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.
The impact of covariate misclassification using generalized linear regression under covariate-adaptive randomization
Creators
Liqiong Fan - Medical University of South Carolina
Sharon D. Yeatts - Medical University of South Carolina
Bethany J. Wolf - Medical University of South Carolina
Leslie A. McClure - Drexel University
Magdy Selim - Beth Israel Deaconess Medical Center
Yuko Y. Palesch - Medical University of South Carolina
Publication Details
Statistical methods in medical research, v 27(1), pp 20-34
Publisher
Sage
Number of pages
15
Grant note
U01 NS059041 / Neurological Emergencies Treatment Trials (NETT) Network
U01 NS054630 / National Institute of Neurological Disorders and Stroke (NINDS); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
U01NS054630 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
Resource Type
Journal article
Language
English
Academic Unit
Epidemiology and Biostatistics
Web of Science ID
WOS:000419874400002
Scopus ID
2-s2.0-85041376303
Other Identifier
991019169572204721
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