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Williamson, S. Faye ; Jacko, Peter ; Jaki, Thomas

Generalisations of a Bayesian decision-theoretic randomisation procedure and the impact of delayed responses

Williamson, S. Faye, Jacko, Peter und Jaki, Thomas (2021) Generalisations of a Bayesian decision-theoretic randomisation procedure and the impact of delayed responses. Computational Statistics & Data Analysis 174, S. 107407.

Veröffentlichungsdatum dieses Volltextes: 30 Sep 2025 05:48
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.77856


Zusammenfassung

The design of sequential experiments and, in particular, randomised controlled trials involves a trade-off between operational characteristics such as statistical power, estimation bias and patient benefit. The family of randomisation procedures referred to as Constrained Randomised Dynamic Programming (CRDP), which is set in the Bayesian decision-theoretic framework, can be used to balance these ...

The design of sequential experiments and, in particular, randomised controlled trials involves a trade-off between operational characteristics such as statistical power, estimation bias and patient benefit. The family of randomisation procedures referred to as Constrained Randomised Dynamic Programming (CRDP), which is set in the Bayesian decision-theoretic framework, can be used to balance these competing objectives. A generalisation and novel interpretation of CRDP is proposed to highlight its inherent flexibility to adapt to a variety of practicalities and align with individual trial objectives. CRDP, as with most response-adaptive randomisation procedures, hinges on the limiting assumption of patient responses being available before allocation of the next patient. This forms one of the greatest barriers to their implementation in practice which, despite being an important research question, has not received a thorough treatment. Therefore, motivated by the existing gap between the theory of response-adaptive randomisation (which is abundant with proposed methods in the immediate response setting) and clinical practice (in which responses are typically delayed), the performance of CRDP in the presence of fixed and random delays is evaluated. Simulation results show that CRDP continues to offer patient benefit gains over alternative procedures and is relatively robust to delayed responses. To compensate for a fixed delay, a method which adjusts the time horizon used in the optimisation objective is proposed and its performance illustrated.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftComputational Statistics & Data Analysis
Verlag:Elsevier
Band:174
Seitenbereich:S. 107407
Datum7 Dezember 2021
InstitutionenInformatik und Data Science > Fachbereich Maschinelles Lernen und Data Science > Chair for Computational Statistics (Prof. Dr. Thomas Jaki)
Identifikationsnummer
WertTyp
10.1016/j.csda.2021.107407DOI
Stichwörter / KeywordsBayesian decision-theoretic model Clinical trials Delayed responses Dynamic programming Response-adaptive randomisation
Dewey-Dezimal-Klassifikation000 Informatik, Informationswissenschaft, allgemeine Werke > 004 Informatik
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenNein
URN der UB Regensburgurn:nbn:de:bvb:355-epub-778560
Dokumenten-ID77856

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