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部分区间删失失效时间数据的半参数回归分析及其在 AIDS 临床试验中的应用。

Semiparametric regression analysis of partly interval-censored failure time data with application to an AIDS clinical trial.

机构信息

Department of Mathematics and Statistics, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.

Department of Biostatistics, University of Washington, Seattle, Washington, USA.

出版信息

Stat Med. 2021 Sep 10;40(20):4376-4394. doi: 10.1002/sim.9035. Epub 2021 May 26.

Abstract

Failure time data subject to various types of censoring commonly arise in epidemiological and biomedical studies. Motivated by an AIDS clinical trial, we consider regression analysis of failure time data that include exact and left-, interval-, and/or right-censored observations, which are often referred to as partly interval-censored failure time data. We study the effects of potentially time-dependent covariates on partly interval-censored failure time via a class of semiparametric transformation models that includes the widely used proportional hazards model and the proportional odds model as special cases. We propose an EM algorithm for the nonparametric maximum likelihood estimation and show that it unifies some existing approaches developed for traditional right-censored data or purely interval-censored data. In particular, the proposed method reduces to the partial likelihood approach in the case of right-censored data under the proportional hazards model. We establish that the resulting estimator is consistent and asymptotically normal. In addition, we investigate the proposed method via simulation studies and apply it to the motivating AIDS clinical trial.

摘要

失效时间数据通常会受到各种类型的删失的影响,这种情况在流行病学和生物医学研究中很常见。受一项艾滋病临床试验的启发,我们考虑了包括精确删失、左删失、区间删失和/或右删失观察的失效时间数据的回归分析,这些数据通常被称为部分区间删失失效时间数据。我们通过一类半参数变换模型研究了潜在的时变协变量对部分区间删失失效时间的影响,该模型包括广泛使用的比例风险模型和比例优势模型作为特例。我们提出了一种用于非参数最大似然估计的 EM 算法,并证明它统一了一些为传统右删失数据或纯粹区间删失数据开发的现有方法。特别是,在比例风险模型下,对于右删失数据,该方法简化为部分似然方法。我们证明了所得估计量的一致性和渐近正态性。此外,我们通过模拟研究对该方法进行了研究,并将其应用于激励性的艾滋病临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ad/9080514/506db6d7b9a8/nihms-1799147-f0001.jpg

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