JSM 2004 - Toronto

Abstract #301662

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Activity Number: 263
Type: Topic Contributed
Date/Time: Tuesday, August 10, 2004 : 2:00 PM to 3:50 PM
Sponsor: Section on Bayesian Statistical Science
Abstract - #301662
Title: Bayesian Hierarchical Analysis of Health Services Outcomes Data
Author(s): Benjamin N. Bekele*+ and Linda Elting and Catherine Cooksley
Companies: University of Texas M. D. Anderson Cancer Center and University of Texas M. D. Anderson Cancer Center and University of Texas M. D. Anderson Cancer Center
Address: 1515 Holcombe Blvd.-447, Houston, TX, 77030,
Keywords:
Abstract:

In many health services research studies, observations are correlated, resulting in dependence among outcomes (e.g., subjects nested within hospitals or measurements nested within patients). We will discuss Bayesian approaches that can handle three levels in a hierarchy (i.e., patients nested within surgeons nested within hospitals). Within this Bayesian modeling context, we will discuss methods that can be used to accommodate "imperfect nesting" (i.e., some surgeons practice at more than one hospital). We will give two examples where we fit Bayesian hierarchical regression models (binary outcomes and survival outcomes) from data obtained through public-use databases. We show how to fit such models using WinBugs 1.4 and how to use the new capabilities in WinBugs (e.g., calling WinBugs from S-plus) to more automate the analysis process. (In the past, running univariate models could be very time-consuming).


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