Comparing Methods to Assess Treatment Effect Heterogeneity in General Parametric Regression Models

Fuente: Wiley Open Access
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Auteurs principaux: Yao Chen, Sophie Sun, Konstantinos Sechidis, Cong Zhang, Torsten Hothorn, Björn Bornkamp
Format: Artículo Open Access
Publié: Wiley 2026
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author Yao Chen
Sophie Sun
Konstantinos Sechidis
Cong Zhang
Torsten Hothorn
Björn Bornkamp
author_facet Yao Chen
Sophie Sun
Konstantinos Sechidis
Cong Zhang
Torsten Hothorn
Björn Bornkamp
Yao Chen
Sophie Sun
Konstantinos Sechidis
Cong Zhang
Torsten Hothorn
Björn Bornkamp
collection Wiley Open Access
contents Comparing Methods to Assess Treatment Effect Heterogeneity in General Parametric Regression Models Yao Chen Sophie Sun Konstantinos Sechidis Cong Zhang Torsten Hothorn Björn Bornkamp Statistics in Medicine ABSTRACT 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 a time‐to‐event outcome comparing treatment vs. 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. 10.1002/sim.70381 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/sim.70381
format Artículo Open Access
id wiley_oa_10_1002_sim_70381
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2026
publisher Wiley
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spellingShingle Comparing Methods to Assess Treatment Effect Heterogeneity in General Parametric Regression Models
Yao Chen
Sophie Sun
Konstantinos Sechidis
Cong Zhang
Torsten Hothorn
Björn Bornkamp
Statistics in Medicine
Comparing Methods to Assess Treatment Effect Heterogeneity in General Parametric Regression Models Yao Chen Sophie Sun Konstantinos Sechidis Cong Zhang Torsten Hothorn Björn Bornkamp Statistics in Medicine ABSTRACT 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 a time‐to‐event outcome comparing treatment vs. 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. 10.1002/sim.70381 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Comparing Methods to Assess Treatment Effect Heterogeneity in General Parametric Regression Models
topic Statistics in Medicine
url https://onlinelibrary.wiley.com/doi/10.1002/sim.70381