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分类依据与纠错

AI 根据所提供的论文材料归类:摘要核心是患病队列中的长度偏倚生存分析,未研究所列面板、因果、时间序列或金融细分问题。

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代码、数据与补充材料

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关注这篇论文的作者
Chiung-yu Huang
Jing Qin

长度偏倚抽样下的复合偏似然估计:痴呆患病队列应用

研究问题
患病队列抽样更易纳入生存较长者,如何在校正长度偏倚的同时利用疾病发生分布,提高发病至死亡时间模型的估计效率?
方法与思路
作者在疾病发生率平稳假设下研究 Cox 模型,提出可用标准统计软件实施的复合偏似然方法,并提供平稳性检查方法。
材料陈述的贡献
摘要称,该方法兼顾偏似然的简便性与效率,在痴呆队列应用中发现组间生存差异,而所比较方法的置信区间覆盖零。
阅读关注点
应核对疾病发生率平稳假设、长度偏倚与删失的处理、复合似然的方差计算,以及应用中的显著性差异如何产生。
阅读边界
仅据 OpenAlex 索引摘要,稿件版本未注明,不能推断刊本变化;不能把摘要对完全效率的预期视为该方法已获完全效率证明。

原文摘要

The Canadian Study of Health and Aging (CSHA) employed a prevalent cohort design to study survival after onset of dementia, where patients with dementia were sampled and the onset time of dementia was determined retrospectively. The prevalent cohort sampling scheme favors individuals who survive longer. Thus, the observed survival times are subject to length bias. In recent years, there has been a rising interest in developing estimation procedures for prevalent cohort survival data that not only account for length bias but also actually exploit the incidence distribution of the disease to improve efficiency. This article considers semiparametric estimation of the Cox model for the time from dementia onset to death under a stationarity assumption with respect to the disease incidence. Under the stationarity condition, the semiparametric maximum likelihood estimation is expected to be fully efficient yet difficult to perform for statistical practitioners, as the likelihood depends on the baseline hazard function in a complicated way. Moreover, the asymptotic properties of the semiparametric maximum likelihood estimator are not well-studied. Motivated by the composite likelihood method (Besag 1974), we develop a composite partial likelihood method that retains the simplicity of the popular partial likelihood estimator and can be easily performed using standard statistical software. When applied to the CSHA data, the proposed method estimates a significant difference in survival between the vascular dementia group and the possible Alzheimer's disease group, while the partial likelihood method for left-truncated and right-censored data yields a greater standard error and a 95% confidence interval covering 0, thus highlighting the practical value of employing a more efficient methodology. To check the assumption of stable disease for the CSHA data, we also present new graphical and numerical tests in the article. The R code used to obtain the maximum composite partial likelihood estimator for the CSHA data is available in the online Supplementary Material, posted on the journal web site.

笔记与分组