Int J Health Geogr - Lung cancer and COPD rates in Apulia: a multilevel multimember model for smoothing disease mapping.


{ spatial(1525) area(1432) region(1030) }
{ model(3404) distribut(989) bayesian(671) }
{ high(1669) rate(1365) level(1280) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(1119) effect(1106) posit(819) }
{ structur(1116) can(940) graph(676) }
{ method(1219) similar(1157) match(930) }
{ risk(3053) factor(974) diseas(938) }
{ cancer(2502) breast(956) screen(824) }
{ sampl(1606) size(1419) use(1276) }
{ patient(2837) hospit(1953) medic(668) }
{ take(945) account(800) differ(722) }
{ health(3367) inform(1360) care(1135) }
{ cost(1906) reduc(1198) effect(832) }
{ implement(1333) system(1263) develop(1122) }
{ detect(2391) sensit(1101) algorithm(908) }
{ data(3963) clinic(1234) research(1004) }
{ visual(1396) interact(850) tool(830) }
{ first(2504) two(1366) second(1323) }
{ imag(1057) registr(996) error(939) }
{ featur(3375) classif(2383) classifi(1994) }
{ studi(2440) review(1878) systemat(933) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ control(1307) perform(991) simul(935) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ research(1218) medic(880) student(794) }
{ age(1611) year(1155) adult(843) }
{ patient(1821) servic(1111) care(1106) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }


CKGROUND: If spatial representations of hospitalization rates are used, a problem of instability arises when they are calculated on small areas, owing to the small number of expected and observed cases. Aim of this study is to assess the effect of smoothing, based on the assumption that hospitalization rates, when calculated at the municipal level, may be influenced by both the neighboring municipalities and the health service organization, as well as by environmental risk factors associated with the disease under study.METHODS: To smooth rates we hypothesize that each municipality belongs to two independent hierarchical levels; at one of these levels subjects may belong to a plurality of superior hierarchical objects. Two different models, so-called Multilevel Multimembership Models, are fitted. In the first the structure of random effects was: the municipality heterogeneity, the spatial dependence of the municipalities and the local health service organization. In the second we replaced the local health service organization effect with the environmental risk effect for each municipality area.The models were applied to spatially represent the rates of hospitalization for lung cancer and chronic obstructive pulmonary disease, determined through the hospital discharge forms recorded in Apulia for the year 2006.RESULTS: The effect of smoothing was greater in smaller municipalities and in those with a more unstable Risk Adjusted Rate (RAR) due to the small number of cases and of population at risk. When a hierarchical level representing the ASL is inserted, the model fits the data better.CONCLUSION: Maps of hospitalization rates for lung cancer and chronic obstructive pulmonary disease, shaded with the rates obtained at the end of the smoothing procedure, change the visual picture of the disease distribution over the whole territory, and if detected by the model, seem to express a geographical distribution pattern in specific areas of the region. In the case of lung cancer, the models show a clear difference between RAR and smoothed RAR. The inclusion of a random effect indicating the ASL contributed to improve the graphic representation of the results, whereas the environmental risk was not found to be a better hierarchical level than the municipality for fitting of the model.

Resumo Limpo

ckground spatial represent hospit rate use problem instabl aris calcul small area owe small number expect observ case aim studi assess effect smooth base assumpt hospit rate calcul municip level may influenc neighbor municip health servic organ well environment risk factor associ diseas studymethod smooth rate hypothes municip belong two independ hierarch level one level subject may belong plural superior hierarch object two differ model socal multilevel multimembership model fit first structur random effect municip heterogen spatial depend municip local health servic organ second replac local health servic organ effect environment risk effect municip areath model appli spatial repres rate hospit lung cancer chronic obstruct pulmonari diseas determin hospit discharg form record apulia year result effect smooth greater smaller municip unstabl risk adjust rate rar due small number case popul risk hierarch level repres asl insert model fit data betterconclus map hospit rate lung cancer chronic obstruct pulmonari diseas shade rate obtain end smooth procedur chang visual pictur diseas distribut whole territori detect model seem express geograph distribut pattern specif area region case lung cancer model show clear differ rar smooth rar inclus random effect indic asl contribut improv graphic represent result wherea environment risk found better hierarch level municip fit model

Resumos Similares

Spat Spatiotemporal Epidemiol - A comparison of conditional autoregressive models used in Bayesian disease mapping. ( 0,723905750359238 )
Spat Spatiotemporal Epidemiol - Inference from ecological models: estimating the relative risk of stroke from air pollution exposure using small area data. ( 0,707451530732509 )
Int J Health Geogr - Particulate air pollution and health inequalities: a Europe-wide ecological analysis. ( 0,707223633589265 )
Int J Health Geogr - Does context matter for the relationship between deprivation and all-cause mortality? The West vs. the rest of Scotland. ( 0,691500238979358 )
Int J Health Geogr - Feasibility and utility of mapping disease risk at the neighbourhood level within a Canadian public health unit: an ecological study. ( 0,688368584561435 )
Int J Health Geogr - Retrospective space-time analysis of H5N1 Avian Influenza emergence in Thailand. ( 0,68216028155084 )
Spat Spatiotemporal Epidemiol - Adjusted significance cutoffs for hypothesis tests applied with generalized additive models with bivariate smoothers. ( 0,666867434357895 )
Int J Health Geogr - Near-present and future distribution of Anopheles albimanus in Mesoamerica and the Caribbean Basin modeled with climate and topographic data. ( 0,660957372756057 )
Int J Health Geogr - Studying relationships between environment and malaria incidence in Camopi (French Guiana) through the objective selection of buffer-based landscape characterisations. ( 0,648570754584916 )
Int J Health Geogr - Geospatial association of endemicity of ataxic polyneuropathy and highly cyanogenic cassava cultivars. ( 0,642085206730849 )
Int J Health Geogr - Spatial pattern of body mass index among adults in the diabetes study of Northern California (DISTANCE). ( 0,639393554849138 )
Int J Health Geogr - Mapping HIV clustering: a strategy for identifying populations at high risk of HIV infection in sub-Saharan Africa. ( 0,6338180422892 )
Int J Health Geogr - Data-driven inference for the spatial scan statistic. ( 0,629175399520423 )
Spat Spatiotemporal Epidemiol - Violent crime in San Antonio, Texas: an application of spatial epidemiological methods. ( 0,627723844751896 )
Int J Health Geogr - Spatial patterns of fetal loss and infant death in an arsenic-affected area in Bangladesh. ( 0,626175178020397 )
Int J Health Geogr - Modelling environmental factors correlated with podoconiosis: a geospatial study of non-filarial elephantiasis. ( 0,620716720668197 )
Int J Health Geogr - A spatial approach for the epidemiology of antibiotic use and resistance in community-based studies: the emergence of urban clusters of Escherichia coli quinolone resistance in Sao Paulo, Brasil. ( 0,620640078081589 )
Int J Health Geogr - Ecological niche modelling of Hemipteran insects in Cameroon; the paradox of a vector-borne transmission for Mycobacterium ulcerans, the causative agent of Buruli ulcer. ( 0,618260166055168 )
Int J Health Geogr - Developing the atlas of cancer in Queensland: methodological issues. ( 0,616543777052906 )
Int J Health Geogr - A country bug in the city: urban infestation by the Chagas disease vector Triatoma infestans in Arequipa, Peru. ( 0,612519383115498 )
Int J Health Geogr - Diarrheal disease risk in rural Bangladesh decreases as tubewell density increases: a zero-inflated and geographically weighted analysis. ( 0,607859143097452 )
Int J Health Geogr - Spatial-explicit modeling of social vulnerability to malaria in East Africa. ( 0,607372344082038 )
Int J Health Geogr - Modeling the spatial distribution of Chagas disease vectors using environmental variables and people?s knowledge. ( 0,603140136666889 )
Spat Spatiotemporal Epidemiol - Analysis of spatial variations in the effectiveness of graduated driver's licensing (GDL) program in the state of Michigan. ( 0,602746374418478 )
Int J Health Geogr - Geographical variation of Crohn's disease residual incidence in the Province of Quebec, Canada. ( 0,601209513096944 )
Neural Comput - Optimal population codes for space: grid cells outperform place cells. ( 0,600541863479271 )
Int J Health Geogr - Analyzing spatial aggregation error in statistical models of late-stage cancer risk: a Monte Carlo simulation approach. ( 0,600132762717222 )
Spat Spatiotemporal Epidemiol - Neighborhood geographic disparities in heart attack and stroke mortality: comparison of global and local modeling approaches. ( 0,59535449788232 )
J Med Syst - A small-area study of environmental risk assessment of outdoor falls. ( 0,595160856926039 )
J Integr Bioinform - Inter-dinucleotide distances in the human genome: an analysis of the whole-genome and protein-coding distributions. ( 0,593144585868427 )
Int J Health Geogr - Density estimation and adaptive bandwidths: a primer for public health practitioners. ( 0,591156828881204 )
Spat Spatiotemporal Epidemiol - Multilevel spatiotemporal change-point models for evaluating the effect of an alcohol outlet control policy on changes in neighborhood assaultive violence rates. ( 0,589877094511238 )
Int J Health Geogr - The effects of local street network characteristics on the positional accuracy of automated geocoding for geographic health studies. ( 0,58984027321941 )
Spat Spatiotemporal Epidemiol - When are fetuses and young children most susceptible to soil metal concentrations of arsenic, lead and mercury? ( 0,587440205540951 )
Spat Spatiotemporal Epidemiol - A space-time point process model for analyzing and predicting case patterns of diarrheal disease in northwestern Ecuador. ( 0,587345276716432 )
Int J Health Geogr - Identifying landscape features associated with Rift Valley fever virus transmission, Ferlo region, Senegal, using very high spatial resolution satellite imagery. ( 0,586319471878963 )
Spat Spatiotemporal Epidemiol - Foot and mouth disease revisited: re-analysis using Bayesian spatial susceptible-infectious-removed models. ( 0,583217800709436 )
Int J Health Geogr - Enhancing spatial detection accuracy for syndromic surveillance with street level incidence data. ( 0,582568720858944 )
Spat Spatiotemporal Epidemiol - The rubber plantation environment and Lassa fever epidemics in Liberia, 2008-2012: a spatial regression. ( 0,582194017562023 )
Spat Spatiotemporal Epidemiol - Multivariate Bayesian spatial model of preterm birth and cardiovascular disease among Georgia women: Evidence for life course social determinants of health. ( 0,581786174009194 )
Spat Spatiotemporal Epidemiol - Spatial path models with multiple indicators and multiple causes: mental health in US counties. ( 0,575049596192021 )
Int J Health Geogr - Urban sprawl, obesity, and cancer mortality in the United States: cross-sectional analysis and methodological challenges. ( 0,575010688909154 )
Int J Health Geogr - Mapping amyotrophic lateral sclerosis lake risk factors across northern New England. ( 0,574742232329072 )
Spat Spatiotemporal Epidemiol - A Bayesian space-time model for discrete spread processes on a lattice. ( 0,573821478572464 )
Int J Health Geogr - Hand, foot and mouth disease: spatiotemporal transmission and climate. ( 0,573095096120603 )
Int J Health Geogr - Analysis of matched geographical areas to study potential links between environmental exposure to oil refineries and non-Hodgkin lymphoma mortality in Spain. ( 0,571420462891995 )
Spat Spatiotemporal Epidemiol - Spatial patterns of human papillomavirus-associated cancers within the state of Minnesota, 1998-2007. ( 0,570664373468445 )
Spat Spatiotemporal Epidemiol - Racial residential segregation impacts on low birth weight using improved neighborhood boundary definitions. ( 0,569900709689386 )
Int J Health Geogr - Alcohol outlets and clusters of violence. ( 0,566793223797439 )
Int J Health Geogr - Terra and Aqua satellites track tiger mosquito invasion: modelling the potential distribution of Aedes albopictus in north-eastern Italy. ( 0,565368249390639 )
Spat Spatiotemporal Epidemiol - Spatio-temporal modeling of sparse geostatistical malaria sporozoite rate data using a zero inflated binomial model. ( 0,564195097275572 )
Int J Health Geogr - A geographic analysis of population density thresholds in the influenza pandemic of 1918-19. ( 0,563054926467302 )
Int J Health Geogr - Including the urban heat island in spatial heat health risk assessment strategies: a case study for Birmingham, UK. ( 0,560654871596762 )
Geospat Health - Redefining climate regions in the United States of America using satellite remote sensing and machine learning for public health applications. ( 0,559393030576772 )
Int J Health Geogr - The effect of spatial aggregation on performance when mapping a risk of disease. ( 0,558297704126722 )
Int J Health Geogr - Permitted water pollution discharges and population cancer and non-cancer mortality: toxicity weights and upstream discharge effects in US rural-urban areas. ( 0,558037901953955 )
Spat Spatiotemporal Epidemiol - Spatio-temporal modeling of the African swine fever epidemic in the Russian Federation, 2007-2012. ( 0,557922558429243 )
Spat Spatiotemporal Epidemiol - Statistical methods for bivariate spatial analysis in marked points. Examples in spatial epidemiology. ( 0,557458965695642 )
Spat Spatiotemporal Epidemiol - Spatial approximations of network-based individual level infectious disease models. ( 0,557184789718942 )
Int J Health Geogr - Highways and outposts: economic development and health threats in the central Brazilian Amazon region. ( 0,555682733330705 )
Spat Spatiotemporal Epidemiol - Risk factor modelling of the spatio-temporal patterns of highly pathogenic avian influenza (HPAIV) H5N1: a review. ( 0,553974306889755 )
Int J Health Geogr - Nonparametric intensity bounds for the delineation of spatial clusters. ( 0,553661007567581 )
Int J Health Geogr - Geospatial examination of lithium in drinking water and suicide mortality. ( 0,55231384583031 )
Int J Health Geogr - Detecting cancer clusters in a regional population with local cluster tests and Bayesian smoothing methods: a simulation study. ( 0,552182349772303 )
Int J Health Geogr - Outdoor air pollution, subtypes and severity of ischemic stroke--a small-area level ecological study. ( 0,551378911474409 )
Med Decis Making - Modeling and calibration for exposure to time-varying, modifiable risk factors: the example of smoking behavior in India. ( 0,55076761217764 )
Int J Health Geogr - Spatial distribution and cluster analysis of sexual risk behaviors reported by young men in Kisumu, Kenya. ( 0,549997989123557 )
Spat Spatiotemporal Epidemiol - Measuring the spatial accuracy of the spatial scan statistic. ( 0,54990597774874 )
Int J Health Geogr - Adjusting for sampling variability in sparse data: geostatistical approaches to disease mapping. ( 0,549722878705002 )
Med Decis Making - Measuring risk perceptions: what does the excessive use of 50% mean? ( 0,54879877710685 )
Spat Spatiotemporal Epidemiol - Quantifying the magnitude of environmental exposure misclassification when using imprecise address proxies in public health research. ( 0,547794196043547 )
BMC Med Inform Decis Mak - Medical practices display power law behaviors similar to spoken languages. ( 0,54616835066249 )
Int J Health Geogr - A high resolution spatial population database of Somalia for disease risk mapping. ( 0,54499547765118 )
Comput Biol Chem - Evidence of a cancer type-specific distribution for consecutive somatic mutation distances. ( 0,544642239032644 )
Int J Health Geogr - Schistosomiasis transmission and environmental change: a spatio-temporal analysis in Porto de Galinhas, Pernambuco--Brazil. ( 0,543808451181745 )
Int J Health Geogr - The spatial distribution of esophageal and gastric cancer in Caspian region of Iran: an ecological analysis of diet and socio-economic influences. ( 0,543492868664034 )
Int J Health Geogr - Spatial epidemiology of eastern equine encephalitis in Florida. ( 0,543331046623207 )
Int J Health Geogr - Relevance of the type III error in epidemiological maps. ( 0,541640862409472 )
Int J Health Geogr - An ecological study on childhood autism. ( 0,540781580164041 )
Int J Health Geogr - Socioeconomic determinants of geographic disparities in campylobacteriosis risk: a comparison of global and local modeling approaches. ( 0,540010398014348 )
Spat Spatiotemporal Epidemiol - Spatio-temporal epidemiology: principles and opportunities. ( 0,539290564142785 )
Int J Health Geogr - A probabilistic sampling method (PSM) for estimating geographic distance to health services when only the region of residence is known. ( 0,538457626222145 )
Int J Health Geogr - The road most travelled: the geographic distribution of road traffic injuries in England. ( 0,537845561491133 )
Spat Spatiotemporal Epidemiol - State transition detection in the spatio-temporal incidence of malaria. ( 0,536605598131037 )
Spat Spatiotemporal Epidemiol - An examination of five spatial disease clustering methodologies for the identification of childhood cancer clusters in Alberta, Canada. ( 0,536063182890867 )
Spat Spatiotemporal Epidemiol - The built environment and depressive symptoms among urban youth: A spatial regression study. ( 0,535842937529914 )
Int J Health Geogr - Mapping heatwave health risk at the community level for public health action. ( 0,535668515913301 )
Methods Inf Med - Location tests for biomarker studies: a comparison using simulations for the two-sample case. ( 0,534328593196214 )
Comput Methods Programs Biomed - Anticipating the next meal using meal behavioral profiles: a hybrid model-based stochastic predictive control algorithm for T1DM. ( 0,533970904599434 )
Int J Health Geogr - Racial differences in the built environment--body mass index relationship? A geospatial analysis of adolescents in urban neighborhoods. ( 0,53343349170489 )
Int J Health Geogr - Using GPS-derived speed patterns for recognition of transport modes in adults. ( 0,533423664794156 )
Res Synth Methods - A Bayesian nonparametric meta-analysis model. ( 0,531758296243724 )
Spat Spatiotemporal Epidemiol - Real geographies and virtual landscapes: exploring the influence on place and space on mortality Lexis surfaces using shaded contour maps. ( 0,53148719844571 )
Int J Health Geogr - Demarcation of local neighborhoods to study relations between contextual factors and health. ( 0,530622961199028 )
Int J Health Geogr - Missing in space: an evaluation of imputation methods for missing data in spatial analysis of risk factors for type II diabetes. ( 0,529848626709604 )
Spat Spatiotemporal Epidemiol - Spatial and statistical methodologies to determine the distribution of dengue in Brazilian municipalities and relate incidence with the Health Vulnerability Index. ( 0,528567362011178 )
Spat Spatiotemporal Epidemiol - Clusters of maternal depressive symptoms in South Western Sydney, Australia. ( 0,525889292386408 )
Int J Health Geogr - Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study. ( 0,525749727924586 )
Int J Health Geogr - Performance map of a cluster detection test using extended power. ( 0,524981234622928 )
Int J Health Geogr - Modeling spatial accessibility to parks: a national study. ( 0,524883268810892 )