A computer graphical user interface for survival mixture modeling of recurrent infections

Recurrent infections data are commonly encountered in medical research, where the recurrent events are characterised by an acute phase followed by a stable phase after the index episode. Two-component survival mixture models, in both proportional hazards and accelerated failure time settings, are pr...

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Main Authors: Lee, Andy, Zhao, Yun, Yau, K., Ng, Shu
Format: Journal Article
Published: Elsevier 2009
Online Access:http://hdl.handle.net/20.500.11937/40805
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author Lee, Andy
Zhao, Yun
Yau, K.
Ng, Shu
author_facet Lee, Andy
Zhao, Yun
Yau, K.
Ng, Shu
author_sort Lee, Andy
building Curtin Institutional Repository
collection Online Access
description Recurrent infections data are commonly encountered in medical research, where the recurrent events are characterised by an acute phase followed by a stable phase after the index episode. Two-component survival mixture models, in both proportional hazards and accelerated failure time settings, are presented as a flexible method of analysing such data. To account for the inherent dependency of the recurrent observations, random effects are incorporated within the conditional hazard function, in the manner of generalised linear mixed models. Assuming a Weibull or log-logistic baseline hazard in both mixture components of the survival mixture model, an EM algorithm is developed for the residual maximum quasi-likelihood estimation of fixed effect and variance component parameters. The methodology is implemented as a graphical user interface coded using Microsoft visual C+C+. Application to model recurrent urinary tract infections for elderly women is illustrated, where significant individual variations are evident at both acute and stable phases. The survival mixture methodology developed enable practitioners to identify pertinent risk factors affecting the recurrent times and to draw valid conclusions inferred from these correlated and heterogeneous survival data.
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spelling curtin-20.500.11937-408052017-09-13T14:04:51Z A computer graphical user interface for survival mixture modeling of recurrent infections Lee, Andy Zhao, Yun Yau, K. Ng, Shu Recurrent infections data are commonly encountered in medical research, where the recurrent events are characterised by an acute phase followed by a stable phase after the index episode. Two-component survival mixture models, in both proportional hazards and accelerated failure time settings, are presented as a flexible method of analysing such data. To account for the inherent dependency of the recurrent observations, random effects are incorporated within the conditional hazard function, in the manner of generalised linear mixed models. Assuming a Weibull or log-logistic baseline hazard in both mixture components of the survival mixture model, an EM algorithm is developed for the residual maximum quasi-likelihood estimation of fixed effect and variance component parameters. The methodology is implemented as a graphical user interface coded using Microsoft visual C+C+. Application to model recurrent urinary tract infections for elderly women is illustrated, where significant individual variations are evident at both acute and stable phases. The survival mixture methodology developed enable practitioners to identify pertinent risk factors affecting the recurrent times and to draw valid conclusions inferred from these correlated and heterogeneous survival data. 2009 Journal Article http://hdl.handle.net/20.500.11937/40805 10.1016/j.compbiomed.2009.01.003 Elsevier restricted
spellingShingle Lee, Andy
Zhao, Yun
Yau, K.
Ng, Shu
A computer graphical user interface for survival mixture modeling of recurrent infections
title A computer graphical user interface for survival mixture modeling of recurrent infections
title_full A computer graphical user interface for survival mixture modeling of recurrent infections
title_fullStr A computer graphical user interface for survival mixture modeling of recurrent infections
title_full_unstemmed A computer graphical user interface for survival mixture modeling of recurrent infections
title_short A computer graphical user interface for survival mixture modeling of recurrent infections
title_sort computer graphical user interface for survival mixture modeling of recurrent infections
url http://hdl.handle.net/20.500.11937/40805