• 한국조사연구학회지:조사연구
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• 제10권1호
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• pp.169-186
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• 2009

본 연구는 사회조사에서 무응답으로 인한 편향을 축소하는 방안으로 성향점수를 이용하는 방법과 사례를 설명하기 위해서 성향점수 방법의 이론적인 개념과 배경을 정리하였다. 또한 성향점수 방법을 처음으로 적용한 역학적인 관찰연구에서 성향점수 모형의 정의와 이론적 배경을 살펴보았고 추정에서 편향의 축소방법으로 이용되는 가지 성향점수 방법을 정리하였다. 성향점수로 짝짓기는 통제그룹의 데이터가 상대적으로 많을 경우에 이용되고 부차분류법은 통제그룹의 모든 데이터를 이용할 수 있으며 회귀모형을 이용한 보정은 다중공변량에서도 사용할 수 있을 뿐만 아니라 각 관찰단위에 성향점수 값을 산출하여 사용할 수 있는 특징이 있다. 그리고 사회여론조사에서 항목무응답으로 인한 편향을 축소하는 데 성향점수 가중법을 적용하는 절차를 제안하고 기존의 데이터를 이용하여 실제 적용에 대한 가능성을 검토하였다.

• 응용통계연구
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• 제36권4호
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• pp.323-335
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• 2023

고차원 데이터의 인과 추론에서 고차원 공변량의 차원을 축소하고 적절히 변형하여 처리와 잠재 결과에 영향을 줄 수 있는 교란을 통제하는 것은 중요한 문제이다. 평균 처리 효과(average treatment effect; ATE) 추정에 있어서, 성향점수와 결과 모형 추정을 이용한 확장된 역확률 가중치 방법이 주로 사용된다. 고차원 데이터의 분석시 모든 공변량을 포함한 모수 모형을 이용하여 성향 점수와 결과 모형 추정을 할 경우, ATE 추정량이 일치성을 갖지 않거나 추정량의 분산이 큰 값을 가질 수 있다. 이런 이유로 고차원 데이터에 대한 적절한 차원 축소 방법과 준모수 모형을 이용한 ATE 방법이 주목 받고 있다. 이와 관련된 연구로는 차원 축소부분에 준모수 모형과 희소 충분 차원 축소 방법을 활용한 연구가 있다. 최근에는 성향점수와 결과 모형을 추정하지 않고, 차원 축소 후 매칭을 활용한 ATE 추정 방법도 제시되었다. 고차원 데이터의 ATE 추정 방법연구 중 최근에 제시된 네 가지 연구에 대해 소개하고, 추정치 해석시 유의할 점에 대하여 논하기로 한다.

• Communications for Statistical Applications and Methods
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• 제17권1호
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• pp.55-66
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• 2010

본 연구에서는 2007년에 실시한 17대 대통령 선거를 위한 NI Korea의 인터넷 패널조사와 KBS의 대선 패널 전화여론조사 결과를 토대로 인터넷조사와 전화조사의 차이를 비교하고, 인터넷조사의 활용 가능성을 검토해 보고자 한다. 인터넷조사는 조사대상자가 인터넷 사용자로 제한됨에 따라 발생하는 포함오차와 조사 참여 의사를 갖는 사람들만을 조사에 참여시킴으로써 발생하는 선택편향 등으로 인해 흔히 표본의 대표성이 문제점으로 지적되고 있다. 이런 문제점을 해결하기 위해 인터넷 사용자 표본이 전체 유권자 표본을 설명 할 수 있도록 성향점수(Propensity score)를 사용하여 가중치를 보정하는 방안을 제시한다. 17대 대선 자료를 기초로 한 사례분석을 통해, 적절한 성향점수보정 기법을 적용하는 경우 인터넷조사를 선거예측에 활용하는것이 가능하다는 결론을 얻을 수 있었다.

• Communications for Statistical Applications and Methods
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• 제27권6호
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• pp.675-688
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• 2020

In survival analysis of observational data, the inverse probability weighting method and the Cox proportional hazards model are widely used when estimating the causal effects of multiple-valued treatment. In this paper, the two kinds of weights have been examined in the inverse probability weighting method. We explain the reason why the stabilized weight is more appropriate when an inverse probability weighting method using the generalized propensity score is applied. We also emphasize that a marginal hazard ratio and the conditional hazard ratio should be distinguished when defining the hazard ratio as a treatment effect under the Cox proportional hazards model. A simulation study based on real data is conducted to provide concrete numerical evidence.

• 한국간담췌외과학회지
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• 제27권1호
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• pp.87-94
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• 2023

Backgrounds/Aims: Central pancreatectomy (CP) is associated with a higher rate of postoperative pancreatic fistula (POPF), and it is less preferred over distal pancreatectomy (DP). We compared the short- and long-term outcomes between CP and DP for low-grade pancreatic neck and body tumors. Methods: This was a propensity score-matched case-control study of patients who underwent either CP or DP for low-grade pancreatic neck and body tumors from 2003 to 2020 in a tertiary care unit in southern India. Patients with a tumor >10 cm or a distal residual stump length of <4 cm were excluded. Demographics, clinical profile, intraoperative and postoperative parameters, and the long-term postoperative outcomes for exocrine and endocrine insufficiency, weight gain, and the 36-Item Short Form Survey (SF-36) quality of life questionnaire were compared. Results: Eighty-eight patients (CP: n=37 [cases], DP: n=51 [control]) were included in the unmatched group after excluding 21 patients (meeting exclusion criteria). After matching, both groups had 37 patients. The clinical and demographic profiles were comparable between the two groups. Blood loss and POPF rates were significantly higher in the CP group. However, Clavien-Dindo grades of complications were similar between the two groups (p = 0.27). At a median follow-up of 38 months (range = 187 months), exocrine sufficiency was similar between the two groups. Endocrine sufficiency, weight gain, SF-36 pain control score, and general health score were significantly better in the CP group. Conclusions: Despite equivalent clinically significant morbidities, long-term outcomes are better after CP compared to DP in low-grade pancreatic body tumors.

• 응용통계연구
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• 제36권6호
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• pp.547-559
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• 2023

표본조사에서 무응답의 적절한 처리는 추정의 정확성을 향상한다. 결측 메카니즘이 MCAR (missing completely at random) 또는 MAR (missing at random)인 경우에서는 이를 적절히 처리할 수 있는 다양한 방법이 연구되었다. 무응답이 발생하였을 때 사용하는 평균 추정량으로 흔히 성향점수보정 추정량이 사용되며 MAR 또는 MCAR 무응답인 경우, 알려진 표본 가중치와 타당한 방법으로 추정된 응답확률을 사용할 수 있으므로 성향점수보정 추정량은 불편추정량이 된다. 그러나 관심변수 값에 영향을 받는 무응답인 MNAR (missing not at random) 무응답에서는 정확한 응답확률을 구하는 것이 어려워 성향점수보정 추정량에 편향이 발생할 수 있다. Chung과 Shin (2017, 2022)은 무정보적 표본설계에서 MNAR 무응답이 발생하였을 때 평균 추정의 정확성을 향상하는 방법으로 단일 사후층화 방법을 제안하였다. 본 연구에서는 정보적 표본설계를 사용하고, MNAR 무응답이 발생한 경우에서 나이브 성향점수보정 추정량의 정확성 향상을 위한 이중 사후층화 방법을 제안하였다. 또한, 모의실험을 통해 제안된 방법의 우수성을 확인하였다.

• 대한한의학회지
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• 제43권3호
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• pp.65-78
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• 2022

Objectives: The purpose of this study is to analyze the weight loss and the adverse events of overweight and obese adults on weight loss program with face-to-face treatment (FTF) and non-face-to-face treatment (NFTF) in 6 Korean Medicine obesity clinics. Methods: From March 2nd to March 10th, 2021, we collected data with a retrospective way from overweight and obese adults (body mass index, BMI≥23 kg/m²) who registered for a 12-week Gamitaeeumjowi-tang prescription program. After matching initial information of the FTF group and the NFTF group using propensity matching score, weight loss and BMI change were analyzed, and adverse events were evaluated in terms of causality, severity and system-organ classes. Results: Weight and BMI change from baseline to 12 weeks was -7.98±3.09kg (10.41±3.57%), -3.03±1.14kg/m² and -7.30±3.11kg (9.59±3.45%), -2.76±1.15kg/m² for FTF group and NFTF group, respectively. Body weight and BMI significantly decreased before and after treatment in both groups, and there was no significant difference in weight loss and BMI change between the two groups. No serious adverse events were reported. Conclusions: This study showed the potential that NFTF weight management treatment could be a good alternative way to FTF weight management treatment without serious adverse events.

• Kidney Research and Clinical Practice
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• 제37권4호
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• pp.393-403
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• 2018

Background: This study compared nutritional parameters in hemodialysis (HD) subjects and controls using bioimpedance analysis (BIA) and investigated how BIA components changed before and after HD. Methods: This cross-sectional study included 147 subjects on maintenance HD from two hospitals and 298 propensity score-matched controls from one healthcare center. BIA was performed pre- and post-HD at mid-week dialysis sessions. Results: Extracellular water/total body water (ECW/TBW) and waist-hip ratio were higher in the HD patients; the other variables were higher in the control group. The cardiothoracic ratio correlated best with overhydration (r = 0.425, P < 0.01) in HD subjects. Blood pressure, hemoglobin, creatinine, and uric acid positively correlated with the lean tissue index in controls; however, most of these nutritional markers did not show significant correlations in HD subjects. Normal hydrated weight was predicted to be higher in the pre-HD than post-HD measurements. Predicted ultrafiltration (UF) volume difference based on pre- and post-HD ECW/TBW and measured UF volume difference showed a close correlation ($r^2=0.924$, P < 0.01). Remarkably, the leg phase angle increased in the post-HD period. Conclusion: The estimated normal hydrated weight using ECW/TBW can be a good marker for determining dry weight. HD subjects had higher ECW/TBW but most nutritional indices were inferior to those of controls. It was possible to predict UF volume differences using BIA, but the post-HD increase in leg phase angle, a nutritional marker, must be interpreted with caution.

• Kidney Research and Clinical Practice
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• 제37권4호
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• pp.356-365
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• 2018

Background: Woman kidney donors face obstetric complication risks after kidney donation, such as gestational hypertension and preeclampsia. Studies on childbirth-related complications among Asian women donors are scarce. Methods: This retrospective cohort study included woman donors aged 45 years or younger at the time of kidney donation in a single tertiary hospital between 1985 and 2014. Pregnancy associated complications were investigated using medical records and telephone questionnaires for 426 pregnancies among 225 donors. Matched non-donor controls were selected by propensity score and the maternal and fetal outcomes were compared with those of donors. Primary outcomes were differences in maternal complications, and secondary outcomes were fetal outcomes in pregnancies of the donor and control groups. Results: A total of 56 cases had post-donation pregnancies. The post-donation pregnancies group was younger at the time of donation and older at the time of delivery than the pre-donation pregnancies group, and there were no differences in primary outcomes between the groups except the proportion receiving cesarean section. Comparison of the complication risk between post-donation pregnancies and non-donor matched controls showed no significant differences in gestational hypertension, preeclampsia, or composite outcomes after propensity score matching including age at delivery, era at pregnancy, systolic blood pressure, body weight, and estimated glomerular filtration ratio (odds ratio, 0.63; 95% confidence interval, 0.19-2.14; P = 0.724). Conclusion: This study revealed that maternal and fetal outcomes between woman kidney donors and non-donor matched controls were comparable. Studies with general population pregnancy controls are warranted to compare pregnancy outcomes for donors.

• 대한지역사회영양학회지
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• 제19권6호
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• pp.513-526
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• 2014

Objectives: This study was conducted to investigate the effect of low sodium diet education program on dietary habits, diet quality, and measures of obesity in overweight or obese middle-aged women. Methods: Subjects were 81 individuals aged 45 years or over, who completed an 8-week nutrition education. The subjects were divided into a normal group (N = 30) and an overweight-obese group (N = 51) according to the BMI. The effects were evaluated by anthropometric measurement, biochemical analysis, questionnaire, and diet records before and after the program. Results: Overweight-obese group showed significant decreases in weight (p < 0.0001), BMI (p < 0.0001), percent of body fat (p = 0.0087), waist circumference (p < 0.0001), systolic (p = 0.0003) and diastolic blood pressure (p = 0.0261). Nutrients intakes were not different between the two groups and only sodium intake was decreased after education. Total score of general dietary habits, dietary behavior related to sodium intake, dietary diversity score (DDS), diet variety score (DVS), and diet quality index-international (DQI-I) were improved in both groups compared to the baseline. Overweight-obese group showed significant improvement in 'having fruits everyday', 'having fish everyday', 'trying to eat many kinds of food', 'eating less broth when eating soup, stew, and noodles', 'eating less kimchi and salt-fermented vegetable', and 'propensity to think that dishes should be pretty seasoned'. In addition, moderation of empty calories food (p = 0.0064) and macronutrient ratio (p = 0.0004) were improved in the overweigh-obese group, but in the normal group, the results did not reach statistical significance. Conclusions: These results suggested that low sodium diet education program may contribute to obesity management by improving diet quality and dietary habits in middle-aged women.