在使用基于相对生存模型的CUSUMs的注册表数据中监测事件发生的时间
Jimmy Huy Tran1, Jan Terje Kvaløy1, Hartwig Kørner2,3
1Department of Mathematics and Physics, University of Stavanger, Norway.
Statistical methods in medical research
|February 5, 2026
概括
这项研究引入了一种新的累积和 (CUSUM) 程序,以使用健康登记数据监测疾病生存时间的变化. 该方法考虑了不确定的死亡原因信息和不同的人口风险.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 疾病监测需要监测生存时间分布的变化.
- 卫生登记册提供实时或追溯监测数据.
- 不确定的或缺少的死因数据在生存分析中构成了挑战.
研究的目的:
- 提出一种新的累积和 (CUSUM) 程序,用于监测生存时间分布的变化.
- 适应现有的时间到事件数据的方法,以适应过度危险的设置.
- 结合相对生存方法来处理不确定的死亡原因信息.
主要方法:
- 基于存活日志-概率比率的CUSUM图表的开发.
- 将总危险建模为人口危险和过度危险的总和.
- 考虑到人口风险和通过共变量解释的过度危险的变化.
主要成果:
- 拟议的CUSUM程序有效监测生存时间分布的变化.
- 即使死亡原因信息缺失或不确定,该方法也适用.
- 使用癌症注册数据证明了应用.
结论:
- CUSUM程序提供了一种可靠的疾病监测方法.
- 它通过过度危险模型增强了对生存数据的分析.
- 这种方法可以更好地从注册表数据中量化疾病负担.
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