Print  Close

A Comparison of Methods for Estimating an Average Treatment Effect on Hometime

Abstract Number:

2798 

Submission Type:

Contributed Abstract 

Contributed Abstract Type:

Paper 

Participants:

Brooke Alhanti (1), Xiaoxia Champon (2), Nicole Solomon (3), Laine Thomas (1)

Institutions:

(1) Duke University, N/A, (2) North Carolina State University, N/A, (3) Duke Clinical Research Institute, N/A

Co-Author(s):

Xiaoxia Champon  
North Carolina State University
Nicole Solomon  
Duke Clinical Research Institute
Laine Thomas  
Duke University

First Author:

Brooke Alhanti  
Duke University

Presenting Author:

Brooke Alhanti  
Duke University

Abstract Text:

Hometime, the number of days a patient is home within a specified time period following a clinical event, is an important patient-centered outcome. Modeling hometime is challenging due to its zero-inflated, right-skewed, and right-censored distribution. There is a lack of consensus in clinical literature on how to best make inference on the average treatment effect on hometime. This work aims to provide practical recommendations on methods selection for this inference. As hometime's U-shaped distribution does not fit a known distribution, we simulate data by generating patients' daily status (home vs. not home) over two periods (90 days and 365 days) to obtain realistic data. Due to the unique data-generating process, any non-zero treatment effect is unknown. Using the simulated data, we compare popular methods of estimating a treatment effect on hometime under different settings, including various types of censoring. In order to compare a range of methods that estimate the treatment effect on different scales, we focus on performance with respect to type I error under the null and power under the alternative. Our findings are applied to a large cardiovascular disease registry.

Keywords:

Hometime|Days Alive and Out of Hospital (DAOH)|Epidemiologic Methods|Clinical Research | |

Sponsors:

Biometrics Section

Tracks:

Model/Variable Selection

Can this be considered for alternate subtype?

Yes

Are you interested in volunteering to serve as a session chair?

Yes

I have read and understand that JSM participants must abide by the Participant Guidelines.

Yes

I understand that JSM participants must register and pay the appropriate registration fee by June 1, 2024. The registration fee is non-refundable.

I understand