Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, Florida, USA.
Department of Statistics, Yunnan University, Kunming, PR China.
J Biopharm Stat. 2021 May 4;31(3):295-316. doi: 10.1080/10543406.2020.1852248. Epub 2020 Dec 7.
Joint modeling analysis of longitudinal and time-to-event data has been an active area of statistical methodological study and biomedical research, but the majority of them are based on mean-regression. Quantile regression (QR) can characterize the entire conditional distribution of the outcome variable, and may be more robust to outliers/heavy tails and misspecification of error distribution. Additionally, a parametric specification may be insufficient and inflexible to capture the complicated longitudinal pattern of biomarkers. Thus, this study proposes novel QR-based partially linear mixed-effects joint models with three components (QR-based longitudinal response, longitudinal covariate, and time-to-event processes), and applies to Multicenter AIDS Cohort Study (MACS). Many common data features, including left-censoring due to a limit of detection, covariate measurement error, and asymmetric distribution, are considered to obtain reliable parameter estimates. Many interesting findings are discovered by the complicated joint models under Bayesian inference framework. Simulation studies are also implemented to assess the performance of the proposed joint models under different scenarios.
联合纵向和生存时间数据的建模分析一直是统计方法学研究和生物医学研究的活跃领域,但大多数研究都是基于均值回归的。分位数回归(QR)可以描述因变量的整个条件分布,并且对于离群值/重尾和误差分布的误指定可能更稳健。此外,参数化规范可能不足以灵活地捕捉生物标志物的复杂纵向模式。因此,本研究提出了具有三个组件的基于 QR 的新型部分线性混合效应联合模型(基于 QR 的纵向响应、纵向协变量和生存时间过程),并应用于多中心艾滋病队列研究(MACS)。考虑到许多常见的数据特征,包括由于检测限导致的左截断、协变量测量误差和不对称分布,以获得可靠的参数估计。通过贝叶斯推理框架下的复杂联合模型发现了许多有趣的发现。还进行了模拟研究,以评估在不同情况下提出的联合模型的性能。