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MODELING LEFT-TRUNCATED AND RIGHT-CENSORED SURVIVAL DATA WITH LONGITUDINAL COVARIATES

机译:模拟左截断右删失生存数据和纵向协

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摘要

There is a surge in medical follow-up studies that include longitudinal covariates in the modeling of survival data. So far, the focus has been largely on right censored survival data. We consider survival data that are subject to both left truncation and right censoring. Left truncation is well known to produce biased sample. The sampling bias issue has been resolved in the literature for the case which involves baseline or time-varying covariates that are observable. The problem remains open however for the important case where longitudinal covariates are present in survival models. A joint likelihood approach has been shown in the literature to provide an effective way to overcome those difficulties for right censored data, but this approach faces substantial additional challenges in the presence of left truncation. Here we thus propose an alternative likelihood to overcome these difficulties and show that the regression coefficient in the survival component can be estimated unbiasedly and efficiently. Issues about the bias for the longitudinal component are discussed. The new approach is illustrated numerically through simulations and data from a multi-center AIDS cohort study.
机译:医学随访研究激增,其中包括生存数据建模中的纵向协变量。到目前为止,重点主要放在正确审查的生存数据上。我们考虑生存数据,该数据既受左截断又受右审查。众所周知,左截断会产生有偏差的样本。对于涉及基线或随时间变化的协变量的案例,采样偏差问题已在文献中得到解决。但是对于生存模型中存在纵向协变量的重要情况,问题仍然存在。文献中已经表明一种联合似然方法可以提供一种有效的方法来克服那些针对右删失数据的困难,但是这种方法在存在左截断的情况下还面临着很多其他挑战。因此,在这里我们提出了克服这些困难的另一种可能性,并表明可以无偏且有效地估算生存成分的回归系数。讨论了有关纵向分量偏差的问题。通过多中心艾滋病队列研究的模拟和数据对新方法进行了数值说明。

著录项

  • 期刊名称 other
  • 作者

    Yu-Ru Su; Jane-Ling Wang;

  • 作者单位
  • 年(卷),期 -1(40),3
  • 年度 -1
  • 页码 1465–1488
  • 总页数 26
  • 原文格式 PDF
  • 正文语种
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  • 入库时间 2022-08-21 11:23:47

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