Regression analysis of correlated interval-censored failure time data with a cured subgroup
Abstract
Interval-censored failure time data commonly occur in many periodic follow-up studies such as epidemiological experiments, medical studies and clinical trials. By intervalcensored data, we usually mean that one cannot observe the failure time of interest and instead we know that it belongs to a time interval. Correlated failure time data commonly occur when there are multiple events on one individual or when the study subjects are clustered into some small groups. In this situation, study subjects from same subgroup or the failure events from same individuals are usually regarded as dependent, but the subjects in different clusters or failure events from different individuals are assumed to be independent. Besides the correlation between the cluster, sometimes the cluster size may be informative or carry some information about the failure time of interest. Cured subgroup is another interesting topic that has been discussed by many authors. For this situation, unlike the assumptions in traditional survival model that all study subjects would experience the failure event of interest eventually if the follow-up time is long enough, some subjects may never experience or not be susceptible to the event. Such subjects are treated as cured and assumed to belong to a cured subgroup in a study population. The research in this dissertation focuses on regression analysis of correlated intervalcensored data with a cured subgroup via different approaches based on different data structures. In the first part of this dissertation, we discuss clustered interval-censored data with a cured subgroup and informative cluster size. To address this, we present a within-cluster resampling method and in the approach, the multiple imputation procedure is applied for estimation of unknown parameters. To assess the performance of the proposed method, a simulation study is conducted and suggests that it works well in practical situations. Also, the method is applied to a set of real data that motivated this study. In the second part of this dissertation, we consider the clustered interval-censored data with a cured subgroup via a non-mixture cure model. We present a maximum likelihood estimation procedure under the semiparametric transformation nonmixture cure model. To estimate the unknown parameters, an expectation maximization (EM) algorithm based on an augmentation of Poisson variable is developed. To assess the performance of the proposed method, a simulation study is conducted and suggests that it works well in practical situations. An application to a study conducted by the National Aeronautics and Space Administration that motivated this study is also provided. In the third part of this dissertation, we investigate the bivariate interval-censored data with a cured subgroup. A sieve maximum likelihood estimation procedure under the semiparametric transformation non-mixture cure model based on Bernstein polynomials is presented. A simulation study is conducted to assess the finite sample performance of the proposed method and suggests that the proposed model works well. Also, a real data application from the study of AIDS Clinical Trial Group 181 is provided.
Degree
Ph. D.