TY - JOUR PY - 2014// TI - Variable selection on large case-crossover data: Application to a registry-based study of prescription drugs and road traffic crashes JO - Pharmacoepidemiology and drug safety A1 - Avalos, Marta A1 - Orriols, Ludivine A1 - Pouyes, Hélène A1 - Grandvalet, Yves A1 - Thiessard, Frantz A1 - Lagarde, Emmanuel SP - 140 EP - 151 VL - 23 IS - 2 N2 - PURPOSE: In exploratory analyses of pharmacoepidemiological data from large populations with large number of exposures, both a conceptual and computational problem is how to screen hypotheses using probabilistic reasoning, selecting drug classes or individual drugs that most warrant further hypothesis testing. METHODS: We report the use of a shrinkage technique, the Lasso, in the exploratory analysis of the data on prescription drugs and road traffic crashes, resulting from the case-crossover matched-pair interval approach described by Orriols and colleagues (PLoS Med 2010; 7:e1000366). To prevent false-positive results, we consider a bootstrap-enhanced version of the Lasso. To highlight the most stable results, we extensively examine sensitivity to the choice of referent window. RESULTS: Antiepileptics, benzodiazepine hypnotics, anxiolytics, antidepressants, antithrombotic agents, mineral supplements, drugs used in diabetes, antiparkinsonian treatment, and several cardiovascular drugs showed suspected associations with road traffic accident involvement or accident responsibility. CONCLUSION: These results, in relation to other findings in the literature, provide new insight and may generate new hypotheses on the association between prescription drugs use and impaired driving ability. Copyright © 2013 John Wiley & Sons, Ltd.

Language: en

LA - en SN - 1053-8569 UR - http://dx.doi.org/10.1002/pds.3539 ID - ref1 ER -