Bayes theorem

贝叶斯定理
  • 文章类型: Journal Article
    在间歇再现任务中,动物必须记住开始间隔的事件,并预测计划响应的时间以终止间隔。因此,间隔再现任务允许研究过去的记忆和未来的预期。我们分析了啮齿动物内侧前额叶皮层[J.Henke等人。,eLife10,e71612(2021)]在间隔再现任务中,并通过使用分层贝叶斯模型对其时间感受野进行建模来识别两个细胞组。“过去的单元格”组中的激发在间隔开始时达到峰值,并以指数方式放松回到基线。“未来细胞”组中的射击呈指数增长,并在间隔结束时计划的行动之前达到顶峰。与先前的假设相反,大脑中的定时信息在给定间隔内具有一个或两个时间尺度,我们发现了过去和未来细胞群指数速率常数连续分布的有力证据.时间的真实拉普拉斯变换预测了整个人口中速率常数的连续分布的指数点火。因此,可以用从过去事件开始的时间的拉普拉斯变换来识别过去细胞的激发模式,而可以用直到计划的未来事件的时间的拉普拉斯变换来识别未来细胞的激发模式。
    In interval reproduction tasks, animals must remember the event starting the interval and anticipate the time of the planned response to terminate the interval. The interval reproduction task thus allows for studying both memory for the past and anticipation of the future. We analyzed previously published recordings from the rodent medial prefrontal cortex [J. Henke et al., eLife10, e71612 (2021)] during an interval reproduction task and identified two cell groups by modeling their temporal receptive fields using hierarchical Bayesian models. The firing in the \"past cells\" group peaked at the start of the interval and relaxed exponentially back to baseline. The firing in the \"future cells\" group increased exponentially and peaked right before the planned action at the end of the interval. Contrary to the previous assumption that timing information in the brain has one or two time scales for a given interval, we found strong evidence for a continuous distribution of the exponential rate constants for both past and future cell populations. The real Laplace transformation of time predicts exponential firing with a continuous distribution of rate constants across the population. Therefore, the firing pattern of the past cells can be identified with the Laplace transform of time since the past event while the firing pattern of the future cells can be identified with the Laplace transform of time until the planned future event.
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  • 文章类型: Journal Article
    美国食品和药物管理局启动了Optimus项目,以改革肿瘤药物开发中的剂量优化和剂量选择范式,呼吁从寻找最大耐受剂量到确定最佳生物剂量(OBD)的范式转变。受现实世界药物开发计划的激励,我们提出了一种基于主协议的平台试验设计,以同时识别新药的OBD,结合护理标准或其他新型药物,在多个适应症中。我们提出了一个贝叶斯潜在子群模型来适应不同适应症的治疗异质性,并采用贝叶斯分层模型在子组内借用信息。在每次中期分析中,我们更新了亚组成员以及剂量毒性和疗效估计,以及风险收益权衡的效用估计,基于跨治疗组的观察数据,以告知特定组的剂量递增和递减决策,并确定组合伴侣和适应症的每个组的OBD。仿真研究表明,所提出的设计具有理想的工作特性,为剂量优化提供了一个高度灵活和有效的方式。该设计具有极大的潜力,可以缩短药物开发的时间表,通过减少重叠的基础设施来节省成本,加快监管审批。
    The US Food and Drug Administration launched Project Optimus to reform the dose optimization and dose selection paradigm in oncology drug development, calling for the paradigm shift from finding the maximum tolerated dose to the identification of optimal biological dose (OBD). Motivated by a real-world drug development program, we propose a master-protocol-based platform trial design to simultaneously identify OBDs of a new drug, combined with standards of care or other novel agents, in multiple indications. We propose a Bayesian latent subgroup model to accommodate the treatment heterogeneity across indications, and employ Bayesian hierarchical models to borrow information within subgroups. At each interim analysis, we update the subgroup membership and dose-toxicity and -efficacy estimates, as well as the estimate of the utility for risk-benefit tradeoff, based on the observed data across treatment arms to inform the arm-specific decision of dose escalation and de-escalation and identify the OBD for each arm of a combination partner and an indication. The simulation study shows that the proposed design has desirable operating characteristics, providing a highly flexible and efficient way for dose optimization. The design has great potential to shorten the drug development timeline, save costs by reducing overlapping infrastructure, and speed up regulatory approval.
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  • 文章类型: Journal Article
    挖掘和更新艾氯胺酮鼻喷雾剂上市后的安全性信号,以更好地识别药物不良事件(ADE)信号并在临床使用期间进行药物监测,以确保患者用药安全。从美国食品和药物管理局不良事件报告系统下载数据,2019年Q1至2023年Q2,报告赔率比,比例报告比率,多项目伽玛泊松收缩器,和贝叶斯置信度传播神经网络方法的不相称性方法被用来挖掘和分析ADE,最后以艾氯胺酮鼻喷雾剂为主要可疑药物筛选ADE的信号。调节活动医学词典(26.0版)的首选术语用于标准化ADE的描述并将ADE归因于系统器官分类。从食品和药物管理局不良事件报告系统获得了总共5132份关于艾氯胺酮鼻喷雾剂作为主要可疑药物的ADE报告。最常见的ADE是解离,镇静,和高血压,虽然发现了一些新的罕见信号,比如间质性膀胱炎,药物滥用,和药物转移。本研究确定了esketamine鼻喷雾剂的重要新的ADE信号,这可能为医疗保健专业人员提供评估患者症状和风险识别的来源。
    Mining and updating the post-marketing safety signals of esketamine nasal spray for better identification of adverse drug event (ADE) signals and medication monitoring during clinical use to ensure patient medication safety. Downloading data from the US Food and Drug Administration Adverse Event Reporting System from Q1 2019 to Q2 2023, the reporting odds ratio, proportional reporting ratio, Multi-item Gamma Poisson Shrinker, and Bayesian Confidence Propagation Neural Network methods of the disproportionality method were used to mine and analyze ADEs, and finally to screen for signals of ADEs with esketamine nasal spray as the primary suspected drug. The Preferred Terminology of the Medical Dictionary of Regulatory Activities (version 26.0) was used to standardize the description of ADEs and to attribute ADEs to the System Organ Classification. A total of 5132 ADEs reports of esketamine nasal spray as the primary suspected drug were obtained from the Food and Drug Administration Adverse Event Reporting System. The most frequently observed ADEs are dissociation, sedation, and hypertension, while some new rare signals have been detected, such as interstitial cystitis, substance abuse, and drug diversion. The present study identified significant new ADEs signals for esketamine nasal spray, which may provide a source for healthcare professionals to assess patients\' symptoms and risk identification.
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  • 文章类型: Journal Article
    背景:为了确定混合暴露于三种类型的内分泌干扰化学物质(EDC)之间的关系,即苯基氢氧化物,多环芳烃(PAHs),和邻苯二甲酸酯(PAEs),和关节炎的风险。
    方法:参与者选自国家健康和营养调查(NHANES)。苯基氢氧化物的尿液浓度之间的关系,PAHs,采用广义线性回归模型分析PAEs和关节炎发病风险。通过加权分位数和(WQS)和贝叶斯核机回归(BKMR)模型分析这些EDC的混合暴露和关节炎的风险。
    结果:我们的分析表明,与Q1相比,尿中二苯甲酮-3和对羟基苯甲酸甲酯浓度最高的四分位数(Q4)的参与者患关节炎的风险增加。对于1-羟基萘和2-羟基萘的自然对数转换的尿中浓度每增加一个单位,关节炎的风险增加了5%和8%,分别。在WQS正约束和负约束模型中,化学混合指数系数与关节炎风险显着相关。在BKMR模型中,混合暴露与关节炎风险呈显著正相关.
    结论:混合接触苯基氢氧化物,PAHs,PAEs会增加关节炎的风险,与PAHs接触是关键因素。
    BACKGROUND: To determine the relationship between mixed exposure to three types of endocrine-disrupting chemicals (EDCs), namely phenyl hydroxides, polycyclic aromatic hydrocarbons (PAHs), and phthalates (PAEs), and risk of arthritis.
    METHODS: Participants were selected from National Health and Nutrition Examination Survey (NHANES). The relationships between the urinary concentrations of phenyl hydroxides, PAHs, and PAEs and the risk of arthritis were analyzed by generalized linear regression model. The mixed exposure to these EDCs and the risk of arthritis was analyzed by weighted quantile sums (WQSs) and Bayesian kernel machine regression (BKMR) model.
    RESULTS: Our analysis showed that participants with urinary benzophenone-3 and methylparaben concentrations in the highest quartile (Q4) had an increased risk of arthritis compared with those in Q1. For each one-unit increase in the natural logarithm-converted urinary concentrations of 1-hydroxynapthalene and 2-hydroxynapthalene, the risk of arthritis increased by 5% and 8%, respectively. Chemical mixing index coefficients were significantly associated with risk of arthritis in both WQS positive- and negative-constraint models. In the BKMR model, there was a significant positive correlation between mixed exposure and the risk of arthritis.
    CONCLUSIONS: Mixed exposure to phenyl hydroxides, PAHs, and PAEs increased the risk of arthritis, with exposure to PAHs being the key factor.
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  • 文章类型: Journal Article
    背景:为了告知全球终止艾滋病的雄心,评估减少艾滋病毒发病率的进展需要强有力的方法来衡量发病率。尽管常规HIV/AIDS监测系统中的HIV诊断日期经常被用作发病率的替代指标,如果传播的获取发生在测试前几年,可能会产生误导。数据中存在的其他信息,如抗体检测日期,亲和力测试结果,CD4计数可以帮助,但是数据缺失的程度往往令人望而却步。
    方法:我们构建了一个贝叶斯统计模型,以估计代表最近HIV感染的苏格兰首次HIV诊断(2015-2019年)的年度比例(即,发生在过去3-4个月内)和艾滋病毒感染事件(即,过去12个月内的感染),通过合成亲合力检测结果和自上次HIV检测阴性以来的间隔监测数据。
    结果:在5年的分析期间,模型估计的事件感染比例为43.9%(95%CI:40.9至47.0),近期HIV感染比例为21.6%(95%CI:19.1~24.1)。在艾滋病毒感染类别的模式中,注射药物者近期感染比例估计最高:27.4%(95%CI:20.4~34.4).
    结论:贝叶斯方法适用于常规监测数据集中可能出现的高患病率缺失数据。拟议的模式将帮助各国提高对最近感染人数的认识,这是朝着消除艾滋病毒传播的目标前进所必需的。
    BACKGROUND: To inform global ambitions to end AIDS, evaluation of progress toward HIV incidence reduction requires robust methods to measure incidence. Although HIV diagnosis date in routine HIV/AIDS surveillance systems are often used as a surrogate marker for incidence, it can be misleading if acquisition of transmission occurred years before testing. Other information present in data such as antibody testing dates, avidity testing result, and CD4 counts can assist, but the degree of missing data is often prohibitive.
    METHODS: We constructed a Bayesian statistical model to estimate the annual proportion of first ever HIV diagnoses in Scotland (period 2015-2019) that represent recent HIV infection (ie, occurring within the previous 3-4 months) and incident HIV infection (ie, infection within the previous 12 months), by synthesizing avidity testing results and surveillance data on the interval since last negative HIV test.
    RESULTS: Over the 5-year analysis period, the model-estimated proportion of incident infection was 43.9% (95% CI: 40.9 to 47.0), and the proportion of recent HIV infection was 21.6% (95% CI: 19.1 to 24.1). Among the mode of HIV acquisition categories, the highest proportion of recent infection was estimated for people who inject drugs: 27.4% (95% CI: 20.4 to 34.4).
    CONCLUSIONS: The Bayesian approach is appropriate for the high prevalence of missing data that can occur in routine surveillance data sets. The proposed model will aid countries in improving their understanding of the number of people who have recently acquired their infection, which is needed to progress toward the goal of HIV transmission elimination.
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  • 文章类型: Journal Article
    先验分布,它们表示在观察数据之前对未知参数的分布的信念,以关键和基本的方式影响贝叶斯推理。能够整合来自专家意见或历史数据集的外部信息,前科,如果适当指定,可以提高贝叶斯推理的统计效率。在生存分析中,基于参数模型下的单元信息(UI)的概念,我们提出单位信息Dirichlet过程(UIDP)作为一类新的非参数先验,用于时间到事件数据的基础分布。通过根据累积危险函数的微分推导费雪信息,UIDP先验被公式化为使其先前的UI与历史数据集中的UI的加权平均值相匹配,因此可以利用历史数据集提供的参数信息和非参数信息。用马尔可夫链蒙特卡罗算法,仿真和实际数据分析表明,UIDP先验可以自适应地借用历史信息,提高生存分析的统计效率。
    Prior distributions, which represent one\'s belief in the distributions of unknown parameters before observing the data, impact Bayesian inference in a critical and fundamental way. With the ability to incorporate external information from expert opinions or historical datasets, the priors, if specified appropriately, can improve the statistical efficiency of Bayesian inference. In survival analysis, based on the concept of unit information (UI) under parametric models, we propose the unit information Dirichlet process (UIDP) as a new class of nonparametric priors for the underlying distribution of time-to-event data. By deriving the Fisher information in terms of the differential of the cumulative hazard function, the UIDP prior is formulated to match its prior UI with the weighted average of UI in historical datasets and thus can utilize both parametric and nonparametric information provided by historical datasets. With a Markov chain Monte Carlo algorithm, simulations and real data analysis demonstrate that the UIDP prior can adaptively borrow historical information and improve statistical efficiency in survival analysis.
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  • 文章类型: Journal Article
    跨界鱼类种群的可持续管理取决于种群结构的准确划分。遗传分析提供了一种强大的工具来识别看似同质的种群中的潜在亚群,促进有效发展,跨国际边界的协调管理战略。沿着西非海岸,大西洋鲭鱼(Scumbercolias)是商业上重要且生态上重要的物种,然而,对其遗传种群结构和连通性知之甚少。目前,尽管新的研究表明形态和适应性差异,但该种群在西非水域仍作为一个单元进行管理。这里,对从摩洛哥(27.39°N)到纳米比亚(22.21°S)的33个采样点分布的1,169个个体进行了8个微卫星基因座的基因分型。贝叶斯聚类分析描述了整个研究区域的一个同质种群,总体差异为零(FST=0.0001ns),这表明panmixia并与该物种的迁徙潜力一致。这一发现对从摩洛哥南部到纳米比亚北部中心的西非水域分布范围广泛的大肠杆菌的有效养护和管理具有重大影响,并强调需要加强渔业管理和养护方面的区域合作。
    Sustainable management of transboundary fish stocks hinges on accurate delineation of population structure. Genetic analysis offers a powerful tool to identify potential subpopulations within a seemingly homogenous stock, facilitating the development of effective, coordinated management strategies across international borders. Along the West African coast, the Atlantic chub mackerel (Scomber colias) is a commercially important and ecologically significant species, yet little is known about its genetic population structure and connectivity. Currently, the stock is managed as a single unit in West African waters despite new research suggesting morphological and adaptive differences. Here, eight microsatellite loci were genotyped on 1,169 individuals distributed across 33 sampling sites from Morocco (27.39°N) to Namibia (22.21°S). Bayesian clustering analysis depicts one homogeneous population across the studied area with null overall differentiation (F ST = 0.0001ns), which suggests panmixia and aligns with the migratory potential of this species. This finding has significant implications for the effective conservation and management of S. colias within a wide scope of its distribution across West African waters from the South of Morocco to the North-Centre of Namibia and underscores the need for increased regional cooperation in fisheries management and conservation.
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  • 文章类型: Journal Article
    无法正确解释未测量的混杂因素会导致参数估计的偏差,无效的不确定性评估,错误的结论。敏感性分析是一种调查观察性研究中不可测量的混杂因素影响的方法。然而,由于缺乏可访问的软件,这种方法的采用很慢。对可用R包进行广泛审查,以说明未测量的混杂列表确定性敏感性分析方法,但未列出用于概率敏感性分析的R包。R包unmconf通过贝叶斯未测量的混杂模型实现了用于概率敏感性分析的第一个可用包。包装允许正常,二进制,Poisson,或者伽马响应,从正态分布或二项分布中考虑一个或两个未测量的混杂因素。unmconf的目标是实现一个用户友好的软件包,该软件包在存在无法测量的混杂因素的情况下执行贝叶斯建模,在前端使用简单的命令,而在后端执行更密集的计算。我们通过新颖的仿真研究来研究该软件包的适用性。结果表明,当针对响应未测量的混杂分布家族的各种组合的内部/外部验证数据的不同水平对未测量的混杂进行建模时,可信的区间将具有接近标称的覆盖概率和较小的偏差。
    The inability to correctly account for unmeasured confounding can lead to bias in parameter estimates, invalid uncertainty assessments, and erroneous conclusions. Sensitivity analysis is an approach to investigate the impact of unmeasured confounding in observational studies. However, the adoption of this approach has been slow given the lack of accessible software. An extensive review of available R packages to account for unmeasured confounding list deterministic sensitivity analysis methods, but no R packages were listed for probabilistic sensitivity analysis. The R package unmconf implements the first available package for probabilistic sensitivity analysis through a Bayesian unmeasured confounding model. The package allows for normal, binary, Poisson, or gamma responses, accounting for one or two unmeasured confounders from the normal or binomial distribution. The goal of unmconf is to implement a user friendly package that performs Bayesian modeling in the presence of unmeasured confounders, with simple commands on the front end while performing more intensive computation on the back end. We investigate the applicability of this package through novel simulation studies. The results indicate that credible intervals will have near nominal coverage probability and smaller bias when modeling the unmeasured confounder(s) for varying levels of internal/external validation data across various combinations of response-unmeasured confounder distributional families.
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  • 文章类型: Journal Article
    背景:疟疾死亡率受几个因素的影响,包括气候和环境因素,干预措施,社会经济地位(SES)和获得卫生系统的机会。这里,我们利用肯尼亚西部卫生和人口监测系统(HDSS)的数据,在不同空间尺度调查了气候和非气候因素对5岁以下儿童疟疾死亡率的联合影响.
    方法:我们将贝叶斯时空(零膨胀)负二项模型拟合到按村庄尺度和HDSS内卫生设施集水区汇总的每月死亡率数据,2008年至2019年。包括一阶自回归时间和条件自回归空间过程作为随机效应,以考虑时间和空间变化。遥感气候和环境变量,蚊帐使用,SES,前往卫生设施的时间,模型中包括与水体/溪流和海拔高度的接近度,以评估它们与疟疾死亡率的关系。
    结果:降雨量增加(死亡率比率(MRR)=1.12,95%贝叶斯可信区间(BCI):1.04-1.20),归一化植被指数(MRR=1.16,95%BCI:1.06-1.28),作物覆盖率(MRR=1.17,95%BCI:1.11-1.24)和前往医院的时间(MRR=1.09,95%BCI:1.04-1.13)与死亡率增加有关,而蚊帐使用增加(MRR=0.84,95%BCI:0.70-1.00),到最近流的距离(MRR=0.89,95%BCI:0.83-0.96),SES(MRR=0.95,95%BCI:0.91-1.00)和海拔(MRR=0.86,95%BCI:0.81-0.90)与较低的死亡率相关。当在卫生设施集水区一级汇总数据时,旅行时间和SES的影响不再显着。
    结论:尽管HDSS的尺寸相对较小,疟疾死亡率存在空间差异,每年5月至6月达到峰值。疟疾死亡率的迅速下降与蚊帐有关,和更精细的空间尺度分析确定了额外的重要变量。时间和空间针对性的控制干预可能会有所帮助,当数据可用时,应考虑精细的空间尺度。
    BACKGROUND: Malaria mortality is influenced by several factors including climatic and environmental factors, interventions, socioeconomic status (SES) and access to health systems. Here, we investigated the joint effects of climatic and non-climatic factors on under-five malaria mortality at different spatial scales using data from a Health and Demographic Surveillance System (HDSS) in western Kenya.
    METHODS: We fitted Bayesian spatiotemporal (zero-inflated) negative binomial models to monthly mortality data aggregated at the village scale and over the catchment areas of the health facilities within the HDSS, between 2008 and 2019. First order autoregressive temporal and conditional autoregressive spatial processes were included as random effects to account for temporal and spatial variation. Remotely sensed climatic and environmental variables, bed net use, SES, travel time to health facilities, proximity from water bodies/streams and altitude were included in the models to assess their association with malaria mortality.
    RESULTS: Increase in rainfall (mortality rate ratio (MRR)=1.12, 95% Bayesian credible interval (BCI): 1.04-1.20), Normalized Difference Vegetation Index (MRR=1.16, 95% BCI: 1.06-1.28), crop cover (MRR=1.17, 95% BCI: 1.11-1.24) and travel time to the hospital (MRR=1.09, 95% BCI: 1.04-1.13) were associated with increased mortality, whereas increase in bed net use (MRR=0.84, 95% BCI: 0.70-1.00), distance to the nearest streams (MRR=0.89, 95% BCI: 0.83-0.96), SES (MRR=0.95, 95% BCI: 0.91-1.00) and altitude (MRR=0.86, 95% BCI: 0.81-0.90) were associated with lower mortality. The effects of travel time and SES were no longer significant when data was aggregated at the health facility catchment level.
    CONCLUSIONS: Despite the relatively small size of the HDSS, there was spatial variation in malaria mortality that peaked every May-June. The rapid decline in malaria mortality was associated with bed nets, and finer spatial scale analysis identified additional important variables. Time and spatially targeted control interventions may be helpful, and fine spatial scales should be considered when data are available.
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  • 文章类型: Journal Article
    背景:早期识别患有近视的高风险儿童对于通过引入及时的干预措施来预防近视进展至关重要。然而,数据缺失和测量误差(ME)是风险预测建模中的常见挑战,可能会在近视预测中引入偏差。
    方法:我们探索了四种填补方法来解决缺失数据和ME:单一填补(SI),随机缺失下的多重插补(MI-MAR),带校准程序的多重归因(MI-ME),以及非随机缺失下的多重填补(MI-MNAR)。我们比较了四种机器学习模型(决策树,天真的贝叶斯,随机森林,和Xgboost)和三个统计模型(逻辑回归,逐步Logistic回归,和最小绝对收缩和选择算子逻辑回归)在近视风险预测中的应用。我们将这些模型应用于上海金山近视队列研究,并进行了模拟研究,以调查缺失机制的影响,我的程度,以及预测因素对模型性能的重要性。使用接受者工作特征曲线(AUROC)和精确召回曲线下面积(AUPRC)评估模型性能。
    结果:我们的研究结果表明,在缺少数据和ME的情况下,使用MI-ME结合逻辑回归可获得最佳预测结果。在没有ME的情况下,无论缺少的机制如何,采用MI-MAR来处理丢失的数据都优于SI。当ME对预测的影响大于缺失数据时,MI-MAR的相对优势减弱,和MI-ME变得更加优越。此外,我们的结果表明,统计模型比机器学习模型表现出更好的预测性能.
    结论:MI-ME成为处理缺失数据的可靠方法,并且是早发性近视风险预测的重要预测因子。
    BACKGROUND: Early identification of children at high risk of developing myopia is essential to prevent myopia progression by introducing timely interventions. However, missing data and measurement error (ME) are common challenges in risk prediction modelling that can introduce bias in myopia prediction.
    METHODS: We explore four imputation methods to address missing data and ME: single imputation (SI), multiple imputation under missing at random (MI-MAR), multiple imputation with calibration procedure (MI-ME), and multiple imputation under missing not at random (MI-MNAR). We compare four machine-learning models (Decision Tree, Naive Bayes, Random Forest, and Xgboost) and three statistical models (logistic regression, stepwise logistic regression, and least absolute shrinkage and selection operator logistic regression) in myopia risk prediction. We apply these models to the Shanghai Jinshan Myopia Cohort Study and also conduct a simulation study to investigate the impact of missing mechanisms, the degree of ME, and the importance of predictors on model performance. Model performance is evaluated using the receiver operating characteristic curve (AUROC) and the area under the precision-recall curve (AUPRC).
    RESULTS: Our findings indicate that in scenarios with missing data and ME, using MI-ME in combination with logistic regression yields the best prediction results. In scenarios without ME, employing MI-MAR to handle missing data outperforms SI regardless of the missing mechanisms. When ME has a greater impact on prediction than missing data, the relative advantage of MI-MAR diminishes, and MI-ME becomes more superior. Furthermore, our results demonstrate that statistical models exhibit better prediction performance than machine-learning models.
    CONCLUSIONS: MI-ME emerges as a reliable method for handling missing data and ME in important predictors for early-onset myopia risk prediction.
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