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Optimal stratification in outcome prediction using baseline information

Author

Listed:
  • Florence H. Yong
  • Lu Tian
  • Sheng Yu
  • Tianxi Cai
  • L. J. Wei

Abstract

A common practice in predictive medicine is to use current study data to construct a stratification procedure, which groups subjects according to baseline information and forms stratum-specific prevention or intervention strategies. A desirable stratification scheme would not only have small intra-stratum variation but also have a clinically meaningful discriminatory capability. We show how to obtain optimal stratification rules with such desirable properties from fitting a set of regression models relating the outcome to baseline covariates and creating scoring systems for predicting potential outcomes. We propose that all available optimal stratifications be evaluated with an independent dataset to select a final stratification. Lastly, we obtain inferential results for this selected stratification scheme with a holdout dataset. When only one study of moderate size is available, we combine the first two steps via crossvalidation. Extensive simulation studies are used to compare the proposed stratification strategy with alternatives. We illustrate the new proposal using an AIDS clinical trial for binary outcomes and a cardiovascular clinical study for censored event time outcomes.

Suggested Citation

  • Florence H. Yong & Lu Tian & Sheng Yu & Tianxi Cai & L. J. Wei, 2016. "Optimal stratification in outcome prediction using baseline information," Biometrika, Biometrika Trust, vol. 103(4), pages 817-828.
  • Handle: RePEc:oup:biomet:v:103:y:2016:i:4:p:817-828.
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    File URL: http://hdl.handle.net/10.1093/biomet/asw049
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    References listed on IDEAS

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    1. Patrick Royston, 2006. "Explained variation for survival models," Stata Journal, StataCorp LP, vol. 6(1), pages 83-96, March.
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    Cited by:

    1. Yu, Haiyan & Yang, Ching-Chi & Yu, Ping, 2023. "Constrained optimization for stratified treatment rules in reducing hospital readmission rates of diabetic patients," European Journal of Operational Research, Elsevier, vol. 308(3), pages 1355-1364.
    2. Danutė Krapavickaitė, 2022. "Impact of Stratum Composition Changes on the Accuracy of the Estimates in a Sample Survey," Mathematics, MDPI, vol. 10(7), pages 1-21, March.

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