Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia, USA.
Stat Med. 2022 Oct 15;41(23):4666-4681. doi: 10.1002/sim.9531. Epub 2022 Jul 28.
The Cox proportional hazards model is commonly used to estimate the association between time-to-event and covariates. Under the proportional hazards assumption, covariate effects are assumed to be constant in the follow-up period of study. When measurement error presents, common estimation methods that adjust for an error-contaminated covariate in the Cox proportional hazards model assume that the true function on the covariate is parametric and specified. We consider a semiparametric partly linear Cox model that allows the hazard to depend on an unspecified function of an error-contaminated covariate and an error-free covariate with time-varying effect, which simultaneously relaxes the assumption on the functional form of the error-contaminated covariate and allows for nonconstant effect of the error-free covariate. We take a Bayesian approach and approximate the unspecified function by a B-spline. Simulation studies are conducted to assess the finite sample performance of the proposed approach. The results demonstrate that our proposed method has favorable statistical performance. The proposed method is also illustrated by an application to data from the AIDS Clinical Trials Group Protocol 175.
Cox 比例风险模型常用于估计时变事件与协变量之间的关联。在比例风险假设下,假设协变量的作用在研究的随访期间保持不变。当存在测量误差时,Cox 比例风险模型中调整误差污染协变量的常用估计方法假设协变量的真实函数是参数化和指定的。我们考虑了一种半参数部分线性 Cox 模型,允许风险依赖于误差污染协变量的未指定函数和具有时变效应的无误差协变量,同时放宽了对误差污染协变量的函数形式的假设,并允许无误差协变量的效应非恒定。我们采用贝叶斯方法,并通过 B 样条来近似未指定的函数。模拟研究评估了所提出方法的有限样本性能。结果表明,我们提出的方法具有良好的统计性能。该方法还通过 AIDS 临床试验组协议 175 数据的应用进行了说明。