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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.

DOI:10.1002/sim.6852
PMID:26763556
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4853244/
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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引用本文的文献

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本文引用的文献

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Absolute risk regression for competing risks: interpretation, link functions, and prediction.竞争风险的绝对风险回归:解释、链接函数和预测。
Stat Med. 2012 Dec 20;31(29):3921-30. doi: 10.1002/sim.5459. Epub 2012 Aug 2.
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A note on overadjustment in inverse probability weighted estimation.关于逆概率加权估计中过度调整的一则注释。
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Incidence rate of and factors associated with loss to follow-up in a longitudinal cohort of antiretroviral-treated HIV-infected persons: an AIDS Clinical Trials Group (ACTG) Longitudinal Linked Randomized Trials (ALLRT) analysis.接受抗逆转录病毒治疗的HIV感染者纵向队列中的失访发生率及相关因素:艾滋病临床试验组(ACTG)纵向关联随机试验(ALLRT)分析
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Constructing inverse probability weights for marginal structural models.构建边际结构模型的逆概率权重。
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Factors associated with early study discontinuation in AACTG studies, DACS 200.AACTG研究(DACS 200)中与早期研究中断相关的因素。
Contemp Clin Trials. 2007 Sep;28(5):583-92. doi: 10.1016/j.cct.2007.02.002. Epub 2007 Feb 27.
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Three- vs four-drug antiretroviral regimens for the initial treatment of HIV-1 infection: a randomized controlled trial.用于HIV-1感染初始治疗的三联与四联抗逆转录病毒疗法:一项随机对照试验
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