In my previous post, I outlined a Bayesian approach to proportional hazards modeling. This post serves as an addendum, providing code to incorporate a spline to model a time-varying hazard ratio non linearly. In a second addendum to come I will pres...

A recent conversation with a colleague about a large stepped-wedge design (SW-CRT) cluster randomized trial piqued my interest, because the primary outcome is time-to-event. This is not something I’ve seen before. A quick dive into the literature su...

I’ve been curious to see how helpful ChatGPT can be for implementing relatively complicated models in R. About two years ago, I described a model for estimating a treatment effect in a cluster-randomized stepped wedge trial. We used a generalized ad...

An investigator I frequently consult with seeks to estimate the effect of a palliative care treatment protocol for patients nearing end-stage disease, compared to a more standard, though potentially overly burdensome, therapeutic approach. Ideally, ...

One of my goals for the simstudy package is to make it as easy as possible to generate data from a wide range of data distributions. The recent update created the possibility of generating data from a customized distribution specified in a user-defi...

Over the past few years, a number of folks have asked if simstudy accommodates customized distributions. There’s been interest in truncated, zero-inflated, or even more standard distributions that haven’t been implemented in simstudy. While I’ve com...

A researcher reached out to me a few weeks ago. They were trying to generate longitudinal data that included irregularly spaced follow-up periods. The default periods generated by the function addPeriods in the simstudy package are \(\{0, 1, 2, ...,...

Over two years ago, I wrote a series of posts (starting here) that described possible analytic approaches for a proposed cluster-randomized trial with a factorial design. That proposal was recently funded by NIA/NIH, and now the Emergency department...

Clinical Decision Support (CDS) tools are systems created to support clinical decision-making. Health care professionals using these tools can get guidance about diagnostic and treatment options when providing care to a patient. I’m currently involved with designing a trial focused on comparing a standard CDS tool with an enhanced ...

About two years ago, someone inquired whether simstudy had the functionality to generate data from a logistic model with a specific AUC. It did not, but now it does, thanks to a paper by Peter Austin that describes a nice algorithm to accomplish thi...

A colleague reached out for help designing a cluster randomized trial to evaluate a clinical decision support tool for primary care physicians (PCPs), which aims to improve care for high-risk patients. The outcome will be a time-to-event mea...

In recent discussions with a number of collaborators at the NIA IMPACT Collaboratory about setting the sample size for a proposed cluster randomized trial, the question of variable cluster sizes has come up a number of times. Given a fixed overall s...

In a previous post, I described some ways one might go about analyzing data from a stepped-wedge, cluster-randomized trial using a generalized additive model (a GAM), focusing on continuous outcomes. I have spent the past few weeks developing a simi...

Recently I started a discussion about modeling secular trends using flexible models in the context of cluster randomized trials. I’ve been motivated by a trial I am involved with that is using a stepped-wedge study design. The initial post focused o...