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The reporting of parameters of distributions in the epidemiological literature is varied. In some instances the parameters themselves will be given, in others, summary statistics of the distribution are provided, such as mean, standard deviation, variance, among others.

When working with epidemiological parameters it can be useful to have the values of the parameters for common parameterisations of the distribution. For example, shape and scale parameters for the gamma and Weibull distribution, and the meanlog and sdlog parameters for the lognormal distribution.

In {epiparameter} we provide a range of conversion and extraction functions in order to obtain distribution parameters from summary statistics and vice versa.

Here we differentiate between conversion and extraction as what can be analytically converted, as conversions, and those that require optimisation as extraction. This vignette aims to describe the functionality of these conversions and extractions provided by the {epiparameter} package.

Conversion versus extraction

Use conversion when possible over extraction to avoid possible limitations associated with numerical optimisation used in the extraction function extract_param().

Conversions

There are two conversion functions in {epiparameter}: convert_params_to_summary_stats() and convert_summary_stats_to_params(). convert_params_to_summary_stats() converts one set of statistical distribution parameters to common summary statistics, and convert_summary_stats_to_params() converts summary statistics to a set of parameters.

Conversion functions

The conversion functions can take two types of inputs as the first argument: a character string of the distribution or an <epiparameter> object.

The conversion functions have two arguments. The first (x) defines which distribution you want to use and the second (...) lets you put as many named parameters or summary statistics as required. The arguments passed into ... are matched by name, and therefore need to match exactly to the names expected. See the function documentation (?convert_params_to_summary_stats and ?convert_summary_stats_to_params for names). In the case that an <epiparameter> object is supplied, if it has the parameters or summary statistics required for conversion then nothing needs to be given as extra arguments (i.e. ...).

All currently supported summary statistic conversions in {epiparameter} are given below for each distribution.

Gamma distribution

Using a character string to name distribution

convert_params_to_summary_stats("gamma", shape = 2.5, scale = 1.5)
#> $mean
#> [1] 3.75
#> 
#> $median
#> [1] 1.450487
#> 
#> $mode
#> [1] 2.25
#> 
#> $var
#> [1] 5.625
#> 
#> $sd
#> [1] 2.371708
#> 
#> $cv
#> [1] 0.6324555
#> 
#> $skewness
#> [1] 1.264911
#> 
#> $ex_kurtosis
#> [1] 2.4
convert_summary_stats_to_params("gamma", mean = 2, sd = 2)
#> $shape
#> [1] 1
#> 
#> $scale
#> [1] 2
convert_summary_stats_to_params("gamma", mean = 2, var = 2)
#> $shape
#> [1] 2
#> 
#> $scale
#> [1] 1
convert_summary_stats_to_params("gamma", mean = 2, cv = 2)
#> $shape
#> [1] 0.25
#> 
#> $scale
#> [1] 8

Using an <epiparameter>

An example with parameters provided by <epiparameter>

ep <- epiparameter(
  disease = "<Disease name>",
  pathogen = "<Pathogen name>",
  epi_name = "<Epidemilogical Distribution name>",
  prob_distribution = create_prob_distribution(
    prob_distribution = "gamma",
    prob_distribution_params = c(shape = 2.5, scale = 1.5)
  )
)
#> Citation cannot be created as author, year, journal or title is missing
convert_params_to_summary_stats(ep)
#> $mean
#> [1] 3.75
#> 
#> $median
#> [1] 1.450487
#> 
#> $mode
#> [1] 2.25
#> 
#> $var
#> [1] 5.625
#> 
#> $sd
#> [1] 2.371708
#> 
#> $cv
#> [1] 0.6324555
#> 
#> $skewness
#> [1] 1.264911
#> 
#> $ex_kurtosis
#> [1] 2.4

An example with <epiparameter> missing parameters and supplied through ...

ep <- epiparameter(
  disease = "<Disease name>",
  pathogen = "<Pathogen name>",
  epi_name = "<Epidemilogical Distribution name>",
  prob_distribution = "gamma"
)
#> Citation cannot be created as author, year, journal or title is missing
#> No adequate summary statistics available to calculate the parameters of the gamma distribution
#> Unparameterised <epiparameter> object
convert_params_to_summary_stats(ep, shape = 2.5, scale = 1.5)
#> $mean
#> [1] 3.75
#> 
#> $median
#> [1] 1.450487
#> 
#> $mode
#> [1] 2.25
#> 
#> $var
#> [1] 5.625
#> 
#> $sd
#> [1] 2.371708
#> 
#> $cv
#> [1] 0.6324555
#> 
#> $skewness
#> [1] 1.264911
#> 
#> $ex_kurtosis
#> [1] 2.4

An example with summary statistics provided by <epiparameter>

ep <- epiparameter(
  disease = "<Disease name>",
  pathogen = "<Pathogen name>",
  epi_name = "<Epidemilogical Distribution name>",
  prob_distribution = "gamma",
  summary_stats = create_summary_stats(mean = 3.75, sd = 2.37)
)
#> Citation cannot be created as author, year, journal or title is missing
#> Parameterising the probability distribution with the summary statistics.
#>  Probability distribution is assumed not to be discretised or truncated.
convert_summary_stats_to_params(ep)
#> $shape
#> [1] 2.503605
#> 
#> $scale
#> [1] 1.49784

An example with <epiparameter> missing summary statistics and supplied through ...

ep <- epiparameter(
  disease = "<Disease name>",
  pathogen = "<Pathogen name>",
  epi_name = "<Epidemilogical Distribution name>",
  prob_distribution = "gamma"
)
#> Citation cannot be created as author, year, journal or title is missing
#> No adequate summary statistics available to calculate the parameters of the gamma distribution
#> Unparameterised <epiparameter> object
convert_summary_stats_to_params(ep, mean = 3.75, sd = 2.37)
#> $shape
#> [1] 2.503605
#> 
#> $scale
#> [1] 1.49784

The usage of <epiparameter> is not repeated for every distribution conversion available in {epiparameter}. The conversions shown below for each distribution are also available when using an <epiparameter> object, by either having the parameters or summary statistics stored in the <epiparameter> or supplied via named arguments.

Lognormal distribution

convert_params_to_summary_stats("lnorm", meanlog = 2.5, sdlog = 1.5)
#> $mean
#> [1] 37.52472
#> 
#> $median
#> [1] 12.18249
#> 
#> $mode
#> [1] 1.284025
#> 
#> $var
#> [1] 11951.62
#> 
#> $sd
#> [1] 109.3235
#> 
#> $cv
#> [1] 2.913372
#> 
#> $skewness
#> [1] 33.46805
#> 
#> $ex_kurtosis
#> [1] 10075.25
convert_summary_stats_to_params("lnorm", mean = 2, sd = 2)
#> $meanlog
#> [1] 0.3465736
#> 
#> $sdlog
#> [1] 0.8325546
convert_summary_stats_to_params("lnorm", mean = 2, var = 2)
#> $meanlog
#> [1] 0.4904146
#> 
#> $sdlog
#> [1] 0.6367614
convert_summary_stats_to_params("lnorm", mean = 2, cv = 2)
#> $meanlog
#> [1] -0.1115718
#> 
#> $sdlog
#> [1] 1.268636
convert_summary_stats_to_params("lnorm", median = 2, sd = 2)
#> $meanlog
#> [1] 0.3465736
#> 
#> $sdlog
#> [1] 0.8325546
convert_summary_stats_to_params("lnorm", median = 2, var = 2)
#> $meanlog
#> [1] 0.4904146
#> 
#> $sdlog
#> [1] 0.6367614

Weibull distribution

convert_params_to_summary_stats("weibull", shape = 2.5, scale = 1.5)
#> $mean
#> [1] 1.330896
#> 
#> $median
#> [1] 1.295452
#> 
#> $mode
#> [1] 1.22279
#> 
#> $var
#> [1] 0.3243301
#> 
#> $sd
#> [1] 0.5694998
#> 
#> $cv
#> [1] 0.4279072
#> 
#> $skewness
#> [1] 0.3586318
#> 
#> $ex_kurtosis
#> [1] -0.1432169
convert_summary_stats_to_params("weibull", mean = 2, sd = 2)
#> Numerical approximation used, results may be unreliable.
#> $shape
#> [1] 1.000016
#> 
#> $scale
#> [1] 2.000014
convert_summary_stats_to_params("weibull", mean = 2, var = 2)
#> Numerical approximation used, results may be unreliable.
#> $shape
#> [1] 1.435521
#> 
#> $scale
#> [1] 2.202641
convert_summary_stats_to_params("weibull", mean = 2, cv = 2)
#> Numerical approximation used, results may be unreliable.
#> $shape
#> [1] 0.5427068
#> 
#> $scale
#> [1] 1.150547

Negative binomial distribution

convert_params_to_summary_stats("nbinom", prob = 0.5, dispersion = 0.5)
#> $mean
#> [1] 0.5
#> 
#> $median
#> [1] 0
#> 
#> $mode
#> [1] 0
#> 
#> $var
#> [1] 1
#> 
#> $sd
#> [1] 1
#> 
#> $cv
#> [1] 2
#> 
#> $skewness
#> [1] 3
#> 
#> $ex_kurtosis
#> [1] 12.25
convert_summary_stats_to_params("nbinom", mean = 1, sd = 1)
#> $prob
#> [1] 1
#> 
#> $dispersion
#> [1] Inf
convert_summary_stats_to_params("nbinom", mean = 1, var = 1)
#> $prob
#> [1] 1
#> 
#> $dispersion
#> [1] Inf
convert_summary_stats_to_params("nbinom", mean = 1, cv = 1)
#> $prob
#> [1] 1
#> 
#> $dispersion
#> [1] Inf

Geometric distribution

convert_params_to_summary_stats("geom", prob = 0.5)
#> $mean
#> [1] 1
#> 
#> $median
#> [1] 0
#> 
#> $mode
#> [1] 0
#> 
#> $var
#> [1] 2
#> 
#> $sd
#> [1] 1.414214
#> 
#> $cv
#> [1] 1.414214
#> 
#> $skewness
#> [1] 2.12132
#> 
#> $ex_kurtosis
#> [1] 6.5
convert_summary_stats_to_params("geom", mean = 1)
#> $prob
#> [1] 0.5

Extraction

There are two methods of extraction implemented in {epiparameter}. One is to estimate the parameters given the values of two percentiles, and the other is to estimate the parameters given the median and the range of the data. Both of these extractions are implemented in the extract_param() function.

Here we demonstrate extraction using percentiles. The type should be "percentiles", the values are the values reported at the percentiles, given as a vector. The percentiles, given between 0 and 1, are specified as a vector in percentiles. The example below uses values 1 and 10 at the 2.5th and 97.5th percentile, respectively.

extract_param(
  type = "percentiles",
  values = c(1, 10),
  distribution = "gamma",
  percentiles = c(0.025, 0.975)
)
#> Stochastic numerical optimisation used. 
#> Rerun function multiple times to check global optimum is found
#>    shape    scale 
#> 3.358202 1.284186

In the above example we estimate parameters of the gamma distribution, but extraction is also implemented for the lognormal, normal and Weibull distributions, but specifying "lnorm", "norm" or "weibull".

A message is shown when running extract_param() to make the user aware that the estimates are not completely reliable due to the use of numerical optimisation. Rerunning the function to and finding the same parameters are returned indicates that they have successfully converged. This issue is mostly overcome by the internal setup of the extract_param() function which searches for convergence to consistent parameter estimates before returning these to the user.

The alternative extraction, by median and range, can be achieved by specifying type = "range" and using the samples argument instead of the percentiles argument. When using type = "percentiles" the samples argument is ignored and when using type = "range" the percentiles argument is ignored.

extract_param(
  type = "range",
  values = c(10, 5, 15),
  distribution = "lnorm",
  samples = 25
)
#> Stochastic numerical optimisation used. 
#> Rerun function multiple times to check global optimum is found
#>  meanlog    sdlog 
#> 2.302584 3.939920

In the above section it was mentioned that extract_param() has an internal mechanism to check that the parameters have consistently converged to the same estimates over several optimisation iterations. The tolerance of this convergence and number of times the optimisation can be repeated is specified in the control argument of extract_param(). This is set by default (tolerance = 1e-5 and max_iter = 1000), and thus does not need to be specified by the user (as shown in the above examples). In the case that the maximum number of optimisation iterations is reached, the calculation terminates returning the most recent optimisation result to the user along with a warning message.

# set seed to ensure warning is produced
set.seed(1)

# lower maximum iteration to show warning
extract_param(
  type = "range",
  values = c(10, 1, 25),
  distribution = "lnorm",
  samples = 100,
  control = list(max_iter = 100)
)
#> Warning: Maximum optimisation iterations reached, returning result early. 
#> Result may not be reliable.
#> Stochastic numerical optimisation used. 
#> Rerun function multiple times to check global optimum is found
#>   meanlog     sdlog 
#> 2.3025851 0.7942061

The reasoning for the default maximum number of iterations is to limit the computation time and prevent the function cycling through optimisation routines without converging on a consistent answer. If the runtime is not important and parameter accuracy is paramount then the maximum number of iterations can be increased and tolerance decreased. These control settings work identically for extracting from percentiles or median and range.

Use cases

Here we present examples of published epidemiological parameters and distributions where the functions outlined above can be applied to get the parameters of the distribution.

The 75th percentiles reported for a lognormal distribution from Nolen et al. (2016) for the incubation period for mpox (monkeypox).

# Mpox lnorm from 75th percentiles in WHO data
extract_param(
  type = "percentiles",
  values = c(6, 13),
  distribution = "lnorm",
  percentiles = c(0.125, 0.875)
)
#> Stochastic numerical optimisation used. 
#> Rerun function multiple times to check global optimum is found
#>   meanlog     sdlog 
#> 2.1783544 0.3360684

The median and range are provided by Thornhill et al. (2022) for mpox, and we want to calculate the parameters of a lognormal distribution.

# Mpox lnorm from median and range in 2022:
extract_param(
  type = "range",
  values = c(7, 3, 20),
  distribution = "lnorm",
  samples = 23
)
#> Stochastic numerical optimisation used. 
#> Rerun function multiple times to check global optimum is found
#>  meanlog    sdlog 
#> 1.945910 4.735285

Assuming distributions

It can be the case that a study will report summary statistics for an unspecified distribution or just for the raw data. In these cases if a parameterised distribution is required for downstream analysis a functional, parametric, form may have to be assumed.

If the distribution is a delay distribution (i.e. serial interval or incubation period) it can often be sensible to assume a right-skewed distribution such as: gamma, lognormal or Weibull distributions. These are also the most commonly fit distributions in epidemiological analysis of delay distributions.

However, one should take care when assuming a distribution as this may drastically influence the interpretation and application of the epidemiological parameters.

Donnelly et al. (2003) provides the mean and variance of the gamma distribution for the incubation period of SARS. This conversion can be achieved by using the general conversion function (convert_summary_stats_to_params()).

# SARS gamma mean and var to shape and scale
convert_summary_stats_to_params("gamma", mean = 6.37, var = 16.7)
#> $shape
#> [1] 2.429754
#> 
#> $scale
#> [1] 2.621664

References

Donnelly, Christl A, Azra C Ghani, Gabriel M Leung, Anthony J Hedley, Christophe Fraser, Steven Riley, Laith J Abu-Raddad, et al. 2003. “Epidemiological Determinants of Spread of Causal Agent of Severe Acute Respiratory Syndrome in Hong Kong.” The Lancet 361 (9371): 1761–66. https://doi.org/10.1016/S0140-6736(03)13410-1.
Nolen, Leisha Diane, Lynda Osadebe, Jacques Katomba, Jacques Likofata, Daniel Mukadi, Benjamin Monroe, Jeffrey Doty, et al. 2016. “Extended Human-to-Human Transmission During a Monkeypox Outbreak in the Democratic Republic of the Congo.” Emerging Infectious Diseases 22 (6): 1014–21. https://doi.org/10.3201/eid2206.150579.
Thornhill, John P., Sapha Barkati, Sharon Walmsley, Juergen Rockstroh, Andrea Antinori, Luke B. Harrison, Romain Palich, et al. 2022. “Monkeypox Virus Infection in Humans Across 16 Countries — April–June 2022.” New England Journal of Medicine 387 (8): 679–91. https://doi.org/10.1056/NEJMoa2207323.