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DLMM as a lossless one-shot algorithm for collaborative multi-site distributed linear mixed models

Author

Listed:
  • Chongliang Luo

    (University of Pennsylvania
    Washington University School of Medicine in St. Louis)

  • Md. Nazmul Islam

    (Optum Labs)

  • Natalie E. Sheils

    (Optum Labs)

  • John Buresh

    (Optum Labs)

  • Jenna Reps

    (Janssen Research and Development LLC)

  • Martijn J. Schuemie

    (Janssen Research and Development LLC)

  • Patrick B. Ryan

    (Janssen Research and Development LLC)

  • Mackenzie Edmondson

    (University of Pennsylvania)

  • Rui Duan

    (University of Pennsylvania
    Harvard T.H. Chan School of Public Health)

  • Jiayi Tong

    (University of Pennsylvania)

  • Arielle Marks-Anglin

    (University of Pennsylvania)

  • Jiang Bian

    (University of Florida)

  • Zhaoyi Chen

    (University of Florida)

  • Talita Duarte-Salles

    (Fundacio Institut Universitari per a la recerca a l’Atencio Primaria de Salut Jordi Gol i Gurina (IDIAPJGol))

  • Sergio Fernández-Bertolín

    (Fundacio Institut Universitari per a la recerca a l’Atencio Primaria de Salut Jordi Gol i Gurina (IDIAPJGol))

  • Thomas Falconer

    (Columbia University)

  • Chungsoo Kim

    (Ajou University Graduate School of Medicine)

  • Rae Woong Park

    (Ajou University Graduate School of Medicine
    Ajou University School of Medicine)

  • Stephen R. Pfohl

    (Stanford Center for Biomedical Informatics Research)

  • Nigam H. Shah

    (Stanford Center for Biomedical Informatics Research)

  • Andrew E. Williams

    (Tufts University School of Medicine)

  • Hua Xu

    (The University of Texas Health Science Center at Houston)

  • Yujia Zhou

    (The University of Texas Health Science Center at Houston)

  • Ebbing Lautenbach

    (University of Pennsylvania
    University of Pennsylvania
    University of Pennsylvania)

  • Jalpa A. Doshi

    (University of Pennsylvania
    Leonard Davis Institute of Health Economics)

  • Rachel M. Werner

    (University of Pennsylvania
    Leonard Davis Institute of Health Economics
    Cpl Michael J Crescenz VA Medical Center)

  • David A. Asch

    (University of Pennsylvania
    Leonard Davis Institute of Health Economics)

  • Yong Chen

    (University of Pennsylvania)

Abstract

Linear mixed models are commonly used in healthcare-based association analyses for analyzing multi-site data with heterogeneous site-specific random effects. Due to regulations for protecting patients’ privacy, sensitive individual patient data (IPD) typically cannot be shared across sites. We propose an algorithm for fitting distributed linear mixed models (DLMMs) without sharing IPD across sites. This algorithm achieves results identical to those achieved using pooled IPD from multiple sites (i.e., the same effect size and standard error estimates), hence demonstrating the lossless property. The algorithm requires each site to contribute minimal aggregated data in only one round of communication. We demonstrate the lossless property of the proposed DLMM algorithm by investigating the associations between demographic and clinical characteristics and length of hospital stay in COVID-19 patients using administrative claims from the UnitedHealth Group Clinical Discovery Database. We extend this association study by incorporating 120,609 COVID-19 patients from 11 collaborative data sources worldwide.

Suggested Citation

  • Chongliang Luo & Md. Nazmul Islam & Natalie E. Sheils & John Buresh & Jenna Reps & Martijn J. Schuemie & Patrick B. Ryan & Mackenzie Edmondson & Rui Duan & Jiayi Tong & Arielle Marks-Anglin & Jiang Bi, 2022. "DLMM as a lossless one-shot algorithm for collaborative multi-site distributed linear mixed models," Nature Communications, Nature, vol. 13(1), pages 1-10, December.
  • Handle: RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-022-29160-4
    DOI: 10.1038/s41467-022-29160-4
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    References listed on IDEAS

    as
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