Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome

For infectious diseases, characterizing symptom duration is of clinical and public health importance. Symptom duration may be assessed by surveying infected individuals and querying symptom status at the time of survey response. For example, in a SARS-CoV-2 testing program at the University of Washi...

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Autores principales: Rotnitzky, Andrea, Wolock, Charles J., Jacob, Susan, Bennett, Julia C., Elias-Warren, Anna, O’Hanlon, Jessica, Kenny, Avi, Jewell, Nicholas P., Weil, Ana A., Chu, Helen Y., Carone, Marco
Formato: info:eu-repo/semantics/preprint
Lenguaje:Inglés
Publicado: Arxiv 2024
Materias:
Acceso en línea:https://repositorio.utdt.edu/handle/20.500.13098/12888
https://doi.org/10.48550/arXiv.2407.04214
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spelling I57-R163-20.500.13098-128882024-07-12T07:00:11Z Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome Rotnitzky, Andrea Wolock, Charles J. Jacob, Susan Bennett, Julia C. Elias-Warren, Anna O’Hanlon, Jessica Kenny, Avi Jewell, Nicholas P. Weil, Ana A. Chu, Helen Y. Carone, Marco Covid-19 Statistical analysis Análisis estadístico Interval censoring Machine Learning nonparametric Survival analysis For infectious diseases, characterizing symptom duration is of clinical and public health importance. Symptom duration may be assessed by surveying infected individuals and querying symptom status at the time of survey response. For example, in a SARS-CoV-2 testing program at the University of Washington, participants were surveyed at least 28 days after testing positive and asked to report current symptom status. This study design yielded current status data: Outcome measurements for each respondent consisted only of the time of survey response and a binary indicator of whether symptoms had resolved by that time. Such study design benefits from limited risk of recall bias, but analyzing the resulting data necessitates specialized statistical tools. Here, we review methods for current status data and describe a novel application of modern nonparametric techniques to this setting. The proposed approach is valid under weaker assumptions compared to existing methods, allows use of flexible machine learning tools, and handles potential survey nonresponse. From the university study, we estimate that 19% of participants experienced ongoing symptoms 30 days after testing positive, decreasing to 7% at 90 days. Female sex, history of seasonal allergies, fatigue during acute infection, and higher viral load were associated with slower symptom resolution. Este preprint fue publicado el 05/07/2024 en Arxiv.org Se archiva en el Repositorio Digital Universidad Torcuato Di Tella para su preservarlo en el tiempo y para ayudar a su difusión. 2024-07-11T20:54:30Z 2024-07-11T20:54:30Z 2024-07-05 info:eu-repo/semantics/preprint info:eu-repo/semantics/submittedVersion https://repositorio.utdt.edu/handle/20.500.13098/12888 https://doi.org/10.48550/arXiv.2407.04214 eng info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-sa/2.5/ar/ 33 p. application/pdf application/pdf Arxiv
institution Universidad Torcuato Di Tella
institution_str I-57
repository_str R-163
collection Repositorio Digital Universidad Torcuato Di Tella
language Inglés
orig_language_str_mv eng
topic Covid-19
Statistical analysis
Análisis estadístico
Interval censoring
Machine Learning
nonparametric
Survival analysis
spellingShingle Covid-19
Statistical analysis
Análisis estadístico
Interval censoring
Machine Learning
nonparametric
Survival analysis
Rotnitzky, Andrea
Wolock, Charles J.
Jacob, Susan
Bennett, Julia C.
Elias-Warren, Anna
O’Hanlon, Jessica
Kenny, Avi
Jewell, Nicholas P.
Weil, Ana A.
Chu, Helen Y.
Carone, Marco
Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome
topic_facet Covid-19
Statistical analysis
Análisis estadístico
Interval censoring
Machine Learning
nonparametric
Survival analysis
description For infectious diseases, characterizing symptom duration is of clinical and public health importance. Symptom duration may be assessed by surveying infected individuals and querying symptom status at the time of survey response. For example, in a SARS-CoV-2 testing program at the University of Washington, participants were surveyed at least 28 days after testing positive and asked to report current symptom status. This study design yielded current status data: Outcome measurements for each respondent consisted only of the time of survey response and a binary indicator of whether symptoms had resolved by that time. Such study design benefits from limited risk of recall bias, but analyzing the resulting data necessitates specialized statistical tools. Here, we review methods for current status data and describe a novel application of modern nonparametric techniques to this setting. The proposed approach is valid under weaker assumptions compared to existing methods, allows use of flexible machine learning tools, and handles potential survey nonresponse. From the university study, we estimate that 19% of participants experienced ongoing symptoms 30 days after testing positive, decreasing to 7% at 90 days. Female sex, history of seasonal allergies, fatigue during acute infection, and higher viral load were associated with slower symptom resolution.
format info:eu-repo/semantics/preprint
submittedVersion
author Rotnitzky, Andrea
Wolock, Charles J.
Jacob, Susan
Bennett, Julia C.
Elias-Warren, Anna
O’Hanlon, Jessica
Kenny, Avi
Jewell, Nicholas P.
Weil, Ana A.
Chu, Helen Y.
Carone, Marco
author_facet Rotnitzky, Andrea
Wolock, Charles J.
Jacob, Susan
Bennett, Julia C.
Elias-Warren, Anna
O’Hanlon, Jessica
Kenny, Avi
Jewell, Nicholas P.
Weil, Ana A.
Chu, Helen Y.
Carone, Marco
author_sort Rotnitzky, Andrea
title Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome
title_short Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome
title_full Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome
title_fullStr Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome
title_full_unstemmed Investigating symptom duration using current status data: a case study of post-acute COVID-19 syndrome
title_sort investigating symptom duration using current status data: a case study of post-acute covid-19 syndrome
publisher Arxiv
publishDate 2024
url https://repositorio.utdt.edu/handle/20.500.13098/12888
https://doi.org/10.48550/arXiv.2407.04214
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