Using the Bayesian credible subgroups method to identify populations benefiting from treatment: An application to the Look AHEAD trial.

ABSTRACT: Traditionally, subgroup analyses are used to assess whether patient characteristics moderate treatment effectiveness with general disregard for issues of multiplicity. Using data from The Action for Health in Diabetes (Look AHEAD) trial in the United States, we aim to identify a subgroup where all of its types of members experience a treatment benefit defined as reducing the likelihood of a major cardiovascular event under an intensive lifestyle and weight-loss intervention. We apply the credible subgroups method to a Bayesian logistic model with a conservative prior that is sceptical of large treatment effect heterogeneity. The covariate profiles for which there is sufficient evidence of treatment benefit are, coarsely, middle-aged women, in poor subjective general health and with moderat

SUBMITTER: Coonan A 

PROVIDER: S-EPMC7173866 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature