Comparing methods to assess treatment effect heterogeneity in general parametric regression models

Fuente: arXiv
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Main Authors: Chen, Yao, Sun, Sophie, Sechidis, Konstantinos, Zhang, Cong, Hothorn, Torsten, Bornkamp, Björn
Format: Preprint
Published: 2025
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author Chen, Yao
Sun, Sophie
Sechidis, Konstantinos
Zhang, Cong
Hothorn, Torsten
Bornkamp, Björn
author_facet Chen, Yao
Sun, Sophie
Sechidis, Konstantinos
Zhang, Cong
Hothorn, Torsten
Bornkamp, Björn
contents This paper reviews and compares methods to assess treatment effect heterogeneity in the context of parametric regression models. These methods include the standard likelihood ratio tests, bootstrap likelihood ratio tests, and Goeman's global test motivated by testing whether the random effect variance is zero. We place particular emphasis on tests based on the score-residual of the treatment effect and explore different variants of tests in this class. All approaches are compared in a simulation study, and the approach based on residual scores is illustrated in a clinical trial with time-to-event outcome comparing treatment versus placebo. Our findings demonstrate that score-residual based methods provide practical, flexible and reliable tools for exploring treatment effect heterogeneity and treatment effect modifiers, and can provide useful guidance for decision making around treatment effect heterogeneity.
format Preprint
id arxiv_https___arxiv_org_abs_2503_22548
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Comparing methods to assess treatment effect heterogeneity in general parametric regression models
Chen, Yao
Sun, Sophie
Sechidis, Konstantinos
Zhang, Cong
Hothorn, Torsten
Bornkamp, Björn
Applications
This paper reviews and compares methods to assess treatment effect heterogeneity in the context of parametric regression models. These methods include the standard likelihood ratio tests, bootstrap likelihood ratio tests, and Goeman's global test motivated by testing whether the random effect variance is zero. We place particular emphasis on tests based on the score-residual of the treatment effect and explore different variants of tests in this class. All approaches are compared in a simulation study, and the approach based on residual scores is illustrated in a clinical trial with time-to-event outcome comparing treatment versus placebo. Our findings demonstrate that score-residual based methods provide practical, flexible and reliable tools for exploring treatment effect heterogeneity and treatment effect modifiers, and can provide useful guidance for decision making around treatment effect heterogeneity.
title Comparing methods to assess treatment effect heterogeneity in general parametric regression models
topic Applications
url https://arxiv.org/abs/2503.22548