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148 lines
4.8 KiB
TeX
148 lines
4.8 KiB
TeX
\documentclass[../Main.tex]{subfiles}
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\begin{document}
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In this section
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I describe the model fitting, the posteriors of the parameters of interest,
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and intepret the results.
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\subsection{Estimation Procedure}
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I fit the econometric model using mc-stan
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\cite{standevelopmentteam_StanModelling_2022}
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through the rstan
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\cite{standevelopmentteam_RStanInterface_2023}
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interface.
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I had X Trials with X snapshots in total. \todo{Fill out.}
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%describe
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X\todo{UPDATE VALUES}
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warmup iterations and
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X\todo{UPDATE VALUES}
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sampling iterations in six chains.
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% \subsection{Data Exploration}
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% \todo{fill this out later.}
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%look at trial
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\subsection{Primary Results}
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The primary, causally-identified value we can estimate is the change in
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the probability of termination caused by (counterfactually) keeping enrollment
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open instead of closing enrollment when observed.
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In figure \ref{fig:pred_dist_diff_delay} below, we see this impact of
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keeping enrollment open.
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\begin{figure}[H]
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\includegraphics[width=\textwidth]{../assets/img/current/pred_dist_diff-delay}
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\small{
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Values near 1 indicate a near perfect increase in the probability
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of termination.
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Values near 0 indicate little change in probability,
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while values near -1, represent a decrease in the probability
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of termination.
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The scale is in probability points, thus a value near 1 is a change
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from unlikely to terminate under control, to highly likely to
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terminate.
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}
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\caption{Distribution of Predicted Differences}
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\label{fig:pred_dist_diff_delay}
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\end{figure}
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We can see from figure
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\ref{fig:pred_dist_diff_delay}
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That there are roughly four regimes.
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The first consists of trials that experiences nearly no effect,
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i.e. have values near zero.
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Trials in the second regime experience a mild to large reduction in
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the probability of termination, with X percent of the probability mass
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between about 5 percentage points and 50 percentage point reductions.
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The third regime is those trials that experience a mild to large
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increase in the probability of termination,
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from an increase o 5 percentage points to about 75 percentage points.
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The fourth and final regime is the X\% of trials that experience a significant
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(greater than 75 percentage point) increase in the probability of
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termination.
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%Notes on interpretation
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% - increase vs decrease on graph
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% -
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% -
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% -
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% -
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% The probability mass associated with a each 10 percentage point change are in table \ref{tab:regimes}
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% \begin{table}[H]
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% \caption{Regimes and associated probability masses}\label{tab:regimes}
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% \begin{center}
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% \begin{tabular}[c]{l|l}
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% \hline
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% \multicolumn{1}{c|}{\textbf{Interval}} &
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% \multicolumn{1}{c}{\textbf{Probability Mass}} \\
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% \hline
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% $[,]$ & b \\
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% $[,]$ & b \\
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% $[,]$ & b \\
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% $[,]$ & b \\
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% $[,]$ & b \\
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% \hline
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% \end{tabular}
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% \end{center}
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% \end{table}
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Figure \ref{fig:pred_dist_dif_delay2} shows how this overall
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result comes from different disease categories.
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\begin{figure}[H]
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\includegraphics[width=\textwidth]{../assets/img/current/pred_dist_diff-delay-group}
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\caption{Distribution of Predicted differences by Disease Group}
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\label{fig:pred_dist_dif_delay2}
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\end{figure}
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Overall, we can see that there appear to be some trials or situations
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that are highly suceptable to enrollment difficulties, and this
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appears to hold for all disease categories for which I have data.
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This relative homogeneity of results may be due to the
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partial pooling effect from the hierarchal model
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and the fact that the sample size per disease is rather small.
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An additional explanation is that the variance of the parameter distributions
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might be high enough for each trial to have a few situation in which they have
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a high probability of terminating.
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% Although it is not causally identified due to population interactions,
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% we can examine the direct effect from adding a single generic competitior drug
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% and how the similar result decomposes very differently.
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% This is shown just as a contrast to the enrollment results.
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% Figure
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% \label{fig:pred_dist_diff_generic}
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% shows a very similar result with roughly the same regimes,
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% while
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% \label{fig:pred_dist_dif_generic2}
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% shows that this breakdown is different.
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% \todo{
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% Consider moving these to an appendix as they are
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% just additions at this point.
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% }
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%
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% \begin{figure}[H]
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% \includegraphics[width=\textwidth]{../assets/img/current/pred_dist_diff-generic}
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% \caption{
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% Distribution of Predicted Differences for one additional generic
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% competitor
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% }
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% \label{fig:pred_dist_diff_generic}
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% \end{figure}
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%
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% \begin{figure}[H]
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% \includegraphics[width=\textwidth]{../assets/img/current/pred_dist_diff-generic-group}
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% \caption{}
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% \label{fig:pred_dist_dif_generic2}
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% \end{figure}
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%
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\end{document}
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