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Modeling Missing Covariate Data and Temporal Features of Time-Dependent Covariates in Tree-Structured Survival Analysis

机译:树结构生存分析中缺失协变量数据和时变协变量的时间特征建模

摘要

Tree-structured survival analysis (TSSA) is used to recursively detect covariate values that best divide the sample into subsequent subsets with respect to a time to event outcome. The result is a set of empirical classification groups, each of which identifies individuals with more homogeneous risk than the original sample. We propose methods for managing missing covariate data and also for incorporating temporal features of repeatedly measured covariates into TSSA. First, for missing covariate data, we propose an algorithm that uses a stochastic process to add draws to an existing single tree-structured imputation method. Secondly, to incorporate temporal features of repeatedly measured covariates, we propose two different methods: (1) use a two-stage random effects polynomial model to estimate temporal features of repeatedly measured covariates to be used as TSSA predictor variables, and (2) incorporate other types of functions of repeatedly measured covariates into existing time-dependent TSSA methodology. We conduct simulation studies to assess the accuracy and predictive abilities of our proposed methodology. Our methodology has particular public health importance because we create, interpret and assess TSSA algorithms that can be used in a clinical setting to predict response to treatment for late-life depression.
机译:树结构生存分析(TSSA)用于递归检测协变量值,该协变量值相对于事件发生时间而言,最好地将样本分为后续子集。结果是一组经验分类组,每个分类组都标识了比原始样本具有更高均质风险的个人。我们提出了用于管理丢失的协变量数据以及将重复测量的协变量的时间特征合并到TSSA中的方法。首先,对于缺失的协变量数据,我们提出了一种算法,该算法使用随机过程将绘图添加到现有的单个树结构插补方法中。其次,为了合并重复测量的协变量的时间特征,我们提出了两种不同的方法:(1)使用两阶段随机效应多项式模型来估计重复测量的协变量的时间特征,以用作TSSA预测变量,以及(2)合并重复测量的其他类型函数的协变量则转换为现有的时间相关TSSA方法。我们进行模拟研究,以评估我们提出的方法的准确性和预测能力。我们的方法论具有特别的公共卫生重要性,因为我们创建,解释和评估TSSA算法,这些算法可在临床环境中用于预测对晚年抑郁症治疗的反应。

著录项

  • 作者

    Lotz Meredith JoAnne;

  • 作者单位
  • 年度 2009
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  • 原文格式 PDF
  • 正文语种 en
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