PMID- 24943381 OWN - NLM STAT- MEDLINE DCOM- 20150416 LR - 20211021 IS - 1556-679X (Electronic) IS - 1556-6811 (Print) IS - 1556-679X (Linking) VI - 21 IP - 8 DP - 2014 Aug TI - Matched longitudinal analysis of biomarkers associated with survival. PG - 1145-52 LID - 10.1128/CVI.00252-14 [doi] AB - The identification of host or pathogen factors linked to clinical outcome is a common goal in many animal studies of infectious diseases. When the disease is fatal, statistical analysis of such factors may be biased from missing observations due to deaths. For example, when observations of a subject are censored before completing the intended study period, the complete trajectory will not be observed. Even if the factor is not associated with outcome, comparisons of data from survivors with those from nonsurvivors may lead to the wrong conclusions regarding associations with survival. Comparisons between subjects must account for differing observation lengths for those who survive relative to those who do not. Analyzing data over an interval common to all subjects provides one solution but requires eliminating data, some of which may be informative about the differences between groups. Here, we present a novel approach, matched longitudinal analysis (MLA), for analyzing such data based on matching biomarker intervals for survivors and nonsurvivors. We describe the results from simulation studies and from a study of monkeypox virus infection in nonhuman primates. In our application, MLA identified low monocyte chemoattractant protein-1 (MCP-1) levels as having a statistically significant association with survival, whereas the alternative methods did not identify an association. The method has general application to longitudinal studies that seek to find associations of biomarker changes with survival. CI - Copyright (c) 2014, American Society for Microbiology. All Rights Reserved. FAU - Dodd, Lori E AU - Dodd LE AD - Biostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA doddl@mail.nih.gov. FAU - Johnson, Reed F AU - Johnson RF AD - Emerging Viral Pathogens Section, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA. FAU - Blaney, Joseph E AU - Blaney JE AD - Emerging Viral Pathogens Section, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA. FAU - Follmann, Dean AU - Follmann D AD - Biostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA. LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20140618 PL - United States TA - Clin Vaccine Immunol JT - Clinical and vaccine immunology : CVI JID - 101252125 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) SB - IM MH - Animals MH - Biomarkers MH - Chemokine CCL2/*blood MH - Host-Pathogen Interactions MH - Macaca fascicularis MH - Matched-Pair Analysis MH - Monkeypox virus/*immunology MH - Poxviridae Infections/immunology/*mortality/virology PMC - PMC4135908 EDAT- 2014/06/20 06:00 MHDA- 2015/04/17 06:00 PMCR- 2015/02/01 CRDT- 2014/06/20 06:00 PHST- 2014/06/20 06:00 [entrez] PHST- 2014/06/20 06:00 [pubmed] PHST- 2015/04/17 06:00 [medline] PHST- 2015/02/01 00:00 [pmc-release] AID - CVI.00252-14 [pii] AID - 00252-14 [pii] AID - 10.1128/CVI.00252-14 [doi] PST - ppublish SO - Clin Vaccine Immunol. 2014 Aug;21(8):1145-52. doi: 10.1128/CVI.00252-14. Epub 2014 Jun 18.