Modeling recovery curves with application to prostatectomy
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 pro...
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Veröffentlicht in: | Biostatistics (Oxford, England) England), 2019-10, Vol.20 (4), p.549-564 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | 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. |
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ISSN: | 1465-4644 1468-4357 |
DOI: | 10.1093/biostatistics/kxy002 |