Journal article
Sensitivity analysis for the generalized shared-parameter model framework
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Publication Details Author list: Abdul-Karim Iddrisu and Freedom Gumedze Publisher: Taylor and Francis Publication year: 2019 Volume number: 30 Issue number: 1 Start page: 197 End page: 215 Number of pages: 19 ISSN: 15205711 eISSN: 10543406 URL: https://www.tandfonline.com/doi/full/10.1080/10543406.2019.1632875#abstract |
In this paper, we assess the effect of tuberculosis pericarditis treatment (prednisolone) on CD4 count changes over time and draw inferences in the presence of missing data. We accounted for the missing data and performed sensitivity analyses to assess robustness of inferences, from a model that assumes that the data are missing at random, to models that assume that the data are not missing at random. Our sensitivity approaches are within the shared-parameter model framework. We implemented the approach by Creemers and colleagues to the CD4 count data and performed simulation studies to evaluate the performance of this approach. We also assessed the influence of potentially influential subjects, on parameter estimates, via the global influence approach. Our results revealed that inferences from missing at random analysis model are robust to not missing at random models and influential subjects did not overturn the study conclusions about prednisolone effect and missing data mechanism. Prednisolone was found to have no significant effect on CD4 count changes over time and also did not interact with anti-retroviral therapy. The simulation studies produced unbiased estimates of prednisolone effect with lower mean square errors and coverage probabilities approximately equal the nominal coverage probability.
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