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Biomedical subjects

N Cressie

Publications and source records attributed to N Cressie.

5 recordsLinked to original sources

A sample-size-optimal Bayesian procedure for sequential pharmaceutical trials.

Consider a pharmaceutical trial where the consequences of different decisions are expressed on a financial scale. The efficacy of the new drug under consideration has a prior distribution obtained from the underlying biological process, animal experiments, clinical experience, and so forth. Berry and Ho (Biometrics 44, 219-227) show how these components are used to establish an optimal (Bayes) sequential testing procedure, assuming a known constant sample size at each decision point. We show in this article how it is also possible to optimize further, with respect to the sample-size rule. This component of the design, which is missing from most sequential procedures, has the potential to yield considerably larger expected net gains (equivalently, considerably smaller Bayes risks).

Animals↗

Regional mapping of incidence rates using spatial Bayesian models.

This study takes a statistical-modeling point of view to the assessment of health care services and procedures. The emphasis is on small-area prediction of incidence rates from spatially contiguous regions, although suitable modifications can also give doctor-level predictions. The main idea is to recognize the individuality of each region through a spatial Bayesian model for incidence rates. A noise component, because of location error and measurement error, is filtered out using empirical Bayes methods. The resulting smoothed predictors of incidence rates provide an accurate picture of the health care service or procedure under investigation.

Bayes Theorem↗

Empirical Bayes estimation of undercount in the decennial census.

Empirical Bayes methods are used to estimate the extent of the undercount at the local level in the 1980 U.S. census. "Grouping of like subareas from areas such as states, counties, and so on into strata is a useful way of reducing the variance of undercount estimators. By modeling the subareas within a stratum to have a common mean and variances inversely proportional to their census counts, and by taking into account sampling of the areas (e.g., by dual-system estimation), empirical Bayes estimators that compromise between the (weighted) stratum average and the sample value can be constructed. The amount of compromise is shown to depend on the relative importance of stratum variance to sampling variance. These estimators are evaluated at the state level (51 states, including Washington, D.C.) and stratified on race/ethnicity (3 strata) using data from the 1980 postenumeration survey (PEP 3-8, for the noninstitutional population)."

Americas↗

Posterior predictive model checks for disease mapping models.

Disease incidence or disease mortality rates for small areas are often displayed on maps. Maps of raw rates, disease counts divided by the total population at risk, have been criticized as unreliable due to non-constant variance associated with heterogeneity in base population size. This has led to the use of model-based Bayes or empirical Bayes point estimates for map creation. Because the maps have important epidemiological and political consequences, for example, they are often used to identify small areas with unusually high or low unexplained risk, it is important that the assumptions of the underlying models be scrutinized. We review the use of posterior predictive model checks, which compare features of the observed data to the same features of replicate data generated under the model, for assessing model fitness. One crucial issue is whether extrema are potentially important epidemiological findings or merely evidence of poor model fit. We propose the use of the cross-validation posterior predictive distribution, obtained by reanalyzing the data without a suspect small area, as a method for assessing whether the observed count in the area is consistent with the model. Because it may not be feasible to actually reanalyze the data for each suspect small area in large data sets, two methods for approximating the cross-validation posterior predictive distribution are described.

Algorithms↗