Correlated bivariate continuous and binary outcomes: Issues and applications

被引:70
|
作者
Teixeira-Pinto, Armando [1 ,2 ]
Normand, Sharon-Lise T. [2 ,3 ]
机构
[1] Univ Porto, Fac Med, Dept Biostat & Med Informat, P-4200 Oporto, Portugal
[2] Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
关键词
mixed outcome; multivariate models; latent variable; non-commensurate; LATENT VARIABLE MODELS; CONTINUOUS RESPONSES; REGRESSION-MODELS; MULTIPLE OUTCOMES; MIXED DISCRETE;
D O I
10.1002/sim.3588
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Increasingly Multiple Outcomes tire collected in order to characterize treatment effectiveness or to evaluate the impact of large policy initiatives. Often the multiple outcomes are non-commensurate, e.g. Measured oil different scales. The common approach to inference is to model each Outcome separately ignoring the potential correlation among the responses. We describe and contrast several full likelihood and quasi-likelihood multivariate methods for non-commensurate Outcomes. We present a new multivariate model to analyze binary and continuous correlated outcomes using a latent variable. We study the efficiency gains of the multivariate methods relative to the univariate approach. For complete data, all approaches yield consistent parameter estimates. When the mean structure of all outcomes depends oil the same set of covariates, efficiency gains by adopting a multivariate approach are negligible. In contrast, when the mean outcomes depend on different covariate sets, large efficiency gains are realized. Three real examples illustrate the different approaches. Copyright (C) 2009 John Wiley & Sons, Ltd.
引用
收藏
页码:1753 / 1773
页数:21
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