Survival mixture modelling of recurrent infections

Recurrent infections data are commonly encountered in biomedical applications, 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,...

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Main Authors: Lee, Andy, Zhao, Yun, Yau, Kelvin, Ng, Shu
Other Authors: Masahiro Mizuta
Format: Conference Paper
Published: Japanese Society of Computational Statistics 2008
Online Access:http://hdl.handle.net/20.500.11937/46232
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author Lee, Andy
Zhao, Yun
Yau, Kelvin
Ng, Shu
author2 Masahiro Mizuta
author_facet Masahiro Mizuta
Lee, Andy
Zhao, Yun
Yau, Kelvin
Ng, Shu
author_sort Lee, Andy
building Curtin Institutional Repository
collection Online Access
description Recurrent infections data are commonly encountered in biomedical applications, 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. 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 components parameters. The methodology is implemented as a graphical user interface coded using Microsoft visual 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-20.500.11937-462322022-12-07T06:50:50Z Survival mixture modelling of recurrent infections Lee, Andy Zhao, Yun Yau, Kelvin Ng, Shu Masahiro Mizuta Junji Nakano Recurrent infections data are commonly encountered in biomedical applications, 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. 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 components parameters. The methodology is implemented as a graphical user interface coded using Microsoft visual 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. 2008 Conference Paper http://hdl.handle.net/20.500.11937/46232 Japanese Society of Computational Statistics fulltext
spellingShingle Lee, Andy
Zhao, Yun
Yau, Kelvin
Ng, Shu
Survival mixture modelling of recurrent infections
title Survival mixture modelling of recurrent infections
title_full Survival mixture modelling of recurrent infections
title_fullStr Survival mixture modelling of recurrent infections
title_full_unstemmed Survival mixture modelling of recurrent infections
title_short Survival mixture modelling of recurrent infections
title_sort survival mixture modelling of recurrent infections
url http://hdl.handle.net/20.500.11937/46232