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A pattern-mixture model for the analysis of censored quality-of-life data
1Clinical Biostatistics, Sanofi-Aventis, 200 Crossings Blvd., P.O. Box 6890, Bridgewater, NJ 08807, USA. huiling.li@sanofi-aventis.com
Abstract:
We propose a pattern-mixture model for describing the joint distribution of incomplete repeated measurements of quality of life (QoL) and right-censored survival times. The model assumes that the survival times follow a multinomial distribution and that the quality of life outcome follows a multivariate normal distribution conditional on the survival time. We estimate the model using a Bayesian approach by importance sampling. We then use simulated parameters to create multiple imputations of the censored QoL outcomes, which can then be used to calculate individual values of quality-adjusted life-years (QALYs). We apply the method to data from the Randomized Evaluation of Mechanical Assistance in the Treatment of Congestive Heart Failure (REMATCH) clinical trial.
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