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An R-Based Landscape Validation of a Competing Risk Model
Published on: September 16, 2022
On cross-odds ratio for multivariate competing risks data
Thomas H Scheike1, Yanqing Sun
1Department of Biostatistics, University of Copenhagen, Øster Farimagsgade 5, Copenhagen DK-1014, Denmark.
Insights
This study introduces the cross-odds ratio to measure associations between correlated failure times within clusters. It presents methods for modeling this ratio, applied to twin data on menopause timing.
Area of Science:
- Biostatistics
- Epidemiology
- Survival Analysis
Background:
- Correlated failure times within clusters, such as twins, require specialized statistical methods.
- The cross-odds ratio is a measure of association for cause-specific events in clustered data.
- Existing methods may not fully capture the complexities of time-to-event data in clustered settings.
Purpose of the Study:
- To develop and explore parametric regression modeling for the cross-odds ratio.
- To propose estimating equations for unknown parameters and investigate their asymptotic properties.
- To discuss non-parametric estimation of the cross-odds ratio.
Main Methods:
- Definition and theoretical exploration of the cross-odds ratio.
- Development of parametric regression models for the cross-odds ratio.
- Derivation of estimating equations and analysis of asymptotic properties.
- Application to real-world data (Danish twin data).
Main Results:
- The joint cumulative incidence function can be expressed using marginal functions and the cross-odds ratio.
- Parametric regression modeling of the cross-odds ratio is feasible.
- Estimating equations and their asymptotic properties are established.
- Application to Danish twin data provides insights into menopause timing associations.
Conclusions:
- The cross-odds ratio is a valuable tool for analyzing associations in clustered time-to-event data.
- The proposed modeling approach allows for investigation of factors influencing these associations.
- The Danish twin data analysis reveals patterns in menopause timing and zygosity differences.
Abstract:
The cross-odds ratio is defined as the ratio of the conditional odds of the occurrence of one cause-specific event for one subject given the occurrence of the same or a different cause-specific event for another subject in the same cluster over the unconditional odds of occurrence of the cause-specific event. It is a measure of the association between the correlated cause-specific failure times within a cluster. The joint cumulative incidence function can be expressed as a function of the marginal cumulative incidence functions and the cross-odds ratio. Assuming that the marginal cumulative incidence functions follow a generalized semiparametric model, this paper studies the parametric regression modeling of the cross-odds ratio. A set of estimating equations are proposed for the unknown parameters and the asymptotic properties of the estimators are explored. Non-parametric estimation of the cross-odds ratio is also discussed. The proposed procedures are applied to the Danish twin data to model the associations between twins in their times to natural menopause and to investigate whether the association differs among monozygotic and dizygotic twins and how these associations have changed over time.
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