average incremental cost and effectiveness. The approach allows flexibility in assessing treatment in various counterfactual premises and quantifies the global effect of parametric uncertainty on a decision-maker's confidence in adopting one therapy over the other.

Antiviral Agents↗

Multi-resolution Bayesian regression in PET dynamic studies using wavelets.

In the kinetic analysis of dynamic PET data, one usually posits that the variation of the data through one dimension, time, can be described by a mathematical model encapsulating the relevant physiological features of the radioactive tracer. In this work, we posit that the remaining dimension, space, can also be modeled as a physiological feature, and we introduce this concept into a new computational procedure for the production of parametric maps. An organ and, in the instance considered here, the brain presents similarities in the physiological properties of its elements across scales: computationally, this similarity can be implemented in two stages. Firstly, a multi-scale decomposition of the dynamic frames is created through the wavelet transform. Secondly, kinetic analysis is performed in wavelet space and the kinetic parameters estimated at low resolution are used as priors to inform estimates at higher resolutions. Kinetic analysis in the above scheme is achieved by extension of the Patlak analysis through Bayesian linear regression that retains the simplicity and speed of the original procedure. Application to artificial and real data (FDG and FDOPA) demonstrates the ability of the procedure to reduce remarkably the variance of parametric maps (up to 4-fold reduction) without introducing sizeable bias. Significance of the methodology and extension of the procedure to other data (fMRI) and models are discussed.

Bayes Theorem↗

Performance of an iterative two-stage bayesian technique for population pharmacokinetic analysis of rich data sets.

PURPOSE: To test the suitability of an Iterative Two-Stage Bayesian (ITSB) technique for population pharmacokinetic analysis of rich data sets, and to compare ITSB with Standard Two-Stage (STS) analysis and nonlinear Mixed Effect Modeling (MEM). MATERIALS AND METHODS: Data from a clinical study with rapacuronium and data generated by Monte Carlo simulation were analyzed by an ITSB technique described in literature, with some modifications, by STS, and by MEM (using NONMEM). The results were evaluated by comparing the mean error (accuracy) and root mean squared error (precision) of the estimated parameter values, their interindividual standard deviation, correlation coefficients, and residual standard deviation. In addition, the influence of initial estimates, number of subjects, number of measurements, and level of residual error on the performance of ITSB were investigated. RESULTS: ITSB yielded best results, and provided precise and virtually unbiased estimates of the population parameter means, interindividual variability, and residual standard deviation. The accuracy and precision of STS was poor, whereas ITSB performed better than MEM. CONCLUSIONS: ITSB is a suitable technique for population pharmacokinetic analysis of rich data sets, and in the presented data set it is superior to STS and MEM.

Algorithms↗

Bayesian methods for design and analysis of cost-effectiveness trials in the evaluation of health care technologies.

We review the development of Bayesian statistical methods for the design and analysis of randomized controlled trials in the assessment of the cost-effectiveness of health care technologies. We place particular emphasis on the benefits of the Bayesian approach; the implications of skew cost data; the need to model the data appropriately to generate efficient and robust inferences instead of relying on distribution-free methods; the importance of making full use of quantitative and structural prior information to produce realistic inferences; and issues in the determination of sample size. Several new examples are presented to illustrate the methods. We conclude with a discussion of the key areas for future research.

Arthritis↗

A Bayesian approach to sensitivity analysis.

Sensitivity analysis has traditionally been applied to decision models to quantify the stability of a preferred alternative to parametric variation. In the health literature, sensitivity measures have traditionally been based upon distance metrics, payoff variations, and probability measures. We advocate a new approach based on information value and argue that such an approach is better suited to address the decision-maker's real concerns. We provide an example comparing conventional sensitivity analysis to one based on information value. This article is a US government work and is in the public domain in the United States.

Bayes Theorem↗

A bayesian framework for parentage analysis: the value of genetic and other biological data.

We develop fractional allocation models and confidence statistics for parentage analysis in mating systems. The models can be used, for example, to estimate the paternities of candidate males when the genetic mother is known or to calculate the parentage of candidate parent pairs when neither is known. The models do not require two implicit assumptions made by previous models, assumptions that are potentially erroneous. First, we provide formulas to calculate the expected parentage, as opposed to using a maximum likelihood algorithm to calculate the most likely parentage. The expected parentage is superior as it does not assume a symmetrical probability distribution of parentage and therefore, unlike the most likely parentage, will be unbiased. Second, we provide a mathematical framework for incorporating additional biological data to estimate the prior probability distribution of parentage. This additional biological data might include behavioral observations during mating or morphological measurements known to correlate with parentage. The value of multiple sources of information is increased accuracy of the estimates. We show that when the prior probability of parentage is known, and the expected parentage is calculated, fractional allocation provides unbiased estimates of the variance in reproductive success, thereby correcting a problem that has previously plagued parentage analyses. We also develop formulas to calculate the confidence interval in the parentage estimates, thus enabling the assessment of precision. These confidence statistics have not previously been available for fractional models. We demonstrate our models with several biological examples based on data from two fish species that we study, coho salmon (Oncorhychus kisutch) and bluegill sunfish (Lepomis macrochirus). In coho, multiple males compete to fertilize a single female's eggs. We show how behavioral observations taken during spawning can be combined with genetic data to provide an accurate calculation of each male's paternity. In bluegill, multiple males and multiple females may mate in a single nest. For a nest, we calculate the fertilization success and the 95% confidence interval of each candidate parent pair.

Animals↗

A Bayesian change-point analysis of electromyographic data: detecting muscle activation patterns and associated applications.

Many facets of neuromuscular activation patterns and control can be assessed via electromyography and are important for understanding the control of locomotion. After spinal cord injury, muscle activation patterns can affect locomotor recovery. We present a novel application of reversible jump Markov chain Monte Carlo simulation to estimate activation patterns from electromyographic data. We assume the data to be a zero-mean, heteroscedastic process. The variance is explicitly modeled using a step function. The number and location of points of discontinuity, or change-points, in the step function, the inter-change-point variances, and the overall mean are jointly modeled along with the mean and variance from baseline data. The number of change-points is considered a nuisance parameter and is integrated out of the posterior distribution. Whereas current methods of detecting activation patterns are deterministic or provide only point estimates, ours provides distributional estimates of muscle activation. These estimates, in turn, are used to estimate physiologically relevant quantities such as muscle coactivity, total integrated energy, and average burst duration and to draw valid statistical inferences about these quantities.

Bayes Theorem↗

Admixture and diversity in West African cattle populations.

We present a population genetic analysis of microsatellite variation in 16 West African cattle populations. West Africa represents a unique juxtaposition of different climatic and ecological zones in a relatively small geographical area. While more humid coastal regions are inhabited by the tsetse fly, a vector which spreads trypanosomiasis among cattle, the disease is not transmitted in the drier areas outside this zone. This is the most thorough study of genetic diversity in cattle within this area, which contains genetically important trypanotolerant Bos taurus breeds. Genetic relationships among the many breeds are examined and levels of diversity are assessed. Admixture levels were determined using a variety of methods. Ancestry informative or population-associated alleles (PAAs) were selected using populations from India, the Near East and Europe. Multivariate analysis, the admix program and model-based Bayesian admixture analysis approaches were also employed. These analyses reveal the direct impact of ecological factors and the profound effect of admixture on the cattle of this region. They also highlight the importance of efforts to prevent further dilution of African taurine breeds by B. indicus cattle.

Africa↗

Enumerative, Bayesian, and analytic statistical analysis of nosocomial infection for quality improvement: first of two parts.

Readmission rates are used by the Health Care Financing Administration (HCFA) as an indicator of a hospital's quality of care. Specifically, HCFA seeks to relate readmission to complications of the primary admission. A recent study at the Cleveland Clinic Foundation examined patients readmitted within 30 days of dismissal during two non-consecutive months to the cardiovascular surgery, cardiology, and gastroenterology services at this 1,008 bed hospital, accounting for 31% (1640-5342) of all hospital discharges. Only 17% (25/149) of readmissions were due to a complication of the previous hospital admission. Examining those who were readmitted for complications of their primary admission, we found that 36% (9/25) of such readmitted patients had infections that occurred during their primary admission. Otherwise stated, 5.4% (9/149) of readmissions were for nosocomial infections. These patients were compared with 20 retrospectively matched, non-readmitted patients chosen randomly from a group of 100 patients retrospectively matched for gender, age, type, and date of surgery. Using these controls, a computer-based expert system was used to help identify patient variables that are associated with readmission due to nosocomial infection. We found if a patient had (1) a weight less than 66 Kilograms or (2) had a first postoperative total serum protein greater than 6.1 or (3) was reoperated, we could predict with 100% specificity and 60% sensitivity that the patient would have an unplanned readmission. Total readmission rates do not accurately reflect complications of the primary admission.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

An introduction to a Bayesian method for meta-analysis: The confidence profile method.

The Confidence Profile Method is a new Bayesian method that can be used to assess technologies where the available evidence involves a variety of experimental designs, types of outcomes, and effect measures; a variety of biases; combinations of biases and nested bases; uncertainty about biases; an underlying variability in the parameter of interest; indirect evidence; and technology families. The result of an analysis with the Confidence Profile Method is a posterior distribution for the parameter of interest, posterior distributions for other parameters, and a covariance matrix for all the parameters in the model. The posterior distributions incorporate all the uncertainty the assessor chooses to describe about any of the parameters used in the analysis.

Bayes Theorem↗

Genetic analysis of male and female fertility using longitudinal binary data.

A longitudinal Bayesian threshold analysis of insemination events during the first 250 d after calving of first-parity Holsteins was carried out. The outcome of an insemination event was treated as a binary response of either a success (1) or a failure (0). Thus, all breeding information for a cow, including all service sires, was included, thereby allowing for a joint evaluation of male and female fertility. An edited data set of 297,823 insemination records from 151,758 first lactation cows was used. On the liability scale, the model included the systematic effects of herd-year of insemination, technician, month of insemination, and regressions on age of service sire, 3 test days in the first 100 d of lactation (early milk yield), and days in milk at insemination. The random effects in the model were the additive breeding value, the permanent effect of the cow, and the service sire effect. Posterior mean (standard deviation) of the dispersion parameters in the model were 0.034 (0.006), 0.009 (0.001), and 0.171 (0.013) for the additive, service sire, and permanent environmental variances, respectively. The residual variance was fixed at 1, as a result of the nonidentifiability of the threshold model. The posterior mean (standard deviation) of heritability was 0.028 (0.005). This point estimate of heritability is well within the range of available estimates for the trait. Thus, these estimates suggest that some genetic variation exists that can potentially be used to improve reproductive performance or at least avoid its further deterioration. The estimate of the regression coefficient on age of service sire was 0.001, indicating better fertility among older bulls. However, this result has to be interpreted with caution given the preferential use of proven bulls on well-managed cows (as opposed to problem breeders). The estimate of the regression coefficient was negative (-0.005) for early milk yield, as expected, and positive (0.003) for days in milk at insemination. This suggests that high-producing cows are less likely to conceive at the beginning of lactation.

Age Factors↗

Uncertainty analysis in matched-field geoacoustic inversions.

Quantifying uncertainty for parameter estimates obtained from matched-field geoacoustic inversions using a Bayesian approach requires estimation of the uncertainties in the data due to ambient noise as well as modeling errors. In this study, the variance parameter of the Gaussian error model, hereafter called error variance, is assumed to describe the data uncertainty. In practice, this parameter is not known a priori, and choosing a particular value is often difficult. Hence, to account for the uncertainty in error variance, several methods are introduced for implementing both the full and empirical Bayesian approaches. A full Bayesian approach that permits uncertainty of the error variance to propagate through the parameter estimation processes is a natural way of incorporating the uncertainty of error variance. Due to the large number of unknown parameters in the full Bayesian uncertainty analysis, an alternative, the empirical Bayesian approach, is developed, in which the posterior distributions of model parameters are conditioned on a point estimate of the error variance. Comparisons between the full and empirical Bayesian inferences of model parameters are presented using both synthetic and experimental data.

Journal Article↗