双层删失生存数据的半参数筛估计

Semiparametric sieve estimation for survival data with two-layer censoring

Biometrika · 2025
被引 1
ABS 4

中文导读

针对疾病登记数据中报告延迟和管理删失导致的双层右删失问题,提出基于相型分布的半参数筛估计方法,通过加速失效时间模型纳入协变量,并开发EM算法估计参数,理论证明了估计量的一致性和渐近正态性。

Abstract

Summary Disease registry data provide important information on the progression of disease conditions. However, reports of death or drop-out of patients enrolled in the registry are always subject to a noticeable delay. Reporting delays, together with the administrative censoring that arises from a freeze date in data collection, lead to two layers of right censoring in the data. The first layer results from random drop-out and acts on the survival time. The second layer is the administrative censoring, which acts on the sum of the reporting delay and the minimum of the survival time and random drop-out time. The heterogeneities among patients further complicate data analysis. This paper proposes a novel semiparametric sieve method based on phase-type distributions, in which covariates can be readily accommodated by the accelerated failure time model. A well-orchestrated EM algorithm is developed to compute the sieve maximum likelihood estimator. We establish the consistency and rate of convergence of the proposed sieve estimators, as well as the asymptotic normality and semiparametric efficiency of the estimators for the regression parameters. Comprehensive simulations and a real example of lung cancer registry data are used to demonstrate the proposed method. The results reveal substantial biases if reporting delays are overlooked.

生存分析删失数据半参数模型疾病登记数据