Survival Analysis Commons^™

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 …