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Regression modelling of interval censored data based on the adaptive ridge procedure

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 Added by Olivier Bouaziz
 Publication date 2018
and research's language is English




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A new method for the analysis of time to ankylosis complication on a dataset of replanted teeth is proposed. In this context of left-censored, interval-censored and right-censored data, a Cox model with piecewise constant baseline hazard is introduced. Estimation is carried out with the EM algorithm by treating the true event times as unobserved variables. This estimation procedure is shown to produce a block diagonal Hessian matrix of the baseline parameters. Taking advantage of this interesting feature of the estimation method a L0 penalised likelihood method is implemented in order to automatically determine the number and locations of the cuts of the baseline hazard. This procedure allows to detect specific areas of time where patients are at greater risks for ankylosis. The method can be directly extended to the inclusion of exact observations and to a cure fraction. Theoretical results are obtained which allow to derive statistical inference of the model parameters from asymptotic likelihood theory. Through simulation studies, the penalisation technique is shown to provide a good fit of the baseline hazard and precise estimations of the resulting regression parameters.

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The mixture cure rate model is the most commonly used cure rate model in the literature. In the context of mixture cure rate model, the standard approach to model the effect of covariates on the cured or uncured probability is to use a logistic function. This readily implies that the boundary classifying the cured and uncured subjects is linear. In this paper, we propose a new mixture cure rate model based on interval censored data that uses the support vector machine (SVM) to model the effect of covariates on the uncured or the cured probability (i.e., on the incidence part of the model). Our proposed model inherits the features of the SVM and provides flexibility to capture classification boundaries that are non-linear and more complex. Furthermore, the new model can be used to model the effect of covariates on the incidence part when the dimension of covariates is high. The latency part is modeled by a proportional hazards structure. We develop an estimation procedure based on the expectation maximization (EM) algorithm to estimate the cured/uncured probability and the latency model parameters. Our simulation study results show that the proposed model performs better in capturing complex classification boundaries when compared to the existing logistic regression based mixture cure rate model. We also show that our models ability to capture complex classification boundaries improve the estimation results corresponding to the latency parameters. For illustrative purpose, we present our analysis by applying the proposed methodology to an interval censored data on smoking cessation.
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