Daniel F. Linder

Improved nonparametric estimation of the optimal diagnostic cut-off point associated with the Youden index under different sampling schemes.

A diagnostic cut-off point of a biomarker measurement is needed for classifying a random subject to be either diseased or healthy. However, the cut-off point is usually unknown and needs to be estimated by some optimization criteria. One important criterion is the Youden index, which has been widely adopted in practice. The Youden index, which is defined as the maximum of (sensitivity + specificity -1), directly measures the largest total diagnostic accuracy a biomarker can achieve. Therefore, it is desirable to estimate the optimal cut-off point associated with the Youden index. Sometimes, taking the actual measurements of a biomarker is very difficult and expensive, while ranking them without the actual measurement can be relatively easy. In such cases, ranked set sampling can give more precise estimation than simple random sampling, as ranked set samples are more likely to span the full range of the population. In this study, kernel density estimation is utilized to numerically solve for an estimate of the optimal cut-off point. The asymptotic distributions of the kernel estimators based on two sampling schemes are derived analytically and we prove that the estimators based on ranked set sampling are relatively more efficient than that of simple random sampling and both estimators are asymptotically unbiased. Furthermore, the asymptotic confidence intervals are derived. Intensive simulations are carried out to compare the proposed method using ranked set sampling with simple random sampling, with the proposed method outperforming simple random sampling in all cases. A real data set is analyzed for illustrating the proposed method.

On stratified bivariate ranked set sampling for regression estimators

We investigate the relative performance of stratified bivariate ranked set sampling (SBVRSS), with respect to stratified simple random sampling (SSRS) for estimating the population mean with regression methods. The mean and variance of the proposed estimators are derived with the mean being shown to be unbiased. We perform a simulation study to compare the relative efficiency of SBVRSS to SSRS under various data-generating scenarios. We also compare the two sampling schemes on a real data set from trauma victims in a hospital setting. The results of our simulation study and the real data illustration indicate that using SBVRSS for regression estimation provides more efficiency than SSRS in most cases.

A Simpler Approach for Mediation Analysis for Dichotomous Mediators in Logistic Regression

ABSTRACT Mediation is a hypothesized causal chain among three variables. Mediation analysis for continuous response variables is well developed in the literature, and it can be shown that the indirect effect is equal to the total effect minus the direct effect. However, mediation analysis for categorical responses is still not fully developed. The purpose of this article is to propose a simpler method of analysing the mediation effect among three variables when the dependent and mediator variables are both dichotomous. We propose using the latent variable technique which in turn will adjust for the necessary condition that indirect effect is equal to the total effect minus the direct effect. An intensive simulation study is conducted to compare the proposed method with other methods in the literature. Our theoretical derivation and simulation study show that the proposed approach is simpler to use and at least as good as other approaches provided in the literature. We illustrate our approach to test for the potential mediators on the relationship between depression and obesity among children and adolescents compared to the method in Winship and Mare using National children health survey data 2011–2012.

On regression estimators for different stratified sampling schemes

Abstract Two types of stratified regression estimators for the population mean, the separate and the combined estimators, are investigated using stratified random sampling scheme (SSRS) and stratified ranked set sampling (SRSS). We derived mean and variance of the proposed estimators. In addition, we compared the performance of the regression estimators using SRSS with respect to SSRS by simulation. Our derivations and simulations revealed that our proposed estimators are unbiased and using SRSS is more efficient than using SSRS. The procedure are illustrated by using the bilirubin levels in babies in a neonatal intensive care unit data.

More efficient logistic analysis using moving extreme ranked set sampling

ABSTRACT Logistic regression is the most popular technique available for modeling dichotomous-dependent variables. It has intensive application in the field of social, medical, behavioral and public health sciences. In this paper we propose a more efficient logistic regression analysis based on moving extreme ranked set sampling (MERSSmin) scheme with ranking based on an easy-to-available auxiliary variable known to be associated with the variable of interest (response variable). The paper demonstrates that this approach will provide more powerful testing procedure as well as more efficient odds ratio and parameter estimation than using simple random sample (SRS). Theoretical derivation and simulation studies will be provided. Real data from 2011 Youth Risk Behavior Surveillance System (YRBSS) data are used to illustrate the procedures developed in this paper.

Improved Estimation of Diagnostic Cut-Off Point Associated with Youden Index Using Ranked Set Sampling

A diagnostic cut-off point of a biomarker measurement is needed for classifying a random subject to be either diseased or healthy. However, the cut-off point is usually unknown and needs to be estimated by some optimization criteria. One important criterion is the Youden index, which has been widely adopted in practice. The Youden index, which is defined as the maximum of (sensitivity + specificity -1), directly measures the largest total diagnostic accuracy a biomarker can achieve. Therefore, it is desirable to estimate the optimal cut-off point associated with the Youden index. Sometimes, taking the actual measurements of a biomarker is very difficult and expensive, while ranking them without the actual measurement can be relatively easy. In such cases, ranked set sampling can give more precise estimation than simple random sampling, as ranked set samples are more likely to span the full range of the population. In this study, kernel density estimation is utilized to numerically solve for an estimate of the optimal cut-off point. The asymptotic distributions of the kernel estimators based on two sampling schemes are derived analytically and we prove that the estimators based on ranked set sampling are relatively more efficient than that of simple random sampling and both estimators are asymptotically unbiased. Furthermore, the asymptotic confidence intervals are derived. Intensive simulations are carried out to compare the proposed method using ranked set sampling with simple random sampling, with the proposed method outperforming simple random sampling in all cases. A real data set is analyzed for illustrating the proposed method.

Increased Fisher's Information for Parameters of Association in Count Regression via Extreme Ranks

ABSTRACT The article details a sampling scheme which can lead to a reduction in sample size and cost in clinical and epidemiological studies of association between a count outcome and risk factor. We show that inference in two common generalized linear models for count data, Poisson and negative binomial regression, is improved by using a ranked auxiliary covariate, which guides the sampling procedure. This type of sampling has typically been used to improve inference on a population mean. The novelty of the current work is its extension to log-linear models and derivations showing that the sampling technique results in an increase in information as compared to simple random sampling. Specifically, we show that under the proposed sampling strategy the maximum likelihood estimate of the risk factor’s coefficient is improved through an increase in the Fisher’s information. A simulation study is performed to compare the mean squared error, bias, variance, and power of the sampling routine with simple random sampling under various data-generating scenarios. We also illustrate the merits of the sampling scheme on a real data set from a clinical setting of males with chronic obstructive pulmonary disease. Empirical results from the simulation study and data analysis coincide with the theoretical derivations, suggesting that a significant reduction in sample size, and hence study cost, can be realized while achieving the same precision as a simple random sample.

On stratified bivariate ranked set sampling with optimal allocation for naïve and ratio estimators

ABSTRACT The purpose of the current work is to introduce stratified bivariate ranked set sampling (SBVRSS) and investigate its performance for estimating the population mean using both naïve and ratio methods. The properties of the proposed estimator are derived along with the optimal allocation with respect to stratification. We conduct a simulation study to demonstrate the relative efficiency of SBVRSS as compared to stratified bivariate simple random sampling (SBVSRS) for ratio estimation. Data that consist of weights and bilirubin levels in the blood of 120 babies are used to illustrate the procedure on a real data set. Based on our simulation, SBVRSS for ratio estimation is more efficient than using SBVSRS in all cases.

Using Ranked Auxiliary Covariate as a More Efficient Sampling Design for ANCOVA Model: Analysis of a Psychological Intervention to Buttress Resilience

Drawing a sample can be costly or time consuming in some studies. However, it may be possible to rank the sampling units according to some baseline auxiliary covariates, which are easily obtainable, and/or cost efficient. Ranked set sampling (RSS) is a method to achieve this goal. In this paper, we propose a modified approach of the RSS method to allocate units into an experimental study that compares L groups. Computer simulation estimates the empirical nominal values and the empirical power values for the test procedure of comparing L different groups using modified RSS based on the regression approach in analysis of covariance (ANCOVA) models. A comparison to simple random sampling (SRS) is made to demonstrate efficiency. The results indicate that the required sample sizes for a given precision are smaller under RSS than under SRS. The modified RSS protocol was applied to an experimental study. The experimental study was designed to obtain a better understanding of the pathways by which positive experiences (i.e., goal completion) contribute to higher levels of happiness, well-being, and life satisfaction. The use of the RSS method resulted in a cost reduction associated with smaller sample size without losing the precision of the analysis.

Balanced Bayesian LASSO for Heavy Tails

Regression procedures are not only hindered by large p and small n, but can also suffer in cases when outliers are present or the data generating mechanisms are heavy tailed. Since the penalized estimates like the least absolute shrinkage and selection operator (LASSO) are equipped to deal with the large p small n by encouraging sparsity, we combine a LASSO type penalty with the absolute deviation loss function, instead of the standard least squares loss, to handle the presence of outliers and heavy tails. The model is cast in a Bayesian setting and a Gibbs sampler is derived to efficiently sample from the posterior distribution. We compare our method to existing methods in a simulation study as well as on a prostate cancer data set and a base deficit data set from trauma patients.