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Post-selection inference for the Cox model with interval-censored data.

Jianrui Zhang1, Chenxi Li2, Haolei Weng1

  • 1Department of Statistics and Probability, Michigan State University, East Lansing, Michigan, USA.

Scandinavian Journal of Statistics, Theory and Applications
|August 15, 2025
PubMed
Summary
This summary is machine-generated.

We developed a new statistical method for analyzing interval-censored survival data using the Cox proportional hazards model. This approach provides reliable p-values and confidence intervals after model selection, validated through simulations and an Alzheimer's disease study.

Keywords:
Cox modelInterval censoringLassoPost-selection inferenceSemiparametric inference

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Area of Science:

  • Biostatistics
  • Survival Analysis
  • Statistical Inference

Background:

  • Cox proportional hazards models are widely used for survival data analysis.
  • Interval-censored data presents unique challenges in statistical modeling.
  • Model selection methods like LASSO can introduce bias in subsequent inference.

Purpose of the Study:

  • To develop a post-selection inference method for Cox models with interval-censored data.
  • To provide asymptotically valid p-values and confidence intervals.
  • To address challenges in statistical inference following LASSO model selection.

Main Methods:

  • A novel post-selection inference method was developed for the Cox proportional hazards model.
  • The method utilizes a pivotal quantity converging to a uniform distribution.
  • Estimation of the efficient information matrix with consistent approaches was incorporated.

Main Results:

  • The proposed method yields asymptotically valid p-values and confidence intervals.
  • Simulation studies demonstrated satisfactory performance in modest sample sizes.
  • The method's utility was confirmed in an Alzheimer's disease study.

Conclusions:

  • The developed method offers reliable statistical inference for Cox models with interval-censored data after LASSO selection.
  • This approach enhances the validity of results in complex survival data analyses.
  • The method is applicable to real-world studies, including biomedical research like Alzheimer's disease.