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在不构建删失分布模型的情况下对标记物的最佳组合进行估计。

Estimation for the optimal combination of markers without modeling the censoring distribution.

作者信息

Chiang Chin-Tsang, Huang Shr-Yan

机构信息

Department of Mathematics, National Taiwan University, Taipei 10617, Taiwan.

出版信息

Biometrics. 2009 Mar;65(1):152-8. doi: 10.1111/j.1541-0420.2007.01040.x. Epub 2008 Apr 16.

Abstract

In the time-dependent receiver operating characteristic curve analysis with several baseline markers, research interest focuses on seeking appropriate composite markers to enhance the accuracy in predicting the vital status of individuals over time. Based on censored survival data, we proposed a more flexible estimation procedure for the optimal combination of markers under the validity of a time-varying coefficient generalized linear model for the event time without restrictive assumptions on the censoring pattern. The consistency of the proposed estimators is also established in this article. In contrast, the inverse probability weighting (IPW) approach might introduce a bias when the selection probabilities are misspecified in the estimating equations. The performance of both estimation procedures are examined and compared through a class of simulations. It is found from the simulation study that the proposed estimators are far superior to the IPW ones. Applying these methods to an angiography cohort, our estimation procedure is shown to be useful in predicting the time to all-cause and coronary artery disease related death.

摘要

在使用多个基线标志物进行的时间依赖性受试者工作特征曲线分析中,研究兴趣集中在寻找合适的复合标志物,以提高随时间预测个体生命状态的准确性。基于删失生存数据,在事件时间的时变系数广义线性模型有效且对删失模式无限制假设的情况下,我们提出了一种更灵活的估计程序,用于标志物的最优组合。本文还建立了所提估计量的一致性。相比之下,当估计方程中的选择概率指定错误时,逆概率加权(IPW)方法可能会引入偏差。通过一类模拟检验并比较了两种估计程序的性能。从模拟研究中发现,所提估计量远优于IPW估计量。将这些方法应用于血管造影队列,结果表明我们的估计程序在预测全因和冠状动脉疾病相关死亡时间方面很有用。

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