Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data

(1) Background: Several retrospective observational analyzed treatment outcomes for COVID-19; (2) Methods: Inverse probability of censoring weighting (IPCW) was applied to correct for bias due to informative censoring in database of hospitalized patients who did and did not receive convalescent plas...

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Main Authors: Hung-Mo Lin, Sean T. H. Liu, Matthew A. Levin, John Williamson, Nicole M. Bouvier, Judith A. Aberg, David Reich, Natalia Egorova
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/1/210
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author Hung-Mo Lin
Sean T. H. Liu
Matthew A. Levin
John Williamson
Nicole M. Bouvier
Judith A. Aberg
David Reich
Natalia Egorova
author_facet Hung-Mo Lin
Sean T. H. Liu
Matthew A. Levin
John Williamson
Nicole M. Bouvier
Judith A. Aberg
David Reich
Natalia Egorova
author_sort Hung-Mo Lin
collection DOAJ
description (1) Background: Several retrospective observational analyzed treatment outcomes for COVID-19; (2) Methods: Inverse probability of censoring weighting (IPCW) was applied to correct for bias due to informative censoring in database of hospitalized patients who did and did not receive convalescent plasma; (3) Results: When compared with an IPCW analysis, overall mortality was overestimated using an unadjusted Kaplan–Meier curve, and hazard ratios for the older age group compared to the youngest were underestimated using the Cox proportional hazard models and 30-day mortality; (4) Conclusions: An IPCW analysis provided stabilizing weights by hospital admission.
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spelling doaj.art-9ab274f5164e47fa9720a54a8cd3c3fd2023-11-30T23:09:31ZengMDPI AGLife2075-17292023-01-0113121010.3390/life13010210Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital DataHung-Mo Lin0Sean T. H. Liu1Matthew A. Levin2John Williamson3Nicole M. Bouvier4Judith A. Aberg5David Reich6Natalia Egorova7Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADivision of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Anesthesiology, Perioperative and Pain Medicine, Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADivision of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, GA 30333, USADivision of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADivision of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Anesthesiology, Perioperative and Pain Medicine, Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA(1) Background: Several retrospective observational analyzed treatment outcomes for COVID-19; (2) Methods: Inverse probability of censoring weighting (IPCW) was applied to correct for bias due to informative censoring in database of hospitalized patients who did and did not receive convalescent plasma; (3) Results: When compared with an IPCW analysis, overall mortality was overestimated using an unadjusted Kaplan–Meier curve, and hazard ratios for the older age group compared to the youngest were underestimated using the Cox proportional hazard models and 30-day mortality; (4) Conclusions: An IPCW analysis provided stabilizing weights by hospital admission.https://www.mdpi.com/2075-1729/13/1/210censoringCOVID-19convalescent plasma
spellingShingle Hung-Mo Lin
Sean T. H. Liu
Matthew A. Levin
John Williamson
Nicole M. Bouvier
Judith A. Aberg
David Reich
Natalia Egorova
Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data
Life
censoring
COVID-19
convalescent plasma
title Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data
title_full Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data
title_fullStr Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data
title_full_unstemmed Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data
title_short Informative Censoring—A Cause of Bias in Estimating COVID-19 Mortality Using Hospital Data
title_sort informative censoring a cause of bias in estimating covid 19 mortality using hospital data
topic censoring
COVID-19
convalescent plasma
url https://www.mdpi.com/2075-1729/13/1/210
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