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spelling Caniglia, Ellen C.Robins, James M.Cain, Lauren E.Sabin, CarolineLogan, RogerAbgrall, SophieMugavero, Michael J.Hernández-Díaz, SoniaMeyer, LaurenceSeng, RemonieDrozd, Daniel R.Seage Iii, George R.Bonnet, FabriceLe Marec, FabienMoore, Richard D.Reiss, PeterSighem, Ard vanMathews, William C.Jarrín, InmaAlejos, BelénDeeks, Steven G.Muga, RobertoBoswell, Stephen L.Ferrer, ElenaEron, Joseph JGill, JohnPacheco, AntonioGrinsztejn, BeatrizNapravnik, SoniaJose, SophiePhillips, AndrewJustice, AmyTate, JanetBucher, Heiner C.Egger, MatthiasFurrer, HansjakobMiro, Jose M.Casabona, JordiPorter, KholoudTouloumi, GiotaCrane, HeidiCostagliola, DominiqueSaag, MichaelHernán, Miguel A.2019-04-11T12:01:49Z2019-04-11T12:01:49Z2019CANIGLIA, Ellen C. et al. Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals. Statistics in Medicine, p. 1-19, 2019.0277-6715https://www.arca.fiocruz.br/handle/icict/3245010.1002/sim.81201097-0258Antonio Pacheco - Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas.Ellen C. Caniglia1,2 James M. Robins1,3 Lauren E. Cain1 Caroline Sabin4 Roger Logan1 Sophie Abgrall5 Michael J. Mugavero6 Sonia Hernández-Díaz1 Laurence Meyer7 Remonie Seng7 Daniel R. Drozd8 George R. Seage III1 Fabrice Bonnet9 Fabien Le Marec9 Richard D. Moore10 Peter Reiss11 Ard van Sighem11 William C. Mathews12 Inma Jarrín13 Belén Alejos13 Steven G. Deeks14 Roberto Muga15 Stephen L. Boswell16 Elena Ferrer17 Joseph J. Eron18 John Gill19 Antonio Pacheco20 Beatriz Grinsztejn20 Sonia Napravnik18 Sophie Jose4 Andrew Phillips4 Amy Justice21 Janet Tate21 Heiner C. Bucher22 Matthias Egger23 Hansjakob Furrer24 Jose M. Miro25 Jordi Casabona26 Kholoud Porter4 Giota Touloumi27 Heidi Crane8 Dominique Costagliola28 Michael Saag29 Miguel A. Hernán1,3,30 1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts 2Department of Population Health, School of Medicine, New York University, New York, New York 3Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts 4University College London, London, UK 5APHP Hôpital Avicenne, Bobigny, France 6School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 7Inserm, Université Paris Sud, Orsay, France 8University of Washington, Seattle, Washington 9Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France 10School of Medicine, The Johns Hopkins University, Baltimore, Maryland 11Academisch Medisch Centrum Geneeskunde, Amsterdam, The Netherlands 12Department of Medicine, University of California San Diego Health, San Diego, California 13National Center of Epidemiology, Instituto de Salud Carlos III, Madrid, Spain 14School of Medicine, University of California, San Francisco, San Francisco, California 15Germans Trias Hospital, Barcelona, Spain 16Fenway Health, Boston, Massachusetts 17Hospital Universitari de Bellvitge, Barcelona, Spain 18Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 19Southern Alberta HIV Program, Calgary, Canada 20Fundação Oswaldo Cruz, Rio de Janeiro, Brazil 21School of Public Health, Yale University, New Haven, Connecticut 22Universitätsspital Basel, Basel, Switzerland 23Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland 24Division of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland 25University of Barcelona, Barcelona, Spain 26Institut Català d'Oncologia, Barcelona, Spain 27Department of Hygiene, Epidemiology and Medical Statistics, Athens University Medical School, Athens, Greece 28University Pierre and Marie Curie, Paris, France 29University of Alabama at Birmingham, Birmingham, Alabama 30Harvard-MIT Division of Health Sciences and Technology, Boston, Massachusetts.2020-04-03Múltipla - Ver em Notas.Decisions about when to start or switch a therapy often depend on the frequency with which individuals are monitored or tested. For example, the optimal time to switch antiretroviral therapy depends on the frequency with which HIV-positive individuals have HIV RNA measured. This paper describes an approach to use observational data for the comparison of joint monitoring and treatment strategies and applies the method to a clinically relevant question in HIV research: when can monitoring frequency be decreased and when should individuals switch from a first-line treatment regimen to a new regimen? We outline the target trial that would compare the dynamic strategies of interest and then describe how to emulate it using data from HIV-positive individuals included in the HIV-CAUSAL Collaboration and the Centers for AIDS Research Network of Integrated Clinical Systems. When, as in our example, few individuals follow the dynamic strategies of interest over long periods of follow-up, we describe how to leverage an additional assumption: no direct effect of monitoring on the outcome of interest. We compare our results with and without the "no direct effect" assumption. We found little differences on survival and AIDS-free survival between strategies where monitoring frequency was decreased at a CD4 threshold of 350 cells/μl compared with 500 cells/μl and where treatment was switched at an HIV-RNA threshold of 1000 copies/ml compared with 200 copies/ml. The "no direct effect" assumption resulted in efficiency improvements for the risk difference estimates ranging from an 7- to 53-fold increase in the effective sample size.engWileyEmulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individualsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCausal inferenceDynamic regimeJoint treatment strategiesMarginal structural modelNo direct effectinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/32450/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALEmulating a trial_Beatriz_Grinsztejn_INI_Lapclin-AIDS_2019.pdfEmulating a 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dc.title.pt_BR.fl_str_mv Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
title Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
spellingShingle Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
Caniglia, Ellen C.
Causal inference
Dynamic regime
Joint treatment strategies
Marginal structural model
No direct effect
title_short Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
title_full Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
title_fullStr Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
title_full_unstemmed Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
title_sort Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals
author Caniglia, Ellen C.
author_facet Caniglia, Ellen C.
Robins, James M.
Cain, Lauren E.
Sabin, Caroline
Logan, Roger
Abgrall, Sophie
Mugavero, Michael J.
Hernández-Díaz, Sonia
Meyer, Laurence
Seng, Remonie
Drozd, Daniel R.
Seage Iii, George R.
Bonnet, Fabrice
Le Marec, Fabien
Moore, Richard D.
Reiss, Peter
Sighem, Ard van
Mathews, William C.
Jarrín, Inma
Alejos, Belén
Deeks, Steven G.
Muga, Roberto
Boswell, Stephen L.
Ferrer, Elena
Eron, Joseph J
Gill, John
Pacheco, Antonio
Grinsztejn, Beatriz
Napravnik, Sonia
Jose, Sophie
Phillips, Andrew
Justice, Amy
Tate, Janet
Bucher, Heiner C.
Egger, Matthias
Furrer, Hansjakob
Miro, Jose M.
Casabona, Jordi
Porter, Kholoud
Touloumi, Giota
Crane, Heidi
Costagliola, Dominique
Saag, Michael
Hernán, Miguel A.
author_role author
author2 Robins, James M.
Cain, Lauren E.
Sabin, Caroline
Logan, Roger
Abgrall, Sophie
Mugavero, Michael J.
Hernández-Díaz, Sonia
Meyer, Laurence
Seng, Remonie
Drozd, Daniel R.
Seage Iii, George R.
Bonnet, Fabrice
Le Marec, Fabien
Moore, Richard D.
Reiss, Peter
Sighem, Ard van
Mathews, William C.
Jarrín, Inma
Alejos, Belén
Deeks, Steven G.
Muga, Roberto
Boswell, Stephen L.
Ferrer, Elena
Eron, Joseph J
Gill, John
Pacheco, Antonio
Grinsztejn, Beatriz
Napravnik, Sonia
Jose, Sophie
Phillips, Andrew
Justice, Amy
Tate, Janet
Bucher, Heiner C.
Egger, Matthias
Furrer, Hansjakob
Miro, Jose M.
Casabona, Jordi
Porter, Kholoud
Touloumi, Giota
Crane, Heidi
Costagliola, Dominique
Saag, Michael
Hernán, Miguel A.
author2_role author
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author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
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author
author
dc.contributor.author.fl_str_mv Caniglia, Ellen C.
Robins, James M.
Cain, Lauren E.
Sabin, Caroline
Logan, Roger
Abgrall, Sophie
Mugavero, Michael J.
Hernández-Díaz, Sonia
Meyer, Laurence
Seng, Remonie
Drozd, Daniel R.
Seage Iii, George R.
Bonnet, Fabrice
Le Marec, Fabien
Moore, Richard D.
Reiss, Peter
Sighem, Ard van
Mathews, William C.
Jarrín, Inma
Alejos, Belén
Deeks, Steven G.
Muga, Roberto
Boswell, Stephen L.
Ferrer, Elena
Eron, Joseph J
Gill, John
Pacheco, Antonio
Grinsztejn, Beatriz
Napravnik, Sonia
Jose, Sophie
Phillips, Andrew
Justice, Amy
Tate, Janet
Bucher, Heiner C.
Egger, Matthias
Furrer, Hansjakob
Miro, Jose M.
Casabona, Jordi
Porter, Kholoud
Touloumi, Giota
Crane, Heidi
Costagliola, Dominique
Saag, Michael
Hernán, Miguel A.
dc.subject.en.none.fl_str_mv Causal inference
Dynamic regime
Joint treatment strategies
Marginal structural model
No direct effect
topic Causal inference
Dynamic regime
Joint treatment strategies
Marginal structural model
No direct effect
description Antonio Pacheco - Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-04-11T12:01:49Z
dc.date.available.fl_str_mv 2019-04-11T12:01:49Z
dc.date.issued.fl_str_mv 2019
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv CANIGLIA, Ellen C. et al. Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals. Statistics in Medicine, p. 1-19, 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/32450
dc.identifier.issn.pt_BR.fl_str_mv 0277-6715
dc.identifier.doi.none.fl_str_mv 10.1002/sim.8120
dc.identifier.eissn.none.fl_str_mv 1097-0258
identifier_str_mv CANIGLIA, Ellen C. et al. Emulating a trial of joint dynamic strategies: an application to monitoring and treatment of HIV-positive individuals. Statistics in Medicine, p. 1-19, 2019.
0277-6715
10.1002/sim.8120
1097-0258
url https://www.arca.fiocruz.br/handle/icict/32450
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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