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A general form of covariate adjustment in clinical trials under covariate-adaptive randomization

协变量自适应随机化临床试验中的一般协变量调整

Abstract In randomized clinical trials, adjusting for baseline covariates can improve credibility and efficiency for demonstrating and quantifying treatment effects. This article studies the augmented inverse propensity weighted estimator, which is a general form of covariate adjustment that uses linear, generalized linear and nonparametric or machine learning models for the conditional mean of the response given covariates. Under covariate-adaptive randomization, we…

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Covariate-adjusted log-rank test: guaranteed efficiency gain and universal applicability

协变量调整的对数秩检验:效率增益与广泛适用性

Summary Nonparametric covariate adjustment is considered for log-rank-type tests of the treatment effect with right-censored time-to-event data from clinical trials applying covariate-adaptive randomization. Our proposed covariate-adjusted log-rank test has a simple explicit formula and a guaranteed efficiency gain over the unadjusted test. We also show that our proposed test achieves universal applicability in the sense that the same formula of test can be universally…

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Toward Better Practice of Covariate Adjustment in Analyzing Randomized Clinical Trials

随机临床试验中协变量调整的实践改进

In randomized clinical trials, adjustments for baseline covariates at both design and analysis stages are highly encouraged by regulatory agencies. A recent trend is to use a model-assisted approach for covariate adjustment to gain credibility and efficiency while producing asymptotically valid inference even when the model is incorrect. In this article we present three considerations for better practice when model-assisted inference is applied to adjust for covariates under…

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Inference on the average treatment effect under minimization and other covariate-adaptive randomization methods

最小化及其他协变量自适应随机化下的平均处理效应推断

Summary Covariate-adaptive randomization schemes such as minimization and stratified permuted blocks are often applied in clinical trials to balance treatment assignments across prognostic factors. The existing theory for inference after covariate-adaptive randomization is mostly limited to situations where a correct model between the response and covariates can be specified or the randomization method has well-understood properties. Based on stratification with covariate…

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Debiased inverse-variance weighted estimator in two-sample summary-data Mendelian randomization

两样本汇总数据孟德尔随机化中的去偏逆方差加权估计

Mendelian randomization (MR) has become a popular approach to study the effect of a modifiable exposure on an outcome by using genetic variants as instrumental variables. A challenge in MR is that each genetic variant explains a relatively small proportion of variance in the exposure and there are many such variants, a setting known as many weak instruments. To this end, we provide a theoretical characterization of the statistical properties of two popular estimators in MR:…

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Robust Tests for Treatment Effect in Survival Analysis under Covariate-Adaptive Randomization

协变量自适应随机化下生存分析中治疗效应的稳健检验

Summary Covariate-adaptive randomization is popular in clinical trials with sequentially arrived patients for balancing treatment assignments across prognostic factors that may have influence on the response. However, existing theory on tests for the treatment effect under covariate-adaptive randomization is limited to tests under linear or generalized linear models, although the covariate-adaptive randomization method has been used in survival analysis for a long time.…

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LL-Statistics in Complex Survey Problems

复杂调查抽样中的 L 统计量

We study linear combinations of order statistics ($L$-statistics) in survey problems with a stratified multistage sampling design. Two general types of $L$-statistics are considered: smooth $L$-statistics with weights generated by a smooth function and nonsmooth $L$-statistics (sample quantiles). The trimmed sample mean, the decile mean and variance, the sample Lorenz curve and the sample Gini's family parameters are examples of smooth $L$-statistics or functions of smooth $L$…

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Asymptotic Properties of the Balanced Repeated Replication Method for Sample Quantiles

样本分位数的平衡重复复制法之渐近性质

Inference, including variance estimation, can be made from stratified samples by selecting a balanced set of subsamples. This balanced subsampling method is generically called the balanced repeated replication method in survey data analysis, which includes McCarthy's balanced half-samples method and its extensions for more general stratified designs. We establish the asymptotic consistency of the balanced repeated replication variance estimators when the parameter of…

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A General Theory for Jackknife Variance Estimation

刀切法方差估计的一般理论

The delete-1 jackknife is known to give inconsistent variance estimators for nonsmooth estimators such as the sample quantiles. This well-known deficiency can be rectified by using a more general jackknife with $d$, the number of observations deleted, depending on a smoothness measure of the point estimator. Our general theory explains why jackknife works or fails. It also shows that (i) for "sufficiently smooth" estimators, the jackknife variance estimators with bounded $d$…

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