scholarly journals Two-Stage Joint Model for Multivariate Longitudinal and Multistate Processes, with Application to Renal Transplantation Data

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Behnaz Alafchi ◽  
Hossein Mahjub ◽  
Leili Tapak ◽  
Ghodratollah Roshanaei ◽  
Mohammad Ali Amirzargar

In longitudinal studies, clinicians usually collect longitudinal biomarkers’ measurements over time until an event such as recovery, disease relapse, or death occurs. Joint modeling approaches are increasingly used to study the association between one longitudinal and one survival outcome. However, in practice, a patient may experience multiple disease progression events successively. So instead of modeling of a single event, progression of the disease as a multistate process should be modeled. On the other hand, in such studies, multivariate longitudinal outcomes may be collected and their association with the survival process is of interest. In the present study, we applied a joint model of various longitudinal biomarkers and transitions between different health statuses in patients who underwent renal transplantation. The full joint likelihood approaches are faced with the complexities in computation of the likelihood. So, here, we have proposed two-stage modeling of multivariate longitudinal outcomes and multistate conditions to avoid these complexities. The proposed model showed reliable results compared to the joint model in case of joint modeling of univariate longitudinal biomarker and the multistate process.

2019 ◽  
Vol 6 (1) ◽  
pp. 223-240 ◽  
Author(s):  
Grigorios Papageorgiou ◽  
Katya Mauff ◽  
Anirudh Tomer ◽  
Dimitris Rizopoulos

In this review, we present an overview of joint models for longitudinal and time-to-event data. We introduce a generalized formulation for the joint model that incorporates multiple longitudinal outcomes of varying types. We focus on extensions for the parametrization of the association structure that links the longitudinal and time-to-event outcomes, estimation techniques, and dynamic predictions. We also outline the software available for the application of these models.


2020 ◽  
pp. 1471082X2094506
Author(s):  
Katya Mauff ◽  
Nicole S. Erler ◽  
Isabella Kardys ◽  
Dimitris Rizopoulos

Multiple longitudinal outcomes are theoretically easily modelled via extension of the generalized linear mixed effects model. However, due to computational limitations in high dimensions, in practice these models are applied only in situations with relatively few outcomes. We adapt the solution proposed by Fieuws and Verbeke (2006) to the Bayesian setting: fitting all pairwise bivariate models instead of a single multivariate model, and combining the Markov Chain Monte Carlo (MCMC) realizations obtained for each pairwise bivariate model for the relevant parameters. We explore importance sampling as a method to more closely approximate the correct multivariate posterior distribution. Simulation studies show satisfactory results in terms of bias, RMSE and coverage of the 95% credible intervals for multiple longitudinal outcomes, even in scenarios with more limited information and non-continuous outcomes, although the use of importance sampling is not successful. We further examine the incorporation of a time-to-event outcome, proposing the use of Bayesian pairwise estimation of a multivariate GLMM in an adaptation of the corrected two-stage estimation procedure for the joint model for multiple longitudinal outcomes and a time-to-event outcome ( Mauff et al., 2020 , Statistics and Computing). The method does not work as well in the case of the corrected two-stage joint model; however, the results are promising and should be explored further.


2021 ◽  
pp. 1-26
Author(s):  
A. Nii-Armah Okine ◽  
Edward W. Frees ◽  
Peng Shi

Abstract Innon-life insurance, the payment history can be predictive of the timing of a settlement for individual claims. Ignoring the association between the payment process and the settlement process could bias the prediction of outstanding payments. To address this issue, we introduce into the literature of micro-level loss reserving a joint modeling framework that incorporates longitudinal payments of a claim into the intensity process of claim settlement. We discuss statistical inference and focus on the prediction aspects of the model. We demonstrate applications of the proposed model in the reserving practice with a detailed empirical analysis using data from a property insurance provider. The prediction results from an out-of-sample validation show that the joint model framework outperforms existing reserving models that ignore the payment–settlement association.


2020 ◽  
Vol 10 (4) ◽  
pp. 1257 ◽  
Author(s):  
Liang Zhang ◽  
Quanshen Wei ◽  
Lei Zhang ◽  
Baojiao Wang ◽  
Wen-Hsien Ho

Conventional recommender systems are designed to achieve high prediction accuracy by recommending items expected to be the most relevant and interesting to users. Therefore, they tend to recommend only the most popular items. Studies agree that diversity of recommendations is as important as accuracy because it improves the customer experience by reducing monotony. However, increasing diversity reduces accuracy. Thus, a recommendation algorithm is needed to recommend less popular items while maintaining acceptable accuracy. This work proposes a two-stage collaborative filtering optimization mechanism that obtains a complete and diversified item list. The first stage of the model incorporates multiple interests to optimize neighbor selection. In addition to using conventional collaborative filtering to predict ratings by exploiting available ratings, the proposed model further considers the social relationships of the user. A novel ranking strategy is then used to rearrange the list of top-N items while maintaining accuracy by (1) rearranging the area controlled by the threshold and by (2) maximizing popularity while maintaining an acceptable reduction in accuracy. An extensive experimental evaluation performed in a real-world dataset confirmed that, for a given loss of accuracy, the proposed model achieves higher diversity compared to conventional approaches.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Zhehuang Huang ◽  
Yidong Chen

Exon recognition is a fundamental task in bioinformatics to identify the exons of DNA sequence. Currently, exon recognition algorithms based on digital signal processing techniques have been widely used. Unfortunately, these methods require many calculations, resulting in low recognition efficiency. In order to overcome this limitation, a two-stage exon recognition model is proposed and implemented in this paper. There are three main works. Firstly, we use synergetic neural network to rapidly determine initial exon intervals. Secondly, adaptive sliding window is used to accurately discriminate the final exon intervals. Finally, parameter optimization based on artificial fish swarm algorithm is used to determine different species thresholds and corresponding adjustment parameters of adaptive windows. Experimental results show that the proposed model has better performance for exon recognition and provides a practical solution and a promising future for other recognition tasks.


2021 ◽  
Author(s):  
Chris Onof ◽  
Yuting Chen ◽  
Li-Pen Wang ◽  
Amy Jones ◽  
Susana Ochoa Rodriguez

<p>In this work a two-stage (rainfall nowcasting + flood prediction) analogue model for real-time urban flood forecasting is presented. The proposed approach accounts for the complexities of urban rainfall nowcasting while avoiding the expensive computational requirements of real-time urban flood forecasting.</p><p>The model has two consecutive stages:</p><ul><li><strong>(1) Rainfall nowcasting: </strong>0-6h lead time ensemble rainfall nowcasting is achieved by means of an analogue method, based on the assumption that similar climate condition will define similar patterns of temporal evolution of the rainfall. The framework uses the NORA analogue-based forecasting tool (Panziera et al., 2011), consisting of two layers. In the <strong>first layer, </strong>the 120 historical atmospheric (forcing) conditions most similar to the current atmospheric conditions are extracted, with the historical database consisting of ERA5 reanalysis data from the ECMWF and the current conditions derived from the US Global Forecasting System (GFS). In the <strong>second layer</strong>, twelve historical radar images most similar to the current one are extracted from amongst the historical radar images linked to the aforementioned 120 forcing analogues. Lastly, for each of the twelve analogues, the rainfall fields (at resolution of 1km/5min) observed after the present time are taken as one ensemble member. Note that principal component analysis (PCA) and uncorrelated multilinear PCA methods were tested for image feature extraction prior to applying the nearest neighbour technique for analogue selection.</li> <li><strong>(2) Flood prediction: </strong>we predict flood extent using the high-resolution rainfall forecast from Stage 1, along with a database of pre-run flood maps at 1x1 km<sup>2</sup> solution from 157 catalogued historical flood events. A deterministic flood prediction is obtained by using the averaged response from the twelve flood maps associated to the twelve ensemble rainfall nowcasts, where for each gridded area the median value is adopted (assuming flood maps are equiprobabilistic). A probabilistic flood prediction is obtained by generating a quantile-based flood map. Note that the flood maps were generated through rolling ball-based mapping of the flood volumes predicted at each node of the InfoWorks ICM sewer model of the pilot area.</li> </ul><p>The Minworth catchment in the UK (~400 km<sup>2</sup>) was used to demonstrate the proposed model. Cross‑assessment was undertaken for each of 157 flooding events by leaving one event out from training in each iteration and using it for evaluation. With a focus on the spatial replication of flood/non-flood patterns, the predicted flood maps were converted to binary (flood/non-flood) maps. Quantitative assessment was undertaken by means of a contingency table. An average accuracy rate (i.e. proportion of correct predictions, out of all test events) of 71.4% was achieved, with individual accuracy rates ranging from 57.1% to 78.6%). Further testing is needed to confirm initial findings and flood mapping refinement will be pursued.</p><p>The proposed model is fast, easy and relatively inexpensive to operate, making it suitable for direct use by local authorities who often lack the expertise on and/or capabilities for flood modelling and forecasting.</p><p><strong>References: </strong>Panziera et al. 2011. NORA–Nowcasting of Orographic Rainfall by means of Analogues. Quarterly Journal of the Royal Meteorological Society. 137, 2106-2123.</p>


2018 ◽  
Vol 28 (10-11) ◽  
pp. 3392-3403 ◽  
Author(s):  
Jue Wang ◽  
Sheng Luo

Impairment caused by Amyotrophic lateral sclerosis (ALS) is multidimensional (e.g. bulbar, fine motor, gross motor) and progressive. Its multidimensional nature precludes a single outcome to measure disease progression. Clinical trials of ALS use multiple longitudinal outcomes to assess the treatment effects on overall improvement. A terminal event such as death or dropout can stop the follow-up process. Moreover, the time to the terminal event may be dependent on the multivariate longitudinal measurements. In this article, we develop a joint model consisting of a multidimensional latent trait linear mixed model (MLTLMM) for the multiple longitudinal outcomes, and a proportional hazards model with piecewise constant baseline hazard for the event time data. Shared random effects are used to link together two models. The model inference is conducted using a Bayesian framework via Markov chain Monte Carlo simulation implemented in Stan language. Our proposed model is evaluated by simulation studies and is applied to the Ceftriaxone study, a motivating clinical trial assessing the effect of ceftriaxone on ALS patients.


2021 ◽  
Author(s):  
Yenefenta Wube Bayleyegne ◽  
Sindu Azmeraw Kassahun

Abstract Background: Globally, pneumonia is the first infectious disease which is the leading cause of children under age five morbidity and mortality with 98% of deaths in developing countries. Objective: The study aimed to identify the determinant factors that jointly affect the longitudinal measures of pneumonia (respiratory rate, pulse rate and oxygen saturation) and time to convalescence or recovery of under five admitted pneumonia patients at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia.Methods: A prospective cohort study design was used on 101 sampled under five admitted pneumonia patients from December 2019 to February 2020. The study was conducted using joint model of longitudinal outcomes and survival outcomes.Results: The significant values of shared parameters in the survival sub model shows that the use of joint modeling of multivariate longitudinal outcomes with the time to event outcome is the best model compared to separate models. The estimated values of the association parameters for γ_1, γ_2 and γ_3 were -0.297, -0.121 and 0.5452 respectively and indicates that; respiratory rate and pulse rate were negatively related with recovery time, whereas oxygen saturation was positively associated with recovery time. As age of patients increased by one month, the average respiratory rate and pulse rate were significantly decreased by 0.3759 bpm and 1.1012 bpm respectively keeping other variables constant, but age has no information about oxygen saturation. Conclusion: Residence, birth order, severity and visit were found as determinants of the longitudinal measures of pneumonia and time to recovery of under-five admitted pneumonia patients jointly. To improve child survival, the community should be responsible for post ponding child birth and marriage.


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