ABSTRACT
Longitudinal changes in a population of interest are often heterogeneous and influenced by a combination of baseline factors. In such cases, classical linear mixed effects models [Laird NM, Ware JH. Random-effects models for longitudinal data. Biometrics. 1982;38:963–974.] for the mean structure provide poor fit to the data. We propose regression tree methodology for the longitudinal data identifying and characterizing homogeneous subgroups. Currently available regression tree construction methods are either limited to a repeated measures scenario or combine the heterogeneity among subgroups with the random inter-subject variability. We propose a longitudinal classification and regression tree (LongCART) algorithm under conditional inference framework that overcomes these limitations utilizing a two-step approach. The LongCART first selects the partitioning variable via a parameter instability test and then finds the optimal split for the selected partitioning variable. Thus, at each node, the decision of further splitting is type I error controlled, guarding against variable selection bias, over-fitting and spurious splitting. We obtained asymptotic results for the proposed instability test and examined its finite sample behavior through simulation studies. Comparative performance of LongCART algorithm was evaluated empirically via simulation studies. Finally, we applied LongCART to study the longitudinal changes in choline levels among HIV-positive patients.
Disclosure statement
No potential conflict of interest was reported by the authors.
ORCID
Madan Gopal Kundu http://orcid.org/0000-0001-6616-5762
Jaroslaw Harezlak http://orcid.org/0000-0002-3070-7686
Additional information
Funding
Notes on contributors
Madan Gopal Kundu
Madan Gopal Kundu is a Manager in the Data and Statistical Sciences (DSS) at AbbVie in Chicago, IL, USA.
Jaroslaw Harezlak
Jaroslaw Harezlak is a Professor at the Department of Epidemiology and Biostatistics, Indiana University School of Public Health, Bloomington, IN, USA.