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Semiparametric proportional means model for marker data contingent on recurrent event
Jianwen Cai1, Donglin Zeng, Wenqin Pan
1Department of Biostatistics, University of North Carolina at Chapel Hill, Campus Box 7420, Chapel Hill, NC, 27599-7420, USA. cai@bios.unc.edu
This study introduces a new statistical model for analyzing biomedical data where markers are only measured upon recurrent events, like hospitalizations. The method effectively models both the event occurrence and the marker data, showing reliable estimation properties.
Area of Science:
- Biostatistics
- Epidemiology
- Health Economics
Background:
- Biomedical studies often involve recurrent events (e.g., hospitalizations) where associated markers (e.g., medical costs) are only recorded upon event occurrence.
- This creates challenges in statistical modeling due to the contingent nature of marker data on recurrent events.
Purpose of the Study:
- To develop and validate a statistical framework for analyzing marker data that are contingent on recurrent events.
- To simultaneously model recurrent event processes and associated marker data using observed covariates.
Main Methods:
- A proportional means model was proposed for marker data conditional on recurrent events.
- A marginal rate model was used for the recurrent event process.
- Estimating equations were derived for parameter estimation, with asymptotic normality established.
Main Results:
- The proposed estimators demonstrated good finite-sample properties in simulation studies.
- The methodology was successfully applied to real-world data from the Vitamin A Community Trial.
Conclusions:
- The developed statistical models provide a robust approach for analyzing complex biomedical data with event-contingent markers.
- This method enhances the understanding of relationships between recurrent events and their associated markers in health research.
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