In this paper, we develop a new estimation procedure based on the non-linear conjugate gradient (NCG) algorithm for the Box-Cox transformation cure rate model. We compare the performance of the NCG algorithm with the well-known expectation maximization (EM) algorithm through a simulation study and show the advantages of the NCG algorithm over the EM algorithm. In particular, we show that the NCG algorithm allows simultaneous maximization of all model parameters when the likelihood surface is flat with respect to a Box-Cox model parameter. This is a big advantage over the EM algorithm, where a profile likelihood approach has been proposed in the literature that may not provide satisfactory results. We finally use the NCG algorithm to analyze a well-known melanoma data and show that it results in a better fit.
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