Weibull mixture regression for marginal inference in zero-heavy continuous outcomes.

Continuous outcomes with preponderance of zero values are ubiquitous in data that arise from biomedical studies, for example studies of addictive disorders. This is known to lead to violation of standard assumptions in parametric inference and enhances the risk of misleading conclusions unless manag...

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Publicado en:Statistical Methods in Medical Research Vol. 26; no. 3; pp. 1476 - 1500
Autores principales: Gebregziabher, Mulugeta, Voronca, Delia, Teklehaimanot, Abeba, Ana, Elizabeth J. Santa, Santa Ana, Elizabeth J
Formato: clinical trial equations & formulas research tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Weibull mixture regression for marginal inference in zero-heavy continuous outcomes.
      aug:
        au:
          Gebregziabher, Mulugeta
          Voronca, Delia
          Teklehaimanot, Abeba
          Ana, Elizabeth J. Santa
          Santa Ana, Elizabeth J
        affil: Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA
      sug:
        subj:
          Models, Statistical
          Substance Use Disorders Therapy
          Regression
          Statistics
          Behavior, Addictive
          Treatment Outcomes
          Probability
          Software
          Motivational Interviewing
          Substance Use Disorders Psychosocial Factors
          Clinical Trials
          Human
      ab: Continuous outcomes with preponderance of zero values are ubiquitous in data that arise from biomedical studies, for example studies of addictive disorders. This is known to lead to violation of standard assumptions in parametric inference and enhances the risk of misleading conclusions unless managed properly. Two-part models are commonly used to deal with this problem. However, standard two-part models have limitations with respect to obtaining parameter estimates that have marginal interpretation of covariate effects which are important in many biomedical applications. Recently marginalized two-part models are proposed but their development is limited to log-normal and log-skew-normal distributions. Thus, in this paper, we propose a finite mixture approach, with Weibull mixture regression as a special case, to deal with the problem. We use extensive simulation study to assess the performance of the proposed model in finite samples and to make comparisons with other family of models via statistical information and mean squared error criteria. We demonstrate its application on real data from a randomized controlled trial of addictive disorders. Our results show that a two-component Weibull mixture model is preferred for modeling zero-heavy continuous data when the non-zero part are simulated from Weibull or similar distributions such as Gamma or truncated Gauss.
      pubtype: Academic Journal
      doctype:
        clinical trial
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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