Small-sample bias and corrections for conditional maximum-likelihood odds-ratio estimators

A number of small-sample corrections have been proposed for the conditional maximum-likelihood estimator of the odds ratio for matched pairs with a dichotomous exposure. I here contrast the rationale and performance of several corrections, specifically those that generalize easily to multiple conditional logistic regression. These corrections or Bayesian analyses with informative priors may serve as diagnostics for small-sample problems. Points are illustrated with a small exact performance comparison and with an example from a study of electrical wiring and childhood leukemia. The former comparison suggests that small-sample bias may be more prevalent than commonly realized.     

On pooling across strata when frequency matching has been followed in a cohort study

In a study designed to assess the relationship between a dichotomous exposure and the eventual occurrence of a dichotomous outcome, frequency matching has been proposed as a way to balance the exposure cohorts with respect to the sampling distribution of potential confounding factors. This paper discusses the pooled estimator for the log relative risk, and provides an estimator for its variance which takes into account the dependency in the pooled outcomes induced by frequency matching. The pooled estimator has asymptotic relative efficiency less than but close to 1, relative to the usual, inverse variance weighted, stratified estimator. Simulations suggest, however, that the pooled estimator is likely to outperform the stratified estimator when samples are of moderate size. This estimator carries the added advantage that it consistently estimates a meaningful population parameter under heterogeneity of the relative risk across strata.     

An unbiased estimator of gene diversity in samples containing related individuals

Gene diversity is sometimes estimated from samples that contain inbred or related individuals. If inbred or related individuals are included in a sample, then the standard estimator for gene diversity produces a downward bias caused by an inflation of the variance of estimated allele frequencies. We develop an unbiased estimator for gene diversity that relies on kinship coefficients for pairs of individuals with known relationship and that reduces to the standard estimator when all individuals are noninbred and unrelated. Applying our estimator to data simulated based on allele frequencies observed for microsatellite loci in human populations, we find that the new estimator performs favorably compared with the standard estimator in terms of bias and similarly in terms of mean squared error. For human population-genetic data, we find that a close linear relationship previously seen between gene diversity and distance from East Africa is preserved when adjusting for the inclusion of close relatives.     

Notes in Case-Control Studies with Matched Pairs under Inverse Sampling

In case-control studies with matched pairs, the traditional point estimator of odds ratio (OR) is well-known to be biased with no exact finite variance under binomial sampling. In this paper, we consider use of inverse sampling in which we continue to sample subjects to form matched pairs until we obtain a pre-determined number (>0) of index pairs with the case unexposed but the control exposed. In contrast to use of binomial sampling, we show that the uniformly minimum variance unbiased estimator (UMVUE) of OR does exist under inverse sampling. We further derive an exact confidence interval of OR in closed form. Finally, we develop an exact test and an asymptotic test for testing the null hypothesis H₀: OR = 1, as well as discuss sample size determination on the minimum required number of index pairs for a desired power at α-level.     

Doubly robust estimation of the generalized impact fraction

The attributable fraction (AF) is commonly used in epidemiology to quantify the impact of an exposure to a disease. Recently, Sj?lander and Vansteelandt (2011. Doubly robust estimation of attributable fractions. Biostatistics 12, 112-121) introduced the doubly robust (DR) estimator of the AF, which involves positing models for both the exposure and the outcome and is consistent if at least one of these models is correct. In this article, we derived a DR estimator of the generalized impact fraction (IF) with a polytomous exposure. The IF is a measure that generalizes the AF by allowing the possibility of incomplete removal of the exposure. We demonstrated the performance of the proposed estimator via a simulation study and by application to data from a large prospective cohort study conducted in Japan.     

A coalescent-based estimator of admixture from DNA sequences

A variety of estimators have been developed to use genetic marker information in inferring the admixture proportions (parental contributions) of a hybrid population. The majority of these estimators used allele frequency data, ignored molecular information that is available in markers such as microsatellites and DNA sequences, and assumed that mutations are absent since the admixture event. As a result, these estimators may fail to deliver an estimate or give rather poor estimates when admixture is ancient and thus mutations are not negligible. A previous molecular estimator based its inference of admixture proportions on the average coalescent times between pairs of genes taken from within and between populations. In this article I propose an estimator that considers the entire genealogy of all of the sampled genes and infers admixture proportions from the numbers of segregating sites in DNA sequence samples. By considering the genealogy of all sequences rather than pairs of sequences, this new estimator also allows the joint estimation of other interesting parameters in the admixture model, such as admixture time, divergence time, population size, and mutation rate. Comparative analyses of simulated data indicate that the new coalescent estimator generally yields better estimates of admixture proportions than the previous molecular estimator, especially when the parental populations are not highly differentiated. It also gives reasonably accurate estimates of other admixture parameters. A human mtDNA sequence data set was analyzed to demonstrate the method, and the analysis results are discussed and compared with those from previous studies.     

Reducing mean squared error in the analysis of pair-matched case-control studies

The standard estimator of the common odds ratio for pair-matched case-control studies, the stratified estimate, is consistent but it ignores all information from the concordant pairs. At the other extreme, the pooled estimator is more efficient as it uses all the data, but is not consistent. In order to trade between bias and precision, Liang and Zeger (1988, Biometrics 44, 1145-1156) proposed an estimator that is a compromise between the stratified and pooled estimates. In the current paper, the possibility of optimizing the trade-off is explored. Specifically, the family of weighted averages of the stratified and pooled estimates is considered, and the weight that minimizes an asymptotic approximation of mean squared error is derived. In practice, the optimal weight must be estimated from the data so that the estimator is only approximately optimal. Small-sample properties are evaluated via simulations.     

Estimation of pairwise relatedness between individuals and characterization of isolation-by-distance processes using dominant genetic markers

A new estimator of the pairwise relatedness coefficient between individuals adapted to dominant genetic markers is developed. This estimator does not assume genotypes to be in Hardy-Weinberg proportions but requires a knowledge of the departure from these proportions (i.e. the inbreeding coefficient). Simulations show that the estimator provides accurate estimates, except for some particular types of individual pairs such as full-sibs, and performs better than a previously developed estimator. When comparing marker-based relatedness estimates with pedigree expectations, a new approach to account for the change of the reference population is developed and shown to perform satisfactorily. Simulations also illustrate that this new relatedness estimator can be used to characterize isolation by distance within populations, leading to essentially unbiased estimates of the neighbourhood size. In this context, the estimator appears fairly robust to moderate errors made on the assumed inbreeding coefficient. The analysis of real data sets suggests that dominant markers (random amplified polymorphic DNA, amplified fragment length polymorphism) may be as valuable as co-dominant markers (microsatellites) in studying microgeographic isolation-by-distance processes. It is argued that the estimators developed should find major applications, notably for conservation biology.     

Ranking analysis of correlation coefficients in gene expressions

Development of statistical methods has become very necessary for large-scale correlation analysis in the current "omic" data. We propose ranking analysis of correlation coefficients (RAC) based on transforming correlation matrix into correlation vector and conducting a "locally ranking" strategy that significantly reduces computational complexity and load. RAC gives estimation of null correlation distribution and an estimator of false discovery rate (FDR) for finding gene pairs of being correlated in expressions obtained by comparison between the ranked observed correlation coefficients and the ranked estimated ones at a given threshold level. The simulated and real data show that the estimated null correlation distribution is exactly the same with the true one and the FDR estimator works well in various scenarios. By applying our RAC, in the null dataset, no gene pairs were found but, in the human cancer dataset, 837 gene pairs were found to have positively correlated expression variations at FDR≤5%. RAC performs well in multiple conditions (classes), each with 3 or more replicate observations.     

A Note on Interval Estimation of the Simple Difference in Data with Correlated Matched Pairs

When we employ cluster sampling to collect data with matched pairs, the assumption of independence between all matched pairs is not likely true. This paper notes that applying interval estimators, that do not account for the intraclass correlation between matched pairs, to estimate the simple difference between two proportions of response can be quite misleading, especially when both the number of matched pairs per cluster and the intraclass correlation between matched pairs within clusters are large. This paper develops two asymptotic interval estimators of the simple difference, that accommodate the data of cluster sampling with correlated matched pairs. This paper further applies Monte Carlo simulation to compare the finite sample performance of these estimators and demonstrates that the interval estimator, derived from a quadratic equation proposed here, can actually perform quite well in a variety of situations.     

On protected estimation of an odds ratio model with missing binary exposure and confounders

We describe an estimator of the parameter indexing a model for the conditional odds ratio between a binary exposure and a binary outcome given a high-dimensional vector of confounders, when the exposure and a subset of the confounders are missing, not necessarily simultaneously, in a subsample. We argue that a recently proposed estimator restricted to complete-cases confers more protection to model misspecification than existing ones in the sense that the set of data laws under which it is consistent strictly contains each set of data laws under which each of the previous estimators are consistent.     

A simplified estimator of two and four gene relationship coefficients

Molecular marker data provide a means of circumventing the problem of not knowing the population structure of a natural population, as observed similarities between a pair's genotypes provide information on their genetic relationship. Numerous method-of-moment (MOM) estimators have been developed for estimating relationship coefficients using this information. Here, I present a simplified form of Wang's 2002 relationship estimator that is not dependent upon a previously required weighting scheme, thus improving the efficiency of the estimator when used with genuinely related pairs. The new estimator is compared against other estimators under a range of conditions, including situations where the parameter estimates are truncated to lie within the legitimate parameter space. The advantages of the new estimator are most notable for the two-gene coefficient of relatedness. Truncating the MOM estimators results in parameter estimates whose properties are similar to maximum likelihood estimates, with them having generally lower sampling variances, but being biased.     

Incomplete generalized U-statistics for food risk assessment

This article proposes statistical tools for quantitative evaluation of the risk due to the presence of some particular contaminants in food. We focus on the estimation of the probability of the exposure to exceed the so-called provisional tolerable weekly intake (PTWI), when both consumption data and contamination data are independently available. A Monte Carlo approximation of the plug-in estimator, which may be seen as an incomplete generalized U-statistic, is investigated. We obtain the asymptotic properties of this estimator and propose several confidence intervals, based on two estimators of the asymptotic variance: (i) a bootstrap type estimator and (ii) an approximate jackknife estimator relying on the Hoeffding decomposition of the original U-statistics. As an illustration, we present an evaluation of the exposure to Ochratoxin A in France.     

Regression analysis of a disease onset distribution using diagnosis data

Summary .   We consider methods for estimating the effect of a covariate on a disease onset distribution when the observed data structure consists of right-censored data on diagnosis times and current status data on onset times amongst individuals who have not yet been diagnosed. Dunson and Baird (2001, Biometrics 57, 306–403) approached this problem using maximum likelihood, under the assumption that the ratio of the diagnosis and onset distributions is monotonic nondecreasing. As an alternative, we propose a two-step estimator, an extension of the approach of van der Laan, Jewell, and Petersen (1997, Biometrika 84, 539–554) in the single sample setting, which is computationally much simpler and requires no assumptions on this ratio. A simulation study is performed comparing estimates obtained from these two approaches, as well as that from a standard current status analysis that ignores diagnosis data. Results indicate that the Dunson and Baird estimator outperforms the two-step estimator when the monotonicity assumption holds, but the reverse is true when the assumption fails. The simple current status estimator loses only a small amount of precision in comparison to the two-step procedure but requires monitoring time information for all individuals. In the data that motivated this work, a study of uterine fibroids and chemical exposure to dioxin, the monotonicity assumption is seen to fail. Here, the two-step and current status estimators both show no significant association between the level of dioxin exposure and the hazard for onset of uterine fibroids; the two-step estimator of the relative hazard associated with increasing levels of exposure has the least estimated variance amongst the three estimators considered.     

Robust best linear estimation for regression analysis using surrogate and instrumental variables

We investigate methods for regression analysis when covariates are measured with errors. In a subset of the whole cohort, a surrogate variable is available for the true unobserved exposure variable. The surrogate variable satisfies the classical measurement error model, but it may not have repeated measurements. In addition to the surrogate variables that are available among the subjects in the calibration sample, we assume that there is an instrumental variable (IV) that is available for all study subjects. An IV is correlated with the unobserved true exposure variable and hence can be useful in the estimation of the regression coefficients. We propose a robust best linear estimator that uses all the available data, which is the most efficient among a class of consistent estimators. The proposed estimator is shown to be consistent and asymptotically normal under very weak distributional assumptions. For Poisson or linear regression, the proposed estimator is consistent even if the measurement error from the surrogate or IV is heteroscedastic. Finite-sample performance of the proposed estimator is examined and compared with other estimators via intensive simulation studies. The proposed method and other methods are applied to a bladder cancer case-control study.     

A Revisit on Comparing the Asymptotic Interval Estimators of Odds Ratio in a Single 2 × 2 Table

It is well known that Cornfield 's confidence interval of the odds ratio with the continuity correction can mimic the performance of the exact method. Furthermore, because the calculation procedure of using the former is much simpler than that of using the latter, Cornfield 's confidence interval with the continuity correction is highly recommended by many publications. However, all these papers that draw this conclusion are on the basis of examining the coverage probability exclusively. The efficiency of the resulting confidence intervals is completely ignored. This paper calculates and compares the coverage probability and the average length for Woolf s logit interval estimator, Gart 's logit interval estimator of adding 0.50, Cornfield 's interval estimator with the continuity correction, and Cornfield 's interval estimator without the continuity correction in a variety of situations. This paper notes that Cornfield 's interval estimator with the continuity correction is too conservative, while Cornfield 's method without the continuity correction can improve efficiency without sacrificing the accuracy of the coverage probability. This paper further notes that when the sample size is small (say, 20 or 30 per group) and the probability of exposure in the control group is small (say, 0.10) or large (say, 0.90), using Cornfield 's method without the continuity correction is likely preferable to all the other estimators considered here. When the sample size is large (say, 100 per group) or when the probability of exposure in the control group is moderate (say, 0.50), Gart 's logit interval estimator is probably the best.     

A novel penalized inverse-variance weighted estimator for Mendelian randomization with applications to COVID-19 outcomes

Mendelian randomization utilizes genetic variants as instrumental variables (IVs) to estimate the causal effect of an exposure variable on an outcome of interest even in the presence of unmeasured confounders. However, the popular inverse-variance weighted (IVW) estimator could be biased in the presence of weak IVs, a common challenge in MR studies. In this article, we develop a novel penalized inverse-variance weighted (pIVW) estimator, which adjusts the original IVW estimator to account for the weak IV issue by using a penalization approach to prevent the denominator of the pIVW estimator from being close to zero. Moreover, we adjust the variance estimation of the pIVW estimator to account for the presence of balanced horizontal pleiotropy. We show that the recently proposed debiased IVW (dIVW) estimator is a special case of our proposed pIVW estimator. We further prove that the pIVW estimator has smaller bias and variance than the dIVW estimator under some regularity conditions. We also conduct extensive simulation studies to demonstrate the performance of the proposed pIVW estimator. Furthermore, we apply the pIVW estimator to estimate the causal effects of five obesity-related exposures on three coronavirus disease 2019 (COVID-19) outcomes. Notably, we find that hypertensive disease is associated with an increased risk of hospitalized COVID-19; and peripheral vascular disease and higher body mass index are associated with increased risks of COVID-19 infection, hospitalized COVID-19, and critically ill COVID-19.     

Robust best linear estimator for Cox regression with instrumental variables in whole cohort and surrogates with additive measurement error in calibration sample

Biomedical researchers are often interested in estimating the effect of an environmental exposure in relation to a chronic disease endpoint. However, the exposure variable of interest may be measured with errors. In a subset of the whole cohort, a surrogate variable is available for the true unobserved exposure variable. The surrogate variable satisfies an additive measurement error model, but it may not have repeated measurements. The subset in which the surrogate variables are available is called a calibration sample. In addition to the surrogate variables that are available among the subjects in the calibration sample, we consider the situation when there is an instrumental variable available for all study subjects. An instrumental variable is correlated with the unobserved true exposure variable, and hence can be useful in the estimation of the regression coefficients. In this paper, we propose a nonparametric method for Cox regression using the observed data from the whole cohort. The nonparametric estimator is the best linear combination of a nonparametric correction estimator from the calibration sample and the difference of the naive estimators from the calibration sample and the whole cohort. The asymptotic distribution is derived, and the finite sample performance of the proposed estimator is examined via intensive simulation studies. The methods are applied to the Nutritional Biomarkers Study of the Women's Health Initiative.     

Exploiting gene-environment independence for analysis of case-control studies: an empirical Bayes-type shrinkage estimator to trade-off between bias and efficiency

Summary .   Standard prospective logistic regression analysis of case–control data often leads to very imprecise estimates of gene-environment interactions due to small numbers of cases or controls in cells of crossing genotype and exposure. In contrast, under the assumption of gene-environment independence, modern "retrospective" methods, including the "case-only" approach, can estimate the interaction parameters much more precisely, but they can be seriously biased when the underlying assumption of gene-environment independence is violated. In this article, we propose a novel empirical Bayes-type shrinkage estimator to analyze case–control data that can relax the gene-environment independence assumption in a data-adaptive fashion. In the special case, involving a binary gene and a binary exposure, the method leads to an estimator of the interaction log odds ratio parameter in a simple closed form that corresponds to an weighted average of the standard case-only and case–control estimators. We also describe a general approach for deriving the new shrinkage estimator and its variance within the retrospective maximum-likelihood framework developed by Chatterjee and Carroll (2005, Biometrika 92, 399–418). Both simulated and real data examples suggest that the proposed estimator strikes a balance between bias and efficiency depending on the true nature of the gene-environment association and the sample size for a given study.     

Corrections for measurement error due to delayed onset of illness for case-crossover designs

Epidemiologic studies of the short-term effects of ambient particulate matter (PM) on the risk of acute cardiovascular or cerebrovascular events often use data from administrative databases in which only the date of hospitalization is known. A common study design for analyzing such data is the case-crossover design, in which exposure at a time when a patient experiences an event is compared to exposure at times when the patient did not experience an event within a case-control paradigm. However, the time of true event onset may precede hospitalization by hours or days, which can yield attenuated effect estimates. In this article, we consider a marginal likelihood estimator, a regression calibration estimator, and a conditional score estimator, as well as parametric bootstrap versions of each, to correct for this bias. All considered approaches require validation data on the distribution of the delay times. We compare the performance of the approaches in realistic scenarios via simulation, and apply the methods to analyze data from a Boston-area study of the association between ambient air pollution and acute stroke onset. Based on both simulation and the case study, we conclude that a two-stage regression calibration estimator with a parametric bootstrap bias correction is an effective method for correcting bias in health effect estimates arising from delayed onset in a case-crossover study.