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1.
PLoS One ; 15(7): e0235147, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32609749

RESUMO

Digital datasets in several health care facilities, as hospitals and prehospital services, accumulated data from thousands of patients for more than a decade. In general, there is no local team with enough experts with the required different skills capable of analyzing them in entirety. The integration of those abilities usually demands a relatively long-period and is cost. Considering that scenario, this paper proposes a new Feature Sensitivity technique that can automatically deal with a large dataset. It uses a criterion-based sampling strategy from the Optimization based on Phylogram Analysis. Called FS-opa, the new approach seems proper for dealing with any types of raw data from health centers and manipulate their entire datasets. Besides, FS-opa can find the principal features for the construction of inference models without depending on expert knowledge of the problem domain. The selected features can be combined with usual statistical or machine learning methods to perform predictions. The new method can mine entire datasets from scratch. FS-opa was evaluated using a relatively large dataset from electronic health records of mental disorder prehospital services in Brazil. Cox's approach was integrated to FS-opa to generate survival analysis models related to the length of stay (LOS) in hospitals, assuming that it is a relevant aspect that can benefit estimates of the efficiency of hospitals and the quality of patient treatments. Since FS-opa can work with raw datasets, no knowledge from the problem domain was used to obtain the preliminary prediction models found. Results show that FS-opa succeeded in performing a feature sensitivity analysis using only the raw data available. In this way, FS-opa can find the principal features without bias of an inference model, since the proposed method does not use it. Moreover, the experiments show that FS-opa can provide models with a useful trade-off according to their representativeness and parsimony. It can benefit further analyses by experts since they can focus on aspects that benefit problem modeling.


Assuntos
Mineração de Dados , Registros Eletrônicos de Saúde , Transtornos Mentais/diagnóstico , Adulto , Algoritmos , Brasil/epidemiologia , Mineração de Dados/métodos , Conjuntos de Dados como Assunto , Humanos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Modelos de Riscos Proporcionais
2.
Biom J ; 58(5): 1164-77, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27162061

RESUMO

Existing cure-rate survival models are generally not convenient for modeling and estimating the survival quantiles of a patient with specified covariate values. This paper proposes a novel class of cure-rate model, the transform-both-sides cure-rate model (TBSCRM), that can be used to make inferences about both the cure-rate and the survival quantiles. We develop the Bayesian inference about the covariate effects on the cure-rate as well as on the survival quantiles via Markov Chain Monte Carlo (MCMC) tools. We also show that the TBSCRM-based Bayesian method outperforms existing cure-rate models based methods in our simulation studies and in application to the breast cancer survival data from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) database.


Assuntos
Neoplasias da Mama/mortalidade , Métodos Epidemiológicos , Modelos Estatísticos , Teorema de Bayes , Neoplasias da Mama/epidemiologia , Feminino , Humanos , Cadeias de Markov , Método de Monte Carlo , National Cancer Institute (U.S.) , Análise de Sobrevida , Estados Unidos
3.
Stat Med ; 32(9): 1536-46, 2013 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-22903370

RESUMO

In this paper, we proposed a mechanistic breast cancer survival model based on the axillary lymph node chain structure, considering lymph nodes as a potential dissemination arrangement. We assume a naive breast cancer treatment protocol consisting of exposing patients first to a chemotherapy treatment on r intervals at k-cycles separated by equal time intervals, and then they proceed to surgery. Our model, different from former ones, accommodates a quantity of contaminated lymph nodes, which is observed during surgery. We assume a generalised negative binomial survival distribution for the unknown number of contaminated lymph nodes after surgery, which, during an unknown period, may potentially propagate the disease. Estimation is based on a maximum likelihood approach. A simulation study assesses the coverage probability of asymptotic confidence intervals when small or moderate samples are considered. A Brazilian breast cancer data illustrate the applicability of our modelling.


Assuntos
Neoplasias da Mama/terapia , Funções Verossimilhança , Linfonodos/cirurgia , Modelos Biológicos , Modelos Estatísticos , Axila/cirurgia , Brasil , Simulação por Computador , Feminino , Humanos , Pessoa de Meia-Idade , Análise de Sobrevida
4.
Comput Math Methods Med ; 2012: 953086, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22474543

RESUMO

A common interest in gene expression data analysis is to identify from a large pool of candidate genes the genes that present significant changes in expression levels between a treatment and a control biological condition. Usually, it is done using a statistic value and a cutoff value that are used to separate the genes differentially and nondifferentially expressed. In this paper, we propose a Bayesian approach to identify genes differentially expressed calculating sequentially credibility intervals from predictive densities which are constructed using the sampled mean treatment effect from all genes in study excluding the treatment effect of genes previously identified with statistical evidence for difference. We compare our Bayesian approach with the standard ones based on the use of the t-test and modified t-tests via a simulation study, using small sample sizes which are common in gene expression data analysis. Results obtained report evidence that the proposed approach performs better than standard ones, especially for cases with mean differences and increases in treatment variance in relation to control variance. We also apply the methodologies to a well-known publicly available data set on Escherichia coli bacterium.


Assuntos
Escherichia coli/genética , Perfilação da Expressão Gênica/estatística & dados numéricos , Regulação Bacteriana da Expressão Gênica , Modelos Genéticos , Análise de Sequência com Séries de Oligonucleotídeos/estatística & dados numéricos , Teorema de Bayes , Simulação por Computador , Interpretação Estatística de Dados , Tomada de Decisões , Expressão Gênica
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