#' Create listing of commomly occurring AEs for Alliance DSMB reports
#'
#' This function is used to create commonly occurring AE listing output for Alliance DSMB reports.
#'
#' @param cytox The toxicity dataset containing multiple observations per patient with one observation per AE > grade 0
#' @param id The patient ID variable used in the dataset
#' @param threshold Numeric threshold level for commonly occurring Grade 3+ AEs. Default to 10
#' @param grade.cutoff Grade cutoff for minimum AE grade. Inclusive
#' @param rel.cutoff Attribution cutoff for minimum AE attribution. Inclusive
#' @param rel.include Value of 0 or 1. If 0, "Regardless of Attribution" printed in header. If 1, "At least possibly related" printed in header
#' @param byvar Variable used to separate summary by arm. If not present, "All Patients" printed for arm. Set to NULL if calculations are desired for all patients together.
#' @param arm.labels Option to include additional Arm labels in the table header. Add as vector of characters.
#' @param toxvar Variable containing numeric toxicity codes.
#' @param relvar Variable containing numeric relation values 1-5.
#' @param gradevar Grade variable, numeric.
#' @return This function creates a listing of the AE events for the Alliance DSMB report
#' @examples
#'
#' # With data loaded for A041501
#'
#' crtlibn(d = 'A041501')
#'
#' all.common <- aerpt.common(cytox, id = "dcntr_id", byvar = "arm",
#' grade.cutoff = 3, rel.cutoff = 0, rel.include = 0)
#' all.common$grade3
#' all.common$grade45
#'
#' @export
#' @author Sawyer Jacobson
#'
# Last Edited: 2/29/2020
aerpt.common <- function(cytox, id, threshold = 10, grade.cutoff = 3, rel.cutoff = 0,
rel.include = 1, byvar="arm", arm.labels = NULL,
toxvar = "toxicity", relvar = "rel_smed", gradevar = "grade")
{
cytox <- as.data.frame(cytox)
arm.labels <- arm.labels
#if(is.null(byvar)) arm.include = 0
# Setting up attribution variable
if(rel.include == 1)
{
rel = "At least possibly related\n"
} else
{
rel = "Regardless of Attribution\n"
}
cytox <- cytox %>%
rename(dcntr_id = tidyselect::all_of(id),
toxicity = tidyselect::all_of(toxvar),
grade = tidyselect::all_of(gradevar),
rel_smed = tidyselect::all_of(relvar))
###### Make sure the arm exists and to use the correct arm otherwise use All Patients#######
if (any(colnames(cytox) == byvar))
{
cytox <- cytox %>%
rename(arm = tidyselect::all_of(byvar)) %>%
mutate(arm = as.character(arm))
} else
{
cytox$arm <- rep("A", length(cytox$dcntr_id))
}
####Will need to get the number eval by each group
###take out all the baseline toxicity if there are any
if (any(colnames(cytox) == "cycle"))
{
cytox <- cytox[which(cytox$cycle>0),]
}
unique.list <- cytox[!duplicated(cytox[, "dcntr_id"]),]
num.eval <- base::table(unique.list$arm) %>%
data.frame() %>%
mutate(arm = as.character(Var1)) %>%
dplyr::select(-Var1)
#if(arm.include == 0) TRUE
if(!is.null(arm.labels) & length(arm.labels) != nrow(num.eval)) stop('Number of arm levels not equal to number of arm labels')
#######Now, lose all the grade 0 and cycle 0#####
###IF Cycle exists, which it won't in my theradex data
if (any(colnames(cytox) == "cycle"))
{
cytox <- cytox %>%
mutate(rel_smed = ifelse(is.na(rel_smed), 1, rel_smed)) %>%
filter(cycle > 0 & grade >= grade.cutoff & rel_smed >= rel.cutoff)
}
cytox1 <- cytox #%>%
#rename(soc_cytox = soc) %>%
#dplyr::select(-c(bodysys))
######Create CRTOX, the worst grade per patient, per toxicity
crtox <- cytox1 %>%
group_by(dcntr_id, toxicity) %>%
slice(which.max(grade)) %>%
dplyr::select(dcntr_id, arm, toxicity, grade)
# bodysys <- cytox %>%
# dplyr::select(bodysys, toxicity) %>%
# distinct(toxicity, bodysys)
##Count up each tox/arm/grades...
table2 <- crtox %>%
group_by(toxicity, arm, grade) %>%
summarise(count = n()) #%>%
#left_join(bodysys, by = "toxicity")
###seperate by grade to mutate their own column.. may be a better way, but this is good for me :)
grade3plus <- crtox %>%
filter(grade >= 3) %>%
group_by(toxicity, arm) %>%
summarise(`3` = n()) %>%
dplyr::select(toxicity, arm, `3`)
grade4 <- table2 %>%
filter(grade == 4) %>%
mutate(`4` = count) %>%
dplyr::select(toxicity, arm, `4`)
grade5 <- table2 %>%
filter(grade == 5) %>%
mutate(`5` = count) %>%
dplyr::select(toxicity, arm, `5`)
####Create a blank template to fill in####
#####Here is where you define the cross table to merge with the grades, right now only 1 variable called arm
### One observation for each toxicity*arm pairing
template.table <- data.frame(tidyr::crossing(toxicity = table2$toxicity, arm = table2$arm))
######Add toxterm and SOC##########
data("tox_codes")
#formats <- haven::read_sas("/people/ccs4/ccsicprd/cc-sas-all/sasdata/mart/xstudy/toxcodes.sas7bdat") %>%
tox_codes <- tox_codes %>%
select("v5Meddra_Term", "v5Meddra_Code", "BODYSYS", "soc") %>%
rename(v5meddra.term = v5Meddra_Term, v5meddra.code = v5Meddra_Code)#, bodysys = BODYSYS)
tox_codes <- tox_codes[!is.na(tox_codes$v5meddra.code) & !duplicated(tox_codes$v5meddra.code),]
tox_codes$toxicity <- tox_codes$v5meddra.code
tox_codes$toxterm <- tox_codes$v5meddra.term
####merge and assign correct term if needed
template.table2 <- left_join(template.table, tox_codes, by = "toxicity")
total_3 <- grade3plus %>%
rename(total = `3`) %>%
dplyr::select(toxicity, arm, total) %>%
group_by(toxicity) %>%
summarise(total = sum(total)) %>%
left_join(tox_codes, by = "toxicity") %>%
select(toxterm, total) %>%
mutate(total_display = paste0(total, " (", round(total/sum(num.eval[,1])*100, 1), "%)"),
total_perc = round(total/sum(num.eval[,1])*100, 1)) %>%
select(-total)
total_4 <- grade4 %>%
rename(total = `4`) %>%
dplyr::select(toxicity, arm, total) %>%
group_by(toxicity) %>%
summarise(total = sum(total)) %>%
left_join(tox_codes, by = "toxicity") %>%
select(toxterm, total) %>%
mutate(total_display = paste0(total, " (", round(total/sum(num.eval[,1])*100, 1), "%)"),
total_perc = round(total/sum(num.eval[,1])*100, 1)) %>%
select(-total)
total_5 <- grade5 %>%
rename(total = `5`) %>%
dplyr::select(toxicity, arm, total) %>%
group_by(toxicity) %>%
summarise(total = sum(total)) %>%
left_join(tox_codes, by = "toxicity") %>%
select(toxterm, total) %>%
mutate(total_display = paste0(total, " (", round(total/sum(num.eval[,1])*100, 1), "%)"),
total_perc = round(total/sum(num.eval[,1])*100, 1)) %>%
select(-total)
try1 <- template.table2 %>%
left_join(grade3plus, by = c("toxicity", "arm")) %>%
left_join(grade4, by = c("toxicity", "arm")) %>%
left_join(grade5, by = c("toxicity", "arm")) #%>%
#select(-BODYSYS) %>%
#left_join(bodysys, by = "toxicity")
##Add 0 to all toxicity arm grade combinations that don't exist.
try1[is.na(try1)] <- 0
#data("bodysys_formats")
try2 <- try1 #%>%
#left_join(bodysys_formats, by = c("bodysys" = "start"))
try3 <- try2 %>%
# mutate(category = ifelse(toxicity %in% c(10002272,10007839,10025256,10029366,10035528,10048580,10049182,
# 10005329,10019150,10019491,10024378,10025258,10028533,10041633,
# 10055599,10065973), "Hematologic Adverse Events", "Non-Hematologic Adverse Events"),
# eventcat = ifelse(toxicity %in% c(10002272,10007839,10025256,10029366,10035528,10048580,10049182,
# 10005329,10019150,10019491,10024378,10025258,10028533,10041633,
# 10055599,10065973), "Blood/Bone Marrow",
# ifelse(toxicity == 10016288, "Blood and lymphatic sys disord", soc)),
# label = ifelse(eventcat == "Blood/Bone Marrow", "Blood/Bone Marrow", label)) %>%
left_join(num.eval, by = "arm")
grade_list <- c("3-Severe\n n (%)", "4-LifeThr\n n (%)", "5-Lethal\n n (%)")
#######Add the percentages based on the num.eval for each arm
grade_3 <- try3 %>%
arrange(toxterm, arm) %>%
select(toxterm, arm, `3`) %>%
group_by(toxterm, arm) %>%
tidyr::spread(arm, `3`) %>%
as.data.frame()
grade_3_try <- grade_3
for(i in 1:nrow(num.eval))
{
grade_3[i + 1] <- paste0(grade_3_try[,i+1], " (", round(grade_3_try[,i+1]/num.eval[i,1]*100, 1), "%)")
grade_3[i + nrow(num.eval) + 1] <- round(grade_3_try[,i+1]/num.eval[i,1]*100, 1)
}
grade_3_index <- apply(data.frame(grade_3[, (2+nrow(num.eval)):ncol(grade_3)]), 1, function(x) any(x >= threshold))
grade_3_thresh <- grade_3[grade_3_index, 1:(1+nrow(num.eval))] %>%
left_join(total_3, by = "toxterm") %>%
arrange(desc(total_perc)) %>%
select(-total_perc) %>%
rename(AE = toxterm, Total = total_display) %>%
mutate(category = "Commonly Occurring Grade 3+ AE") %>%
select(category, everything())
grade_4 <- try3 %>%
arrange(toxterm, arm) %>%
select(toxterm, arm, `4`) %>%
group_by(toxterm, arm) %>%
tidyr::spread(arm, `4`) %>%
as.data.frame()
grade_4_try <- grade_4
for(i in 1:nrow(num.eval))
{
grade_4[i + 1] <- paste0(grade_4_try[,i+1], " (", round(grade_4_try[,i+1]/num.eval[i,1]*100, 1), "%)")
grade_4[i + nrow(num.eval) + 1] <- round(grade_4_try[,i+1]/num.eval[i,1]*100, 1)
}
#grade_4_index <- apply(grade_4[, (2+nrow(num.eval)):ncol(grade_4)], 1, function(x) any(x >= 0))
grade_4_thresh <- grade_4[, 1:(1+nrow(num.eval))] %>%
left_join(total_4, by = "toxterm") %>%
filter(!is.na(total_perc)) %>%
arrange(desc(total_perc)) %>%
select(-total_perc) %>%
rename(AE = toxterm, Total = total_display) %>%
mutate(category = "Grade 4") %>%
select(category, everything())
grade_5 <- try3 %>%
arrange(toxterm, arm) %>%
select(toxterm, arm, `5`) %>%
group_by(toxterm, arm) %>%
tidyr::spread(arm, `5`) %>%
as.data.frame()
grade_5_try <- grade_5
for(i in 1:nrow(num.eval))
{
grade_5[i + 1] <- paste0(grade_5_try[,i+1], " (", round(grade_5_try[,i+1]/num.eval[i,1]*100, 1), "%)")
grade_5[i + nrow(num.eval) + 1] <- round(grade_5_try[,i+1]/num.eval[i,1]*100, 1)
}
#grade_4_index <- apply(grade_4[, (2+nrow(num.eval)):ncol(grade_4)], 1, function(x) any(x >= 0))
grade_5_thresh <- grade_5[, 1:(1+nrow(num.eval))] %>%
left_join(total_5, by = "toxterm") %>%
filter(!is.na(total_perc)) %>%
arrange(desc(total_perc)) %>%
select(-total_perc) %>%
rename(AE = toxterm, Total = total_display) %>%
mutate(category = "Grade 5/Deaths on Treatment") %>%
select(category, everything())
final45 <- bind_rows(grade_4_thresh, grade_5_thresh) #%>%
#mutate(AE = paste0(" ", AE))
evaluable <- cytox %>%
filter(arm != '') %>%
distinct(arm) %>% nrow()
eval <- character(evaluable)
for(i in 1:evaluable)
{
if(!is.null(arm.labels))
{
eval[i] <- paste0(arm.labels[i]," (Arm ", num.eval[i, 2], "=", num.eval[i, 1], ")")
} else if (is.null(arm.labels) )
{
eval[i] <- paste0("Arm ", num.eval[i, 2], "=", num.eval[i, 1])
} else
{
eval[i] <- as.integer(num.eval[i, 1])
}
}
if(!is.null(arm.labels))
{
arms <- paste(eval, sep = '', collapse = "\n")
grade_3_title <- paste0("Listing of Grade 3+ Adverse Events\nMax Grade Per Patient Per Event\nOccurrences Across Any Level > ",
threshold, "%\n",
rel,
"Number of Evaluable Patients:\n",
arms)
grade_45_title <- paste0("Listing of all Grade 4 or 5 Adverse Events\nMax Grade Per Patient Per Event\n",
rel,
"Number of Evaluable Patients:\n",
arms)
} else if(is.null(arm.labels))
{
arms <- paste(eval, sep = '', collapse = "\t")
grade_3_title <- paste0("Listing of Grade 3+ Adverse Events\nMax Grade Per Patient Per Event\nOccurrences Across Any Level > ",
threshold, "%\n",
rel,
"Number of Evaluable Patients:\n",
arms)
grade_45_title <- paste0("Listing of all Grade 4 or 5 Adverse Events\nMax Grade Per Patient Per Event\n",
rel,
"Number of Evaluable Patients:\n",
arms)
}
# else if(is.null(arm.labels)){
# arms <- sum(as.numeric(eval))
# grade_3_title <- paste0("Listing of Grade ", grade.cutoff, "+ Adverse Events\nMax Grade Per Patient Per Event\nOccurences Across Any Level ≥ ",
# threshold, "%\n",
# rel,
# "Number of Evaluable Patients: ",
# arms)
# }
if(nrow(num.eval) == 1)
{
if(nrow(grade_3_thresh) == 0) grade3_table <- grade_3_thresh
else
{
col_names <- names(grade_3_thresh)[-c(1, 2, ncol(grade_3_thresh))]
grade3_table <- grade_3_thresh %>%
select(-Total) %>%
as_grouped_data(groups = c('category')) %>%
as_flextable(hide_grouplabel = TRUE) %>%
delete_part(part = "header") %>%
add_header_row(values = c("", col_names), colwidths = rep(1, ncol(grade_3_thresh) - 2)) %>%
bold(j = 1, i = ~ !is.na(category), bold = TRUE, part = "body" ) %>%
fontsize(size = 10, part = "all") %>%
font(fontname = "Arial", part = "all") %>%
add_header_lines(values = grade_3_title) %>%
bold(bold = TRUE, part = "header") %>%
theme_box() %>%
width(j = c(1:(nrow(num.eval) + 1)), width = c(2.63, rep(.95, nrow(num.eval)))) %>%
align(align = "center", part = "header") %>%
align(align = "left", part = "body") %>%
padding(j = 1, i = ~ is.na(category), padding.left = 14, part = 'body')
}
if(nrow(final45) == 0) grade45_table <- final45
else
{
col_names <- names(final45)[-c(1, 2, ncol(final45))]
grade45_table <- final45 %>%
select(-Total) %>%
as_grouped_data(groups = c('category')) %>%
as_flextable(hide_grouplabel = TRUE) %>%
delete_part(part = "header") %>%
add_header_row(values = c("", col_names), colwidths = rep(1, ncol(final45) - 2)) %>%
bold(j = 1, i = ~ !is.na(category), bold = TRUE, part = "body" ) %>%
fontsize(size = 10, part = "all") %>%
font(fontname = "Arial", part = "all") %>%
add_header_lines(values = grade_45_title) %>%
bold(bold = TRUE, part = "header") %>%
theme_box() %>%
width(j = c(1:(nrow(num.eval) + 1)), width = c(2.63, rep(.95, nrow(num.eval)))) %>%
align(align = "center", part = "header") %>%
align(align = "left", part = "body")%>%
padding(j = 1, i = ~ is.na(category), padding.left = 14, part = 'body')
}
} else
{
if(nrow(grade_3_thresh) == 0) grade3_table <- grade_3_thresh
else
{
col_names <- names(grade_3_thresh)[-c(1, 2)]
grade3_table <- grade_3_thresh %>%
as_grouped_data(groups = c('category')) %>%
as_flextable(hide_grouplabel = TRUE) %>%
delete_part(part = "header") %>%
add_header_row(values = c("", col_names), colwidths = rep(1, ncol(grade_3_thresh) - 1)) %>%
bold(j = 1, i = ~ !is.na(category), bold = TRUE, part = "body" ) %>%
fontsize(size = 10, part = "all") %>%
font(fontname = "Arial", part = "all") %>%
add_header_lines(values = grade_3_title) %>%
bold(bold = TRUE, part = "header") %>%
theme_box() %>%
width(j = c(1:(nrow(num.eval) + 2)), width = c(2.63, rep(.95, nrow(num.eval) + 1))) %>%
align(align = "center", part = "header") %>%
align(align = "left", part = "body")%>%
padding(j = 1, i = ~ is.na(category), padding.left = 14, part = 'body')
}
if(nrow(final45) == 0) grade45_table <- final45
else
{
col_names <- names(final45)[-c(1, 2)]
grade45_table <- final45 %>%
as_grouped_data(groups = c('category')) %>%
as_flextable(hide_grouplabel = TRUE) %>%
delete_part(part = "header") %>%
add_header_row(values = c("", col_names), colwidths = rep(1, ncol(final45) - 1)) %>%
bold(j = 1, i = ~ !is.na(category), bold = TRUE, part = "body" ) %>%
fontsize(size = 10, part = "all") %>%
font(fontname = "Arial", part = "all") %>%
add_header_lines(values = grade_45_title) %>%
bold(bold = TRUE, part = "header") %>%
theme_box() %>%
width(j = c(1:(nrow(num.eval) + 2)), width = c(2.63, rep(.95, nrow(num.eval) + 1))) %>%
align(align = "center", part = "header") %>%
align(align = "left", part = "body")%>%
padding(j = 1, i = ~ is.na(category), padding.left = 14, part = 'body')
}
}
out <- list(grade3plus = grade3_table, grade45 = grade45_table)
class(out) <- "aerpt.common"
out
}
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