Models for measuring anthelmintic drug efficacy for parasitologists

被引:19
作者
Walker, Martin [1 ]
Churcher, Thomas S. [1 ]
Basanez, Maria-Gloria [1 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Fac Med, Sch Publ Hlth, London Ctr Neglected Trop Dis Res,Dept Infect Dis, London W2 1PG, England
基金
英国医学研究理事会;
关键词
marginal models; mixed models; mass drug administration; longitudinal data; hookworm; albendazole; COUNT REDUCTION TEST; FECAL EGG COUNTS; SOIL-TRANSMITTED HELMINTHS; LONGITUDINAL DATA-ANALYSIS; LINEAR MIXED MODELS; SCHISTOSOMA-MANSONI; STRONGYLE PARASITES; TRICHURIS-TRICHIURA; HOOKWORM INFECTION; RESISTANCE;
D O I
10.1016/j.pt.2014.08.004
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Anthelmintic drug efficacy (ADE) is generally estimated as a population average effect, despite drug responses varying among individuals according to a variety of measurable and non-measurable factors. Model-based and/or individual-level analyses are scarce and often methodologically frail. We propose that wider application of marginal and mixed models would offer benefits to the evaluation of ADE. We demonstrate, with a worked example, how model-based analyses: (i) capture the effects of correlation among hierarchically structured longitudinal data on estimates of ADE; (ii) permit robust inference on the association of measurable factors with ADE; and WO enable estimation of variation among individual-level estimates of ADE. The application of modelling approaches is discussed in the context of mass drug administration-based control of human helminthiases.
引用
收藏
页码:528 / 537
页数:10
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