Two-Sample Multistate Accelerated Sojourn Times Model
将单变量加速失效时间模型推广到多状态过程,提出一种基于估计方程的半参数两样本推断方法,用于比较不同治疗对患者各状态逗留时间的影响,并通过癌症临床试验数据验证。
Many medical studies involve observations of patients experiencing multiple consecutive states during their follow-up. Since treatments may have differential effects on these states, comparison is of interest with respect to individual sojourn times. In this article I generalize the univariate accelerated failure time model for multistate processes and model the treatment effects as state-specific time scale changes. I propose a two-sample inference procedure that accommodates incomplete follow-up data. This semiparametric procedure, based on estimating equations, yields a class of estimators that are consistent and asymptotically normal. Sample-based consistent variance estimates are derived. Numerical studies demonstrate that the procedure performs well for practical sample sizes. Application to a cancer clinical trial is presented for illustration.