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重复事件分析

Analysis of repeated events.

作者信息

Cook R J, Lawless J F

机构信息

Department of Statistics and Actuarial Science, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada, N2L 3G1.

出版信息

Stat Methods Med Res. 2002 Apr;11(2):141-66. doi: 10.1191/0962280202sm278ra.

Abstract

Events that may occur repeatedly for individual subjects are of interest in many medical studies. We review methods of analysis for repeated events, emphasizing that the approach taken in a given study should allow clinical questions to be addressed as directly as possible. Methods based on full models for event processes as well as on simpler 'marginal' assumptions are considered. The treatment of dependent terminating events related to the recurrent events is also discussed. We apply various methods of analysis to studies involving pulmonary exacerbations in persons with cystic fibrosis, and the occurrence of bone metastases and skeletal events in cancer patients, respectively. Most of the methodology considered can be implemented with existing software.

摘要

在许多医学研究中,个体受试者可能反复出现的事件备受关注。我们回顾了重复事件的分析方法,强调在特定研究中采用的方法应尽可能直接地解决临床问题。考虑了基于事件过程完整模型以及更简单“边际”假设的方法。还讨论了与复发事件相关的依赖终止事件的处理。我们分别将各种分析方法应用于涉及囊性纤维化患者肺部加重以及癌症患者骨转移和骨骼事件发生情况的研究。所考虑的大多数方法都可以使用现有软件来实现。

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