A Bayesian Self-Controlled Case-Series (BSCCS) method is proposed and used to estimate the relative risk of an adverse drug event (ADE) given transient exposure to a drug or vaccine. Markov Chain Monte Carlo (MCMC) methods through WinBUGS are used to estimate parameters of the model given different settings and sample sizes. The method explores full posterior distribution for the model to obtain the relative risk estimates which at times is a challenge in likelihood analysis of complex models. Data was simulated for 10, 20 or 50 children aged between 365 and 730 days, and received their first dose of the measles, mumps, and rubella (MMR) vaccine within this follow-up period. Each child had the outcome event – viral-meningitis, in the follow-up period. Results of the data analysis indicated an increased risk of viral meningitis within 14-35 days post vaccination. Results of Bayesian approach are quite similar to the MLE risk estimates, assuming a non-informative prior. However, with more informative priors, BSCCS method produced better results with narrow credible intervals. For the real data, children aged 365 and 730 days, exposed to MMR vaccine, with viral meningitis (single exposure) were considered. While the frequentist approach estimated the incidence rate ratio (IRR) as IRR 12.037 (95% CI (3.002 - 48.259)), the Bayesian estimate was IRR 8.971 (95% CI 2.869 - 27.994). This is similar to the MLE results but with narrow credible intervals. In all cases, there is significantly higher risk of viral meningitis within 14-35 days post MMR vaccination. Results from the simulation study and real data revealed that the BSCCS model fitted better than the SCCS model.
Published in | International Journal of Data Science and Analysis (Volume 6, Issue 6) |
DOI | 10.11648/j.ijdsa.20200606.12 |
Page(s) | 170-182 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2020. Published by Science Publishing Group |
Zero-truncated Poisson Distribution, Case-series, Bayesian Self-controlled Case Series, MMR Vaccine, Viral Meningitis
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APA Style
Henry Athiany, Anthony Wanjoya, George Orwa, Samuel Mwalili. (2020). Bayesian Analysis of Zero-Truncated Poisson Model: Application to the Self-Controlled Case-series Design. International Journal of Data Science and Analysis, 6(6), 170-182. https://doi.org/10.11648/j.ijdsa.20200606.12
ACS Style
Henry Athiany; Anthony Wanjoya; George Orwa; Samuel Mwalili. Bayesian Analysis of Zero-Truncated Poisson Model: Application to the Self-Controlled Case-series Design. Int. J. Data Sci. Anal. 2020, 6(6), 170-182. doi: 10.11648/j.ijdsa.20200606.12
AMA Style
Henry Athiany, Anthony Wanjoya, George Orwa, Samuel Mwalili. Bayesian Analysis of Zero-Truncated Poisson Model: Application to the Self-Controlled Case-series Design. Int J Data Sci Anal. 2020;6(6):170-182. doi: 10.11648/j.ijdsa.20200606.12
@article{10.11648/j.ijdsa.20200606.12, author = {Henry Athiany and Anthony Wanjoya and George Orwa and Samuel Mwalili}, title = {Bayesian Analysis of Zero-Truncated Poisson Model: Application to the Self-Controlled Case-series Design}, journal = {International Journal of Data Science and Analysis}, volume = {6}, number = {6}, pages = {170-182}, doi = {10.11648/j.ijdsa.20200606.12}, url = {https://doi.org/10.11648/j.ijdsa.20200606.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdsa.20200606.12}, abstract = {A Bayesian Self-Controlled Case-Series (BSCCS) method is proposed and used to estimate the relative risk of an adverse drug event (ADE) given transient exposure to a drug or vaccine. Markov Chain Monte Carlo (MCMC) methods through WinBUGS are used to estimate parameters of the model given different settings and sample sizes. The method explores full posterior distribution for the model to obtain the relative risk estimates which at times is a challenge in likelihood analysis of complex models. Data was simulated for 10, 20 or 50 children aged between 365 and 730 days, and received their first dose of the measles, mumps, and rubella (MMR) vaccine within this follow-up period. Each child had the outcome event – viral-meningitis, in the follow-up period. Results of the data analysis indicated an increased risk of viral meningitis within 14-35 days post vaccination. Results of Bayesian approach are quite similar to the MLE risk estimates, assuming a non-informative prior. However, with more informative priors, BSCCS method produced better results with narrow credible intervals. For the real data, children aged 365 and 730 days, exposed to MMR vaccine, with viral meningitis (single exposure) were considered. While the frequentist approach estimated the incidence rate ratio (IRR) as IRR 12.037 (95% CI (3.002 - 48.259)), the Bayesian estimate was IRR 8.971 (95% CI 2.869 - 27.994). This is similar to the MLE results but with narrow credible intervals. In all cases, there is significantly higher risk of viral meningitis within 14-35 days post MMR vaccination. Results from the simulation study and real data revealed that the BSCCS model fitted better than the SCCS model.}, year = {2020} }
TY - JOUR T1 - Bayesian Analysis of Zero-Truncated Poisson Model: Application to the Self-Controlled Case-series Design AU - Henry Athiany AU - Anthony Wanjoya AU - George Orwa AU - Samuel Mwalili Y1 - 2020/11/04 PY - 2020 N1 - https://doi.org/10.11648/j.ijdsa.20200606.12 DO - 10.11648/j.ijdsa.20200606.12 T2 - International Journal of Data Science and Analysis JF - International Journal of Data Science and Analysis JO - International Journal of Data Science and Analysis SP - 170 EP - 182 PB - Science Publishing Group SN - 2575-1891 UR - https://doi.org/10.11648/j.ijdsa.20200606.12 AB - A Bayesian Self-Controlled Case-Series (BSCCS) method is proposed and used to estimate the relative risk of an adverse drug event (ADE) given transient exposure to a drug or vaccine. Markov Chain Monte Carlo (MCMC) methods through WinBUGS are used to estimate parameters of the model given different settings and sample sizes. The method explores full posterior distribution for the model to obtain the relative risk estimates which at times is a challenge in likelihood analysis of complex models. Data was simulated for 10, 20 or 50 children aged between 365 and 730 days, and received their first dose of the measles, mumps, and rubella (MMR) vaccine within this follow-up period. Each child had the outcome event – viral-meningitis, in the follow-up period. Results of the data analysis indicated an increased risk of viral meningitis within 14-35 days post vaccination. Results of Bayesian approach are quite similar to the MLE risk estimates, assuming a non-informative prior. However, with more informative priors, BSCCS method produced better results with narrow credible intervals. For the real data, children aged 365 and 730 days, exposed to MMR vaccine, with viral meningitis (single exposure) were considered. While the frequentist approach estimated the incidence rate ratio (IRR) as IRR 12.037 (95% CI (3.002 - 48.259)), the Bayesian estimate was IRR 8.971 (95% CI 2.869 - 27.994). This is similar to the MLE results but with narrow credible intervals. In all cases, there is significantly higher risk of viral meningitis within 14-35 days post MMR vaccination. Results from the simulation study and real data revealed that the BSCCS model fitted better than the SCCS model. VL - 6 IS - 6 ER -