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Model selection in time series studies of influenza-associated mortality.
Wang X.-L., Yang L., Chan K.-P., Chiu S. S., Chan K.-H., Peiris J. S. M., Wong C.-M.
PLoS ONE 7, 6 (2012) e39423 - http://hal-riip.archives-ouvertes.fr/pasteur-00721357
(22745751)
Model selection in time series studies of influenza-associated mortality.
Xi-Ling Wang1, Lin Yang () 1, King-Pan Chan1, Susan S Chiu2, Kwok-Hung Chan3, J S Malik Peiris1, 4, Chit-Ming Wong1
1 :  School of Public Health
University of Hong Kong
Hong-Kong
2 :  Department of Pediatrics and Adolescent Medicine
University of Hong Kong
Hong-Kong
3 :  Department of microbiology
Queen mary Hospital
Hong-Kong
4 :  Centre de recherche Université de Hong-Kong-Pasteur
http://www.hkupasteur.hku.hk/
Centre de Recherche Université de Hong-Kong-Pasteur – Réseau International des Instituts Pasteur
Hong Kong University Pasteur Research Centre - 1/F Dexter HC Man Building 8, Sassoon Road Pokfulam
Hong-Kong
Poisson regression modeling has been widely used to estimate influenza-associated disease burden, as it has the advantage of adjusting for multiple seasonal confounders. However, few studies have discussed how to judge the adequacy of confounding adjustment. This study aims to compare the performance of commonly adopted model selection criteria in terms of providing a reliable and valid estimate for the health impact of influenza. METHODS: WE ASSESSED FOUR MODEL SELECTION CRITERIA: quasi Akaike information criterion (QAIC), quasi Bayesian information criterion (QBIC), partial autocorrelation functions of residuals (PACF), and generalized cross-validation (GCV), by separately applying them to select the Poisson model best fitted to the mortality datasets that were simulated under the different assumptions of seasonal confounding. The performance of these criteria was evaluated by the bias and root-mean-square error (RMSE) of estimates from the pre-determined coefficients of influenza proxy variable. These four criteria were subsequently applied to an empirical hospitalization dataset to confirm the findings of simulation study. RESULTS: GCV consistently provided smaller biases and RMSEs for the influenza coefficient estimates than QAIC, QBIC and PACF, under the different simulation scenarios. Sensitivity analysis of different pre-determined influenza coefficients, study periods and lag weeks showed that GCV consistently outperformed the other criteria. Similar results were found in applying these selection criteria to estimate influenza-associated hospitalization. CONCLUSIONS: GCV criterion is recommended for selection of Poisson models to estimate influenza-associated mortality and morbidity burden with proper adjustment for confounding. These findings shall help standardize the Poisson modeling approach for influenza disease burden studies.
Sciences du Vivant/Microbiologie et Parasitologie/Virologie
Anglais
1932-6203

Articles dans des revues avec comité de lecture
10.1371/journal.pone.0039423
PLoS ONE
Publisher Public Library of Science
ISSN 1932-6203 
internationale
2012
20/06/2012
7
6
e39423

This study was supported by the Research Fund for the Control of Infectious Diseases (11100582) and the Area of Excellence Scheme of the University Grants Committee (AoE/M-12/206) of the Hong Kong Special Administrative Region Government. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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