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The impact of covariate misclassification using generalized linear regression under covariate-adaptive randomization
Journal article   Open access   Peer reviewed

The impact of covariate misclassification using generalized linear regression under covariate-adaptive randomization

Liqiong Fan, Sharon D. Yeatts, Bethany J. Wolf, Leslie A. McClure, Magdy Selim and Yuko Y. Palesch
Statistical methods in medical research, v 27(1), pp 20-34
01 Jan 2018
PMID: 26596352
url
https://europepmc.org/articles/pmc5476516View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Health Care Sciences & Services Life Sciences & Biomedicine Mathematical & Computational Biology Mathematics Medical Informatics Physical Sciences Science & Technology Statistics & Probability
Under covariate adaptive randomization, the covariate is tied to both randomization and analysis. Misclassification of such covariate will impact the intended treatment assignment; further, it is unclear what the appropriate analysis strategy should be. We explore the impact of such misclassification on the trial's statistical operating characteristics. Simulation scenarios were created based on the misclassification rate and the covariate effect on the outcome. Models including unadjusted, adjusted for the misclassified, or adjusted for the corrected covariate were compared using logistic regression for a binary outcome and Poisson regression for a count outcome. For the binary outcome using logistic regression, type I error can be maintained in the adjusted model, but the test is conservative using an unadjusted model. Power decreased with both increasing covariate effect on the outcome as well as the misclassification rate. Treatment effect estimates were biased towards the null for both the misclassified and unadjusted models. For the count outcome using a Poisson model, covariate misclassification led to inflated type I error probabilities and reduced power in the misclassified and the unadjusted model. The impact of covariate misclassification under covariate-adaptive randomization differs depending on the underlying distribution of the outcome.

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Collaboration types
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Web of Science research areas
Health Care Sciences & Services
Mathematical & Computational Biology
Medical Informatics
Statistics & Probability
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