Restricted mean survival time regression model with time‐dependent covariates

In clinical or epidemiological follow‐up studies, methods based on time scale indicators such as the restricted mean survival time (RMST) have been developed to some extent. Compared with traditional hazard rate indicator system methods, the RMST is easier to interpret and does not require the propo...

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Published in:Statistics in medicine Vol. 41; no. 21; pp. 4081 - 4090
Main Authors: Zhang, Chengfeng, Huang, Baoyi, Wu, Hongji, Yuan, Hao, Hou, Yawen, Chen, Zheng
Format: Journal Article
Language:English
Published: Hoboken, USA John Wiley & Sons, Inc 20-09-2022
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Abstract In clinical or epidemiological follow‐up studies, methods based on time scale indicators such as the restricted mean survival time (RMST) have been developed to some extent. Compared with traditional hazard rate indicator system methods, the RMST is easier to interpret and does not require the proportional hazard assumption. To date, regression models based on the RMST are indirect or direct models of the RMST and baseline covariates. However, time‐dependent covariates are becoming increasingly common in follow‐up studies. Based on the inverse probability of censoring weighting (IPCW) method, we developed a regression model of the RMST and time‐dependent covariates. Through Monte Carlo simulation, we verified the estimation performance of the regression parameters of the proposed model. Compared with the time‐dependent Cox model and the fixed (baseline) covariate RMST model, the time‐dependent RMST model has a better prediction ability. Finally, an example of heart transplantation was used to verify the above conclusions.
AbstractList In clinical or epidemiological follow‐up studies, methods based on time scale indicators such as the restricted mean survival time (RMST) have been developed to some extent. Compared with traditional hazard rate indicator system methods, the RMST is easier to interpret and does not require the proportional hazard assumption. To date, regression models based on the RMST are indirect or direct models of the RMST and baseline covariates. However, time‐dependent covariates are becoming increasingly common in follow‐up studies. Based on the inverse probability of censoring weighting (IPCW) method, we developed a regression model of the RMST and time‐dependent covariates. Through Monte Carlo simulation, we verified the estimation performance of the regression parameters of the proposed model. Compared with the time‐dependent Cox model and the fixed (baseline) covariate RMST model, the time‐dependent RMST model has a better prediction ability. Finally, an example of heart transplantation was used to verify the above conclusions.
Author Yuan, Hao
Hou, Yawen
Zhang, Chengfeng
Huang, Baoyi
Wu, Hongji
Chen, Zheng
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  organization: Southern Medical University
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Snippet In clinical or epidemiological follow‐up studies, methods based on time scale indicators such as the restricted mean survival time (RMST) have been developed...
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SubjectTerms inverse probability of censoring weighting
Medical research
Medical statistics
restricted mean survival time
Statistical analysis
survival analysis
time‐dependent covariates
Title Restricted mean survival time regression model with time‐dependent covariates
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fsim.9495
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