Physical Sciences and Mathematics Commons^™

An Analysis Of All-Cause Mortality On Patients With Sickle Cell Disease And Kidney Disease Using Propensity Score Matching, Adam Garrison

Electronic Theses and Dissertations

In this work, we provide an overview of the Cox proportional hazards model for time to event or survival analysis and the notion of propensity score matching to deal with confounding factors. A full analysis is reported in Chapter 2 concerning mortality for in-center dialysis patients with sickle cell disease to demonstrate the application of a general analysis strategy that has some logistical benefits over more traditional approaches to accounting for confounding variables. We also provide some insight and discussions on the challenges and future research questions that will emerge when trying to implement this strategy as a monitoring tool …

Statistical Applications To The Management Of Intensive Care And Step-Down Units, Yawo Mamoua Kobara

Electronic Thesis and Dissertation Repository

This thesis proposes three contributing manuscripts related to patient flow management, server decision-making, and ventilation time in the intensive care and step-down units system.

First, a Markov decision process (MDP) model with a Monte Carlo simulation was performed to compare two patient flow policies: prioritizing premature step-down and prioritizing rejection of patients when the intensive care unit is congested. The optimal decisions were obtained under the two strategies. The simulation results based on these optimal decisions show that a premature step-down strategy contributes to higher congestion downstream. Counter-intuitively, premature step-down should be discouraged, and patient rejection or divergence actions should …

Survival Analysis: An Exact Method For Rare Events, Kristina Reutzel

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Conventional asymptotic methods for survival analysis work well when sample sizes are at least moderately sufficient. When dealing with small sample sizes or rare events, the results from these methods have the potential to be inaccurate or misleading. To handle such data, an exact method is proposed and compared against two other methods: 1) the Cox proportional hazards model and 2) stratified logistic regression for discrete survival analysis data.

Multivariate Joint Models And Dynamic Predictions, Md Akhtar Hossain

Theses and Dissertations

The joint modeling of longitudinal and time-to-event data is an active area of statistical research that has received a lot of attention. The standard joint models, referred to as univariate joint models, allow simultaneous modeling of a single longitudinal outcome and a single time-to-event under an assumption of independent censoring. The majority of the joint modeling research in the last two decades has focused on extending and improving the univariate joint models. While many of the practical applications involve data on multivariate longitudinal outcomes and multiple timeto- events possibly informatively censored by some other terminal time-to-event, the developments of joint …

Flexible Regression Models For Survival Data, Ennan Gu

Theses and Dissertations

Survival analysis is a branch of statistics to analyze the time-to-event data or survival data. One important feature of survival data is censoring, which means that not all the subjects’ survival time are observed directly. Among all the survival data, right-censored data are the most common type and consist of some exactly observed survival times and some right-censored observations. In this dissertation, we focus on studying flexible regression models for complicated right-censored survival data when the classical proportional hazards (PH) assumption is not satisfied. Flexible semiparametric regression models can largely avoid misspecification of parametric distributions and thus provide more modeling …

Gradient Boosting For Survival Analysis With Applications In Oncology, Nam Phuong Nguyen

USF Tampa Graduate Theses and Dissertations

Cancer is one of the most deadly diseases that the world has been fighting against over decades. An enormous number of research has been conducted, via a wide scale of approaches, raging from genetic analysis to mathematical modeling. Survival analysis is a well-performed methodology frequently used to estimate the survival probability of a patient. Although there has been a large number of methods for survival analysis, efficient exploration of a high-dimensional feature space has been challenging due to its computational cost and complexity. This thesis adapts the component-wise gradient boosting algorithms for cancer survival analysis, and also proposes a new …

Parsimonious Covariate Selection For Interval Censored Data, Yi Cui

Legacy Theses & Dissertations (2009 - 2024)

Interval censored outcomes widely arise in many clinical trials and observational studies. In many cases, subjects are only followed-up periodically. As a result, the event of interest is known only to occur within a certain interval. We provided a method to select the parsimonious set of covariates associated with the interval censored outcome. First, the iterative sure independence screening (ISIS) method was applied to all interval censored time points across subjects to simultaneously select a set of potentially important covariates; then multiple testing approaches were used to improve the selection accuracy through refining the selection criteria, i.e. determining a refined …

Assessing The Performance And Merit Of The Random Survival Forest And Cox Models On A Pancreatic Cancer Data Set, Carl Edward Mueller

Graduate Research Theses & Dissertations

Random Survival Forest (RSF) is one of the most powerful and easily applied machine learning models for survival data. RSF sacrifices some of the interpretability of the decision trees used to grow the forest in order to significantly reduce the bias and variance of the basic classification and regression tree (CART) paradigm. The lessened interpretability and higher computational intensity of RSF means that it may not always be the preferred method, even in settings where black-box methods are readily used. By contrast, the Cox Proportional Hazards (PH) model is incredibly flexible, resistant to overfitting, and transparently estimable. The tradeoff for …

Variable Selection In Accelerated Failure Time (Aft) Frailty Models: An Application Of Penalized Quasi-Likelihood, Sarbesh R. Pandeya

Electronic Theses and Dissertations

Variable selection is one of the standard ways of selecting models in large scale datasets. It has applications in many fields of research study, especially in large multi-center clinical trials. One of the prominent methods in variable selection is the penalized likelihood, which is both consistent and efficient. However, the penalized selection is significantly challenging under the influence of random (frailty) covariates. It is even more complicated when there is involvement of censoring as it may not have a closed-form solution for the marginal log-likelihood. Therefore, we applied the penalized quasi-likelihood (PQL) approach that approximates the solution for such a …

Surviving A Civil War: Expanding The Scope Of Survival Analysis In Political Science, Andrew B. Whetten

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Survival Analysis in the context of Political Science is frequently used to study the duration of agreements, political party influence, wars, senator term lengths, etc. This paper surveys a collection of methods implemented on a modified version of the Power-Sharing Event Dataset (which documents civil war peace agreement durations in the Post-Cold War era) in order to identify the research questions that are optimally addressed by each method. A primary comparison will be made between a Cox Proportional Hazards Model using some advanced capabilities in the glmnet package, a Survival Random Forest Model, and a Survival SVM. En route to …

Prostate Cancer Survival Among Hispanics: A Surveillance, Epidemiology, And End Results (Seer) Population-Based Cohort Study, David Rivas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Hispanics are now the youngest, largest, and fastest growing minority group in the U.S. Prostate cancer (PC) is the most commonly diagnosed cancer in men and is the second-leading cause of cancer deaths among Hispanics. For the first time, we examined PC-specific survival among distinct Hispanic groups that include Mexicans, Cubans, Dominicans, Puerto Ricans, as well as Central and South Americans. We compared these groups to the main reference population in the U.S., non-Hispanic Whites (NHW), after adjustment for prognostic factor risk categories (prostate-specific antigen (PSA) level, Gleason score, and tumor stage), as well as sociodemographic covariates (e.g., health insurance, …

Density Estimation For Lifetime Distributions Under Semi-Parametric Random Censorship Models, Carsten Harlass

Theses and Dissertations

We derive product limit estimators of survival times and failure rates for randomly right censored data as the numerical solution of identifying Volterra integral equations by employing explicit and implicit Euler schemes. While the first approach results in some known estimators, the latter leads to a new general type of product limit estimator. Plugging in established methods to approximate the conditional probability of the censoring indicator given the observation, we introduce new semi-parametric and presmoothed Kaplan-Meier type estimators. In the case of the semi-parametric random censorship model, i.e. the latter probability belonging to some parametric family, we study the strong …

Who Is Like Whom? Reclassification And Performance Patterns For Different Groupings Of English Learners, Molly M. Faulkner-Bond

Doctoral Dissertations

Approximately 10 percent of the US K-12 population consists of English learners (ELs), or students who are learning English in addition to academic content in areas like English language arts (ELA) and mathematics. In addition to meeting the same academic content and performance standards set for all students, it is also a goal for ELs to be reclassified – i.e., to master English so that they can shed the EL label and participate in academic settings where English is used without needing special support. Working with a longitudinal cohort of ~28,000 ELs in grades 3 through 8 from one state, …

Modeling And Survival Analysis Of Breast Cancer: A Statistical, Artificial Neural Network, And Decision Tree Approach, Venkateswara Rao Mudunuru

USF Tampa Graduate Theses and Dissertations

Survival analysis today is widely implemented in the fields of medical and biological sciences, social sciences, econometrics, and engineering. The basic principle behind the survival analysis implies to a statistical approach designed to take into account the amount of time utilized for a study period, or the study of time between entry into observation and a subsequent event. The event of interest pertains to death and the analysis consists of following the subject until death. Events or outcomes are defined by a transition from one discrete state to another at an instantaneous moment in time. In the recent years, research …

Two Essays In Financial Economics, Kyle J. Putnam

University of New Orleans Theses and Dissertations

The following dissertation contains two distinct empirical essays which contribute to the overall field of Financial Economics. Chapter 1, entitled “The Determinants of Dynamic Dependence: An Analysis of Commodity Futures and Equity Markets,” examines the determinants of the dynamic equity-commodity return correlations between five commodity futures sub-sectors (energy, foods and fibers, grains and oilseeds, livestock, and precious metals) and a value-weighted equity market index (S&P 500). The study utilizes the traditional DCC model, as well as three time-varying copulas: (i) the normal copula, (ii) the student’s t copula, and (iii) the rotated-gumbel copula as dependence measures. Subsequently, the determinants of …

Empirical Likelihood Confidence Band, Shihong Zhu

Theses and Dissertations--Statistics

The confidence band represents an important measure of uncertainty associated with a functional estimator and empirical likelihood method has been proved to be a viable approach to constructing confidence bands in many cases. Using the empirical likelihood ratio principle, this dissertation developed simultaneous confidence bands for many functions of fundamental importance in survival analysis, including the survival function, the difference and ratio of survival functions, the hazards ratio function, and other parameters involving residual lifetimes. Covariate adjustment was incorporated under the proportional hazards assumption. The proposed method can be very useful when, for example, an individualized survival function is desired …

Statistical Analysis, Modeling, And Algorithms For Pharmaceutical And Cancer Systems, Bong-Jin Choi

USF Tampa Graduate Theses and Dissertations

The aim of the present study is to develop a statistical algorithm and model associ- ated with breast and lung cancer patients. In this study, we developed several statistical softwares, R packages, and models using our new statistical approach.

In the present study, we used the five parameters logistic model for determining the optimal doses of a pharmaceutical drugs, including dynamic initial points, an automatic process for outlier detection and an algorithm that develops a graphic user interface(GUI) program. The developed statistical procedure assists medical scientists by reducing their time in determining the optimal dose of new drugs, and can …

Choosing The Cut Point For A Restricted Mean In Survival Analysis, A Data Driven Method, Emily H. Sheldon

Theses and Dissertations

Survival Analysis generally uses the median survival time as a common summary statistic. While the median possesses the desirable characteristic of being unbiased, there are times when it is not the best statistic to describe the data at hand. Royston and Parmar (2011) provide an argument that the restricted mean survival time should be the summary statistic used when the proportional hazards assumption is in doubt. Work in Restricted Means dates back to 1949 when J.O. Irwin developed a calculation for the standard error of the restricted mean using Greenwood’s formula. Since then the development of the restricted mean has …

Age Dependent Analysis And Modeling Of Prostate Cancer Data, Nana Osei Mensa Bonsu

USF Tampa Graduate Theses and Dissertations

Growth rate of prostate cancer tumor is an important aspect of understanding the natural history of prostate cancer. Using real prostate cancer data from the SEER database with tumor size as a response variable, we have clustered the cancerous tumor sizes into age groups to enhance its analytical behavior. The rate of change of the response variable as a function of age is given for each cluster. Residual analysis attests to the quality of the analytical model and the subject estimates. In addition, we have identified the probability distribution that characterize the behavior of the response variable and proceeded with …

Statistical Analysis And Modeling Of Prostate Cancer, Yiu Ming Chan

USF Tampa Graduate Theses and Dissertations

The objective of the present study is to address some important questions related to prostate cancer treatments and survivorship among White and African American men. It is commonly understood that the risk of developing prostate cancer is higher in African American men than the other races. However, using parametric analysis, this study demonstrates that this perception is a "myth" not a "reality". The study further identifies the existence of racial/ethnic disparities by comparing the average mean tumor size, the median of survival time, and the survival function between White and African American men. These results underline the necessity of understanding …

A New Method For The Comparison Of Survival Distributions, Jaymie Shanahan

Theses and Dissertations

The assessment of overall homogeneity of time-to-event curves is a key element in survival analysis in biomedical research. The currently commonly used testing methods, e.g. log-rank test, Wilcoxon test, and Kolmogorov-Smirnov test, may have a significant loss of statistical testing power under certain circumstances. In this thesis we replicate a testing method (Lin & Xu, 2009) that is robust for the comparison of the overall homogeneity of survival curves based on the absolute difference of the area under the survival curves using normal approximation by Greenwood's formula, and propose a new weight component to their test statistic. The weight component …