Smoothing and high risk areas detection in space-time disease mapping: a comparison of P-splines, autoregressive, and moving average models

Recently, several models have been proposed for smoothing risks in disease mapping. These models consider different ways of introducing both spatial and temporal dependence as well as spatio-temporal interactions. In this work, a comparison among some autoregressive, moving average, and P-spline models is performed. Firstly, brain cancer mortality data are used to analyze the degree of smoothness introduced by these models. Secondly, two separate simulation studies (one model-based and the other model-free) are carried out to evaluate the model performance in terms of bias, variability, sensitivity, and specificity. We conclude that P-spline models seem to be a good alternative to autoregressive and moving average models when analyzing highly sparse disease mapping data.