Modeling recovery curves with application to prostatectomy

被引:5
作者
Wang, Fulton [1 ]
Rudin, Cynthia [2 ]
Mccormick, Tyler H. [3 ,4 ]
Gore, John L. [5 ]
机构
[1] MIT, Dept EECS, 77 Massachusetts Ave, Cambridge, MA 02139 USA
[2] Duke Univ, Dept Comp Sci, LSRC D342,Res Dr, Durham, NC 27708 USA
[3] Univ Washington, Dept Stat, Box 354322, Seattle, WA 98195 USA
[4] Univ Washington, Dept Sociol, Box 354322, Seattle, WA 98195 USA
[5] Univ Washington, Dept Urol, 959 NE Pacific St, Seattle, WA 98195 USA
基金
美国国家科学基金会;
关键词
Bayesian methods; Interpretable modeling; Prostate cancer; Recovery curves; QUALITY-OF-LIFE; ERECTILE FUNCTION; ISOTONIC REGRESSION; CANCER; PREDICTION; OUTCOMES; PATIENT;
D O I
10.1093/biostatistics/kxy002
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
In many clinical settings, a patient outcome takes the form of a scalar time series with a recovery curve shape, which is characterized by a sharp drop due to a disruptive event (e.g., surgery) and subsequent monotonic smooth rise towards an asymptotic level not exceeding the pre-event value. We propose a Bayesian model that predicts recovery curves based on information available before the disruptive event. A recovery curve of interest is the quantified sexual function of prostate cancer patients after prostatectomy surgery. We illustrate the utility of our model as a pre-treatment medical decision aid, producing personalized predictions that are both interpretable and accurate. We uncover covariate relationships that agree with and supplement that in existing medical literature.
引用
收藏
页码:549 / 564
页数:16
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