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当删失依赖于时间相依协变量时评估竞争风险结局的预测因素,并应用于HIV治疗的安全性和有效性。

Evaluating predictors of competing risk outcomes when censoring depends on time-dependent covariates, with application to safety and efficacy of HIV treatment.

作者信息

Lok Judith J, Hughes Michael D

机构信息

Department of Biostatistics, Harvard T.H. Chan School of Public Health, Huntington Avenue, Boston, MA, 65502115, U.S.A.

出版信息

Stat Med. 2016 Jun 15;35(13):2183-94. doi: 10.1002/sim.6852. Epub 2016 Jan 14.

Abstract

We propose a prediction model for the cumulative incidence functions of competing risks, based on a logit link. Because of a concern about censoring potentially depending on time-varying covariates in our motivating human immunodeficiency virus (HIV) application, we describe an approach for estimating the parameters in the prediction models using inverse probability of censoring weighting under a missingness at random assumption. We then illustrate the application of this methodology to identify predictors of the competing outcomes of virologic failure, an efficacy outcome, and treatment limiting adverse event, a safety outcome, among human immunodeficiency virus-infected patients first starting antiretroviral treatment. Copyright © 2016 John Wiley & Sons, Ltd.

摘要

我们基于logit连接提出了一种用于竞争风险累积发病率函数的预测模型。由于在我们具有启发性的人类免疫缺陷病毒(HIV)应用中,担心删失可能取决于随时间变化的协变量,我们描述了一种在随机缺失假设下使用删失加权逆概率来估计预测模型中参数的方法。然后,我们举例说明了该方法在确定首次开始抗逆转录病毒治疗的人类免疫缺陷病毒感染患者中病毒学失败(一种疗效结果)和治疗限制性不良事件(一种安全性结果)这两种竞争结局的预测因素方面的应用。版权所有© 2016约翰·威利父子有限公司。

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本文引用的文献

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Am J Epidemiol. 2008 Sep 15;168(6):656-64. doi: 10.1093/aje/kwn164. Epub 2008 Aug 5.
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Predictors identified for losses to follow-up among HIV-seropositive patients.在HIV血清阳性患者中确定的失访预测因素。
J Clin Epidemiol. 2006 Aug;59(8):829-835. doi: 10.1016/j.jclinepi.2005.11.024. Epub 2006 May 30.

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