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Robust joint modelling of longitudinal and survival data : Incorporating a time-varying degrees-of-freedom parameter

McFetridge, Lisa M. ; Asar, Özgür and Wallin, Jonas LU (2021) In Biometrical Journal 63(8). p.1587-1606
Abstract

Monitoring of individual biomarkers has the potential of explaining the hazard of survival outcomes. In practice, these measurements are intermittently observed and are known to be subject to substantial measurement error. Joint modelling of longitudinal and survival data enables us to associate intermittently measured error-prone biomarkers with risks of survival outcomes and thus plays an important role in the analysis of medical data. Most of the joint models available in the literature have been built on the Gaussian assumption. This makes them sensitive to outliers. In this work, we study a range of robust models to address this issue. Of particular interest is the common occurrence in medical data that outliers can occur with... (More)

Monitoring of individual biomarkers has the potential of explaining the hazard of survival outcomes. In practice, these measurements are intermittently observed and are known to be subject to substantial measurement error. Joint modelling of longitudinal and survival data enables us to associate intermittently measured error-prone biomarkers with risks of survival outcomes and thus plays an important role in the analysis of medical data. Most of the joint models available in the literature have been built on the Gaussian assumption. This makes them sensitive to outliers. In this work, we study a range of robust models to address this issue. Of particular interest is the common occurrence in medical data that outliers can occur with different frequencies over time, for example, in the period when patients adjust to treatment changes. Motivated by the analysis of data gathered from patients with primary biliary cirrhosis, a new model with a time-varying robustness is introduced. Through both the motivating example and a simulation study, this research not only stresses the need to account for longitudinal outliers in the analysis of medical data and in joint modelling research but also highlights the bias and inefficiency from not properly estimating the degrees-of-freedom parameter. This work presents a number of methods in addition to the time-varying robustness, and each method can be fitted using the R package robjm.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
degrees-of-freedom, longitudinal outliers, normal variance mixtures, robust joint model, t-distribution
in
Biometrical Journal
volume
63
issue
8
pages
1587 - 1606
publisher
Wiley-Blackwell
external identifiers
  • pmid:34319609
  • scopus:85111403553
ISSN
0323-3847
DOI
10.1002/bimj.202000253
language
English
LU publication?
yes
additional info
Funding Information: This work was supported by the Engineering and Physical Sciences Research Council [Reference: EP/P026028/1]. Publisher Copyright: © 2021 Wiley-VCH GmbH Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
id
f310b9dc-f397-444b-bc58-30a97b4bf8db
date added to LUP
2021-08-31 15:45:36
date last changed
2024-03-23 08:47:02
@article{f310b9dc-f397-444b-bc58-30a97b4bf8db,
  abstract     = {{<p>Monitoring of individual biomarkers has the potential of explaining the hazard of survival outcomes. In practice, these measurements are intermittently observed and are known to be subject to substantial measurement error. Joint modelling of longitudinal and survival data enables us to associate intermittently measured error-prone biomarkers with risks of survival outcomes and thus plays an important role in the analysis of medical data. Most of the joint models available in the literature have been built on the Gaussian assumption. This makes them sensitive to outliers. In this work, we study a range of robust models to address this issue. Of particular interest is the common occurrence in medical data that outliers can occur with different frequencies over time, for example, in the period when patients adjust to treatment changes. Motivated by the analysis of data gathered from patients with primary biliary cirrhosis, a new model with a time-varying robustness is introduced. Through both the motivating example and a simulation study, this research not only stresses the need to account for longitudinal outliers in the analysis of medical data and in joint modelling research but also highlights the bias and inefficiency from not properly estimating the degrees-of-freedom parameter. This work presents a number of methods in addition to the time-varying robustness, and each method can be fitted using the R package robjm.</p>}},
  author       = {{McFetridge, Lisa M. and Asar, Özgür and Wallin, Jonas}},
  issn         = {{0323-3847}},
  keywords     = {{degrees-of-freedom; longitudinal outliers; normal variance mixtures; robust joint model; t-distribution}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{1587--1606}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Biometrical Journal}},
  title        = {{Robust joint modelling of longitudinal and survival data : Incorporating a time-varying degrees-of-freedom parameter}},
  url          = {{http://dx.doi.org/10.1002/bimj.202000253}},
  doi          = {{10.1002/bimj.202000253}},
  volume       = {{63}},
  year         = {{2021}},
}