Survival Analysis Commons^™

New Developments On The Estimability And The Estimation Of Phase-Type Actuarial Models, Cong Nie

Electronic Thesis and Dissertation Repository

This thesis studies the estimability and the estimation methods for two models based on Markov processes: the phase-type aging model (PTAM), which models the human aging process, and the discrete multivariate phase-type model (DMPTM), which can be used to model multivariate insurance claim processes.

The principal contributions of this thesis can be categorized into two areas. First, an objective measure of estimability is proposed to quantify estimability in the context of statistical models. Existing methods for assessing estimability require the subjective specification of thresholds, which potentially limits their usefulness. Unlike these methods, the proposed measure of estimability is objective. In …

Flexible Modelling Of Time-Dependent Covariate Effects With Correlated Competing Risks: Application To Hereditary Breast And Ovarian Cancer Families, Seungwoo Lee

Electronic Thesis and Dissertation Repository

This thesis aims to develop a flexible approach for modelling time-dependent covariate effects on event risk using B-splines in the presence of correlated competing risks. The performance of the proposed model was evaluated via simulation in terms of the bias and precision of the estimation of the parameters and penetrance functions. In addition, we extended the concordance index to account for time-dependent effects and competing events simultaneously and demonstrated its inference procedures. We applied our proposed methods to data rising from the BRCA1 mutation families from the breast cancer family registry to evaluate the time-dependent effects of mammographic screening and …

Addressing Bias In Non-Experimental Studies Assessing Treatment Outcomes In Prostate Cancer, David E. Guy

Electronic Thesis and Dissertation Repository

We evaluated the ability of matching techniques to balance baseline characteristics between treatment groups using non-experimental data. We identified a set of balance diagnostics that assessed key differences in baseline covariates with potential for confounding. These diagnostics were used in a novel systematic approach to developing and evaluating models for use in propensity score matching that optimized balance and data retention. We then compared the performance of propensity score and coarsened exact matching strategies in optimizing balance and data retention, using non-experimental data from a pan-Canadian prostate cancer database. Both matching techniques balanced baseline covariates adequately and retained approximately 70% …

On The Estimation Of Penetrance In The Presence Of Competing Risks With Family Data, Daniel Prawira

Electronic Thesis and Dissertation Repository

In family studies, we are interested in estimating the penetrance function of the event of interest in the presence of competing risks. Failure to account for competing risks may lead to bias in the estimation of the penetrance function. In this thesis, three statistical challenges are addressed: clustering, missing data, and competing risks. We proposed the cause-specific model with shared frailty and ascertainment correction to account for clustering and competing risks along with ascertainment of families into study. Multiple imputation is used to account for missing data. The simulation study showed good performance of our proposed model in estimating the …

Joint Modelling In Liver Transplantation, Elizabeth M. Renouf

Electronic Thesis and Dissertation Repository

In the setting of liver transplantation, clinical trials and transplant registries regularly collect repeated measurements of clinical biomarkers which may be strongly associated with a time-to-event such as graft failure or disease recurrence. Multiple time-to-event outcomes are routinely collected. However, joint models are rarely used. This thesis will describe important considerations for joint modelling in the setting of liver transplantation. We will focus on transplant registry data from the United States. We develop a new tool for joint modelling in the context where a critical health event can be tracked in the longitudinal biomarker and often presents as a non-linear …

A Spatial Analysis Of Forest Fire Survival And A Marked Cluster Process For Simulating Fire Load, Amy A. Morin

Electronic Thesis and Dissertation Repository

The duration of a forest fire depends on many factors, such as weather, fuel type and fuel moisture, as well as fire management strategies. Understanding how these impact the duration of a fire can lead to more effective suppression efforts as this information can be incorporated into decision support systems used by fire management agencies to help allocate suppression resources. This thesis presents a thorough survival analysis of lightning and people-caused fires in the Intensive fire management zone of Ontario, Canada from 1989 through 2004. The analysis is then extended to investigate spatial patterns across this region using proportional hazards …

Flexible Partially Linear Single Index Regression Models For Multivariate Survival Data, Na Lei

Electronic Thesis and Dissertation Repository

Survival regression models usually assume that covariate effects have a linear form. In many circumstances, however, the assumption of linearity may be violated. The present work addresses this limitation by adding nonlinear covariate effects to survival models. Nonlinear covariates are handled using a single index structure, which allows high-dimensional nonlinear effects to be reduced to a scalar term. The nonlinear single index approach is applied to modeling of survival data with multivariate responses, in three popular models: the proportional hazards (PH) model, the proportional odds (PO) model, and the generalized transformation model. Another extension of the PH and PO model …

Survival Analysis Of Microarray Data With Microarray Measurement Subject To Measurement Error, Juan Xiong

Electronic Thesis and Dissertation Repository

Microarray technology is essentially a measurement tool for measuring expressions of genes, and this measurement is subject to measurement error. Gene expressions could be employed as predictors for patient survival, and the measurement error involved in the gene expression is often ignored in the analysis of microarray data in the literature. Efforts are needed to establish statistical method for analyzing microarray data without ignoring the error in gene expression. A typical microarray data set has a large number of genes far exceeding the sample size. Proper selection of survival relevant genes contributes to an accurate prediction model. We study the …