Bayesian Hierarchical Model for Synthesizing Registry and Survey Data on Female Breast Cancer Prevalence

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Main Authors: Wang, Qiao, Schmaltz, Chester Lee, Jackson-Thompson, Jeannette, Sun, Dongchu, He, Zhuoqiong, Cai, Zhongheng, Hong, Hwanhee
Format: Preprint
Published: 2024
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_version_ 1866915017187655680
author Wang, Qiao
Schmaltz, Chester Lee
Jackson-Thompson, Jeannette
Sun, Dongchu
He, Zhuoqiong
Cai, Zhongheng
Hong, Hwanhee
author_facet Wang, Qiao
Schmaltz, Chester Lee
Jackson-Thompson, Jeannette
Sun, Dongchu
He, Zhuoqiong
Cai, Zhongheng
Hong, Hwanhee
contents In public health, it is critical for policymakers to assess the relationship between the disease prevalence and associated risk factors or clinical characteristics, facilitating effective resources allocation. However, for diseases like female breast cancer (FBC), reliable prevalence data at specific geographical levels, such as the county-level, are limited because the gold standard data typically come from long-term cancer registries, which do not necessarily collect needed risk factors. In addition, it remains unclear whether fitting each model separately or jointly results in better estimation. In this paper, we identify two data sources to produce reliable county-level prevalence estimates in Missouri, USA: the population-based Missouri Cancer Registry (MCR) and the survey-based Missouri County-Level Study (CLS). We propose a two-stage Bayesian model to synthesize these sources, accounting for their differences in the methodological design, case definitions, and collected information. The first stage involves estimating the county-level FBC prevalence using the raking method for CLS data and the counting method for MCR data, calibrating the differences in the methodological design and case definition. The second stage includes synthesizing two sources with different sets of covariates using a Bayesian generalized linear mixed model with Zeller-Siow prior for the coefficients. Our data analyses demonstrate that using both data sources have better results than at least one data source, and including a data source membership matters when there exist systematic differences in these sources. Finally, we translate results into policy making and discuss methodological differences for data synthesis of registry and survey data.
format Preprint
id arxiv_https___arxiv_org_abs_2410_23580
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Bayesian Hierarchical Model for Synthesizing Registry and Survey Data on Female Breast Cancer Prevalence
Wang, Qiao
Schmaltz, Chester Lee
Jackson-Thompson, Jeannette
Sun, Dongchu
He, Zhuoqiong
Cai, Zhongheng
Hong, Hwanhee
Applications
Methodology
In public health, it is critical for policymakers to assess the relationship between the disease prevalence and associated risk factors or clinical characteristics, facilitating effective resources allocation. However, for diseases like female breast cancer (FBC), reliable prevalence data at specific geographical levels, such as the county-level, are limited because the gold standard data typically come from long-term cancer registries, which do not necessarily collect needed risk factors. In addition, it remains unclear whether fitting each model separately or jointly results in better estimation. In this paper, we identify two data sources to produce reliable county-level prevalence estimates in Missouri, USA: the population-based Missouri Cancer Registry (MCR) and the survey-based Missouri County-Level Study (CLS). We propose a two-stage Bayesian model to synthesize these sources, accounting for their differences in the methodological design, case definitions, and collected information. The first stage involves estimating the county-level FBC prevalence using the raking method for CLS data and the counting method for MCR data, calibrating the differences in the methodological design and case definition. The second stage includes synthesizing two sources with different sets of covariates using a Bayesian generalized linear mixed model with Zeller-Siow prior for the coefficients. Our data analyses demonstrate that using both data sources have better results than at least one data source, and including a data source membership matters when there exist systematic differences in these sources. Finally, we translate results into policy making and discuss methodological differences for data synthesis of registry and survey data.
title Bayesian Hierarchical Model for Synthesizing Registry and Survey Data on Female Breast Cancer Prevalence
topic Applications
Methodology
url https://arxiv.org/abs/2410.23580