Fitting a Semi-Parametric Mixture Model for Competing Risks in Survival Data

Autor: Russell J. Bowater, Gabriel Escarela
Rok vydání: 2008
Předmět:
Zdroj: Communications in Statistics - Theory and Methods. 37:277-293
ISSN: 1532-415X
0361-0926
DOI: 10.1080/03610920701649134
Popis: A model for survival analysis is studied that is relevant for samples which are subject to multiple types of failure. In comparison with a more standard approach, through the appropriate use of hazard functions and transition probabilities, the model allows for a more accurate study of cause-specific failure with regard to both the timing and type of failure. A semiparametric specification of a mixture model is employed that is able to adjust for concomitant variables and allows for the assessment of their effects on the probabilities of eventual causes of failure through a generalized logistic model, and their effects on the corresponding conditional hazard functions by employing the Cox proportional hazards model. A carefully formulated estimation procedure is presented that uses an EM algorithm based on a profile likelihood construction. The methods discussed, which could also be used for reliability analysis, are applied to a prostate cancer data set.
Databáze: OpenAIRE