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生存分析中由脆弱性引发的贝叶斯治愈率模型。

Bayesian cure rate models induced by frailty in survival analysis.

作者信息

de Souza Daiane, Cancho Vicente G, Rodrigues Josemar, Balakrishnan Narayanaswamy

机构信息

1 Department of Applied Mathematics and Statistics, University of São Paulo, São Carlos, Brazil.

2 Department of Mathematics and Statistics, McMaster University, Hamilton, Canada.

出版信息

Stat Methods Med Res. 2017 Oct;26(5):2011-2028. doi: 10.1177/0962280217708671. Epub 2017 Jun 28.

Abstract

Frailty models provide a convenient way of modeling unobserved dependence and heterogeneity in survival data which, if not accounted for duly, would result incorrect inference. Gamma frailty models are commonly used for this purpose, but alternative continuous distributions are possible as well. However, with cure rate being present in survival data, these continuous distributions may not be appropriate since individuals with long-term survival times encompass zero frailty. So, we propose here a flexible probability distribution induced by a discrete frailty, and then present some special discrete probability distributions. We specifically focus on a special hyper-Poisson distribution and then develop the corresponding Bayesian simulation, influence diagnostics and an application to real dataset by means of intensive Markov chain Monte Carlo algorithm. These illustrate the usefulness of the proposed model as well as the inferential results developed here.

摘要

脆弱性模型提供了一种方便的方法来对生存数据中未观察到的依赖性和异质性进行建模,如果没有适当地考虑这些因素,可能会导致错误的推断。伽马脆弱性模型通常用于此目的,但也可以使用其他连续分布。然而,当生存数据中存在治愈率时,这些连续分布可能不合适,因为具有长期生存时间的个体的脆弱性为零。因此,我们在此提出一种由离散脆弱性诱导的灵活概率分布,然后给出一些特殊的离散概率分布。我们特别关注一种特殊的超泊松分布,然后通过密集马尔可夫链蒙特卡罗算法开发相应的贝叶斯模拟、影响诊断并将其应用于真实数据集。这些说明了所提出模型的有用性以及此处得出的推断结果。

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