Bayesian Stacked Parametric Survival with Frailty Components and Interval ‐Censored Failure Times: An Application to Food Allergy Risk

AbstractTo better understand the risk of exposure to food allergens, food challenge studies are designed to slowly increase the dose of an allergen delivered to allergic individuals until an objective reaction occurs. These dose ‐to‐failure studies are used to determine acceptable intake levels and are analyzed using parametric failure time models. Though these models can provide estimates of the survival curve and risk, their parametric form may misrepresent the survival function for doses of interest. Different models that describe the data similarly may produce different dose‐to‐failure estimates. Motivated by predictive inference, we developed a Bayesian approach to combine survival estimates based on posterior predictive stacking, where the weights are formed to maximize posterior predictive accuracy. The approach defines a model space that is much larger than traditional parametric failure time modeling approaches. In our case, we use the approach to include random effects accounting for frailty components. The methodology is investigated in simulation, and is used to estimate allergic population e liciting doses for multiple food allergens.

Source: Risk Analysis - October 16, 2020 Category: International Medicine & Public Health Authors: Matthew W. Wheeler, Joost Westerhout, Joe L. Baumert, Benjamin C. Remington Tags: Original Research Article Source Type: research