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ENTROPY LEARNING FOR DYNAMIC TREATMENT REGIMES

机译:动态治疗制度的熵学习

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摘要

Estimating optimal individualized treatment rules (ITRs) in single- or multi-stage clinical trials is a key element of personalized medicine and, as a result, is receiving increasing attention within the statistical community. Recent works have suggested that machine learning approaches can provide significantly better estimations than those of model-based methods. However, a proper inference for estimated ITRs has not been well established for machine learning-based approaches. In this paper, we propose an entropy learning approach for estimating optimal ITRs. We obtain the asymptotic distributions for the estimated rules in order to provide a valid inference. The proposed approach is demonstrated to perform well through extensive simulation studies. Finally, we analyze data from a multi-stage clinical trial for depression patients. Our results offer novel findings not revealed by existing approaches.
机译:在单阶段或多阶段的临床试验中估算最佳个性化治疗规则(ITRS)是个性化医学的关键因素,因此,在统计界内受到越来越多的关注。 最近的作品表明,机器学习方法可以提供比基于模型的方法更好的估计。 然而,对于基于机器学习的方法,估计ITRS的适当推断尚未得到很好的建立。 在本文中,我们提出了一种熵学习方法,用于估算最佳ITRS。 我们获得估计规则的渐近分布,以提供有效的推论。 所提出的方法是通过广泛的模拟研究表现出良好的。 最后,我们分析了抑郁症患者的多阶段临床试验中的数据。 我们的结果提供了现有方法未透露的新调查结果。

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  • 来源
    《Statistica Sinica》 |2019年第4期|共78页
  • 作者单位

    Hong Kong Polytech Univ Dept Appl Math Hung Hom Hong Kong Peoples R China;

    North Carolina State Univ Dept Stat 5112 SAS Hall 2311 Stinson Dr Raleigh NC 27695 USA;

    Natl Univ Singapore Dept Stat &

    Appl Probabil Singapore 117546 Singapore;

    Univ N Carolina Dept Biostat Chapel Hill NC 27599 USA;

    North Carolina State Univ Dept Stat 5112 SAS Hall 2311 Stinson Dr Raleigh NC 27695 USA;

    Shanghai Univ Finance &

    Econ Sch Stat &

    Management Shanghai 200433 Peoples R China;

    City Univ Hong Kong Sch Data Sci Hong Kong Peoples R China;

    City Univ Hong Kong Sch Data Sci Hong Kong Peoples R China;

    Columbia Univ Dept Biostat 722 West 168th St New York NY 10032 USA;

    Columbia Univ Dept Biostat 722 West 168th St New York NY 10032 USA;

    Univ Washington Dept Biostat Seattle WA 98195 USA;

    Univ Washington Dept Stat Vaccine &

    Infect Dis Div Fred Hutchinson Canc Res Ctr Seattle WA 98195 USA;

    Univ Calif Berkeley Div Biostat Berkeley CA 94720 USA;

    Stanford Univ Stanford CA 94305 USA;

    Univ Rhode Isl 257 Tyler Hall Kingston RI 02881 USA;

    2311 Stinson Dr 5216 SAS Hall Raleigh NC 27695 USA;

    Cornell Univ Sch Operat Res &

    Informat Engn New York NY 10044 USA;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 统计学;
  • 关键词

    Dynamic treatment regime; entropy learning; personalized medicine;

    机译:动态治疗制度;熵学习;个性化医学;

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