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Semiparametric Regression Analysis of Interval-Censored Competing Risks Data

机译:区间截尾竞争风险的半参数回归分析   数据

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摘要

Interval-censored competing risks data arise when each study subject mayexperience an event or failure from one of several causes and the failure timeis not observed exactly but rather known to lie in an interval between twosuccessive examinations. We formulate the effects of possibly time-varyingcovariates on the cumulative incidence or sub-distribution function (i.e., themarginal probability of failure from a particular cause) of competing risksthrough a broad class of semiparametric regression models that captures bothproportional and non-proportional hazards structures for the sub-distribution.We allow each subject to have an arbitrary number of examinations andaccommodate missing information on the cause of failure. We considernonparametric maximum likelihood estimation and devise a fast and stableEM-type algorithm for its computation. We then establish the consistency,asymptotic normality, and semiparametric efficiency of the resulting estimatorsby appealing to modern empirical process theory. In addition, we show throughextensive simulation studies that the proposed methods perform well inrealistic situations. Finally, we provide an application to a study on HIV-1infection with different viral subtypes.
机译:当每个研究对象可能经历几种原因之一引起的事件或失败,并且未能准确观察到失败时间,而是知道两次成功检查之间的间隔时间时,就会出现间隔审查的竞争风险数据。通过广泛的半参数回归模型,我们得出了可能的时变协变量对竞争风险的累积发生率或子分布函数(即,特定原因造成的最大失败概率)的影响,该模型捕获了风险的比例风险和非比例风险结构。我们允许每个科目进行任意数量的检查,并提供有关失败原因的缺失信息。我们考虑了非参数最大似然估计,并设计了一种快速稳定的EM型算法进行计算。然后,我们通过借鉴现代经验过程理论,建立所得估计量的一致性,渐近正态性和半参数效率。此外,我们通过广泛的仿真研究表明,所提出的方法可以很好地实现不现实的情况。最后,我们为研究具有不同病毒亚型的HIV-1感染提供了应用。

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