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Estimation of Recurrence of Colorectal Adenomas with Dependent Censoring Using Weighted Logistic Regression

机译:基于加权删失的依存删失估计大肠腺瘤的复发

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摘要

In colorectal polyp prevention trials, estimation of the rate of recurrence of adenomas at the end of the trial may be complicated by dependent censoring, that is, time to follow-up colonoscopy and dropout may be dependent on time to recurrence. Assuming that the auxiliary variables capture the dependence between recurrence and censoring times, we propose to fit two working models with the auxiliary variables as covariates to define risk groups and then extend an existing weighted logistic regression method for independent censoring to each risk group to accommodate potential dependent censoring. In a simulation study, we show that the proposed method results in both a gain in efficiency and reduction in bias for estimating the recurrence rate. We illustrate the methodology by analyzing a recurrent adenoma dataset from a colorectal polyp prevention trial.
机译:在大肠息肉预防试验中,依赖于检查,可能会导致试验结束时腺瘤复发率的估计复杂化,也就是说,后续结肠镜检查和辍学的时间可能取决于复发时间。假设辅助变量捕获了递归和审查时间之间的依赖关系,我们建议使用辅助变量作为协变量拟合两个工作模型以定义风险组,然后将现有的加权逻辑回归方法扩展到每个风险组以进行独立审查以适应潜在风险依赖审查。在仿真研究中,我们表明,提出的方法既可以提高效率,又可以减少估计重复率的偏差。我们通过分析来自结肠直肠息肉预防试验的复发性腺瘤数据集来说明该方法。

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