Tests for multivariate recurrent events in the presence of a terminal event

In studies involving diseases associated with high rates of mortality, trials are frequently conducted to evaluate the effects of therapeutic interventions on recurrent event processes terminated by death. In this setting, cumulative mean functions form a natural basis for inference for questions of a health economic nature, and Ghosh and Lin (2000) recently proposed a relevant class of test statistics. Trials of patients with cancer metastatic to bone, however, involve multiple types of skeletal complications, each of which may be repeatedly experienced by patients over their lifetime. Traditionally the distinction between the various types of events is ignored and univariate analyses are conducted based on a composite recurrent event. However, when the events have different impacts on patients' quality of life, or when they incur different costs, it can be important to gain insight into the relative frequency of the specific types of events and treatment effects thereon. This may be achieved by conducting separate marginal analyses with each analysis focusing on one type of recurrent event. Global inferences regarding treatment benefit can then be achieved by carrying out multiplicity adjusted marginal tests, more formal multiple testing procedures, or by constructing global test statistics. We describe methods for testing for differences in mean functions between treatment groups which accommodate the fact that each particular event process is ultimately terminated by death. The methods are illustrated by application to a motivating study designed to examine the effect of bisphosphonate therapy on the incidence of skeletal complications among patients with breast cancer metastatic to bone. We find that there is a consistent trend towards a reduction in the cumulative mean for all four types of skeletal complications with bisphosphonate therapy; there is a significant reduction in the need for radiation therapy for the treatment of bone. The global test suggests that bisphosphonate therapy significantly reduces the overall number of skeletal complications.     

Nonparametric analysis of recurrent events and death

This article is concerned with the analysis of recurrent events in the presence of a terminal event such as death. We consider the mean frequency function, defined as the marginal mean of the cumulative number of recurrent events over time. A simple nonparametric estimator for this quantity is presented. It is shown that the estimator, properly normalized, converges weakly to a zero-mean Gaussian process with an easily estimable covariance function. Nonparametric statistics for comparing two mean frequency functions and for combining data on recurrent events and death are also developed. The asymptotic null distributions of these statistics, together with consistent variance estimators, are derived. The small-sample properties of the proposed estimators and test statistics are examined through simulation studies. An application to a cancer clinical trial is provided.     

Rank-based statistical methodologies for quantitative trait locus mapping

This article addresses the identification of genetic loci (QTL and elsewhere) that influence nonnormal quantitative traits with focus on experimental crosses. QTL mapping is typically based on the assumption that the traits follow normal distributions, which may not be true in practice. Model-free tests have been proposed. However, nonparametric estimation of genetic effects has not been studied. We propose an estimation procedure based on the linear rank test statistics. The properties of the new procedure are compared with those of traditional likelihood-based interval mapping and regression interval mapping via simulations and a real data example. The results indicate that the nonparametric method is a competitive alternative to the existing parametric methodologies.     

Procedures for comparing samples with multiple endpoints

Five procedures are considered for the comparison of two or more multivariate samples. These procedures include a newly proposed nonparametric rank-sum test and a generalized least squares test. Also considered are the following tests: ordinary least squares, Hotelling's T2, and a Bonferroni per-experiment error-rate approach. Applications are envisaged in which each variable represents a qualitatively different measure of response to treatment. The null hypothesis of no treatment difference is tested with power directed towards alternatives in which at least one treatment is uniformly better than the others. In all simulations the nonparametric procedure provided relatively good power and accurate control over the size of the test, and is recommended for general use. Alternatively, the generalized least squares procedure may also be useful with normally distributed data in moderate or large samples. A convenient expression for this procedure is obtained and its asymptotic relative efficiency with respect to the ordinary least squares test is evaluated.     

Construction of a confidence set of markers for the location of a disease gene using affected sib pair data

We have previously proposed a confidence set approach for finding tightly linked genomic regions under the setting of parametric linkage analysis. In this article, we extend the confidence set approach to nonparametric linkage analysis of affected sib pair (ASP) data based on their identity-by-descent (IBD) information. Two well-known statistics in nonparametric linkage analysis, the Two-IBD test (proportion of ASPs sharing two alleles IBD), and the Mean test (average number of alleles shared IBD in the ASPs), are used for constructing confidence sets. Some numerical analyses as well as a simulation study were carried out to demonstrate the utility of the methods. Our results show that the fundamental advantages of the confidence set approach in parametric linkage analysis are retained when the method is generalized to nonparametric analysis. Our study on the accuracy of confidence sets, in terms of choice of tests, underlying disease incidence data, and amount of data available, leads us to conclude, among other things, that the Mean test outperforms the Two-IBD test in most situations, with the reverse being true only for traits with small additive variance. Although we describe how to construct confidence sets based on only two familiar tests, one can construct confidence sets similarly using other allele sharing statistics.     

Nonparametric simulation-based statistics for detecting linkage in general pedigrees.

We present here four nonparametric statistics for linkage analysis that test whether pairs of affected relatives share marker alleles more often than expected. These statistics are based on simulating the null distribution of a given statistic conditional on the unaffecteds' marker genotypes. Each statistic uses a different measure of marker sharing: the SimAPM statistic uses the simulation-based affected-pedigree-member measure based on identity-by-state (IBS) sharing. The SimKIN (kinship) measure is 1.0 for identity-by-descent (IBD) sharing, 0.0 for no IBD status sharing, and the kinship coefficient when the IBD status is ambiguous. The simulation-based IBD (SimIBD) statistic uses a recursive algorithm to determine the probability of two affecteds sharing a specific allele IBD. The SimISO statistic is identical to SimIBD, except that it also measures marker similarity between unaffected pairs. We evaluated our statistics on data simulated under different two-locus disease models, comparing our results to those obtained with several other nonparametric statistics. Use of IBD information produces dramatic increases in power over the SimAPM method, which uses only IBS information. The power of our best statistic in most cases meets or exceeds the power of the other nonparametric statistics. Furthermore, our statistics perform comparisons between all affected relative pairs within general pedigrees and are not restricted to sib pairs or nuclear families.     

Second-order analysis of semiparametric recurrent event processes

A typical recurrent event dataset consists of an often large number of recurrent event processes, each of which contains multiple event times observed from an individual during a follow-up period. Such data have become increasingly available in medical and epidemiological studies. In this article, we introduce novel procedures to conduct second-order analysis for a flexible class of semiparametric recurrent event processes. Such an analysis can provide useful information regarding the dependence structure within each recurrent event process. Specifically, we will use the proposed procedures to test whether the individual recurrent event processes are all Poisson processes and to suggest sensible alternative models for them if they are not. We apply these procedures to a well-known recurrent event dataset on chronic granulomatous disease and an epidemiological dataset on meningococcal disease cases in Merseyside, United Kingdom to illustrate their practical value.     

Test Procedures in Configural Frequency Analysis (CFA) Controlling the Local and Multiple Level

The test statistics used until now in the CFA have been developed under the assumption of the overall hypothesis of total independence. Therefore, the multiple test procedures based on these statistics are really only different tests of the overall hypothesis. If one likes to test a special cell hypothesis, one should only assume that this hypothesis is true and not the whole overall hypothesis. Such cell tests can then be used as elements of a multiple test procedure. In this paper it is shown that the usual test procedures can be very anticonservative (except of the two-dimensional, and, for some procedures, the three-dimensional case), and corrected test procedures are developed. Furthermore, for the construction of multiple tests controlling the multiple level, modifications of Holm's (1979) procedure are proposed which lead to sharper results than his general procedure and can also be performed very easily.     

Quantile Inference with Multivariate Failure Time Data

Quantiles, especially the medians, of survival times are often used as summary statistics to compare the survival experiences between different groups. Quantiles are robust against outliers and preferred over the mean. Multivariate failure time data often arise in biomedical research. For example, in clinical trials, each patient in the study may experience multiple events which may be of the same type or distinct types, while in family studies of genetic diseases or litter matched mice studies, failure times for subjects in the same cluster may be correlated. In this article, we propose nonparametric procedures for the estimation of quantiles with multivariate failure time data. We show that the proposed estimators asymptotically follow a multivariate normal distribution. The asymptotic variance‐covariance matrix of the estimated quantiles is estimated based on the kernel smoothing and bootstrap techniques. Simulation results show that the proposed estimators perform well in finite samples. The methods are illustrated with the burn‐wound infection data and the Diabetic Retinopathy Study (DRS) data.     

A general class of nonparametric tests for survival analysis

Tarone and Ware (1977, Biometrika 64, 156-160) developed a general class of s-sample test statistics for right-censored survival data that includes the log-rank and modified Wilcoxon procedures. Subsequently, many authors have considered two- and s-sample classes in detail. In this paper a family of nonparametric statistics is shown to unify existing and generate new test statistics for the s (greater than or equal to 2)-sample, s-sample trend, and single continuous covariate problems.     

Semiparametric Bayes Multiple Testing: Applications to Tumor Data

Summary In National Toxicology Program (NTP) studies, investigators want to assess whether a test agent is carcinogenic overall and specific to certain tumor types, while estimating the dose‐response profiles. Because there are potentially correlations among the tumors, a joint inference is preferred to separate univariate analyses for each tumor type. In this regard, we propose a random effect logistic model with a matrix of coefficients representing log‐odds ratios for the adjacent dose groups for tumors at different sites. We propose appropriate nonparametric priors for these coefficients to characterize the correlations and to allow borrowing of information across different dose groups and tumor types. Global and local hypotheses can be easily evaluated by summarizing the output of a single Monte Carlo Markov chain (MCMC). Two multiple testing procedures are applied for testing local hypotheses based on the posterior probabilities of local alternatives. Simulation studies are conducted and an NTP tumor data set is analyzed illustrating the proposed approach.     

Hypothesis testing in semiparametric additive mixed models

We consider testing whether the nonparametric function in a semiparametric additive mixed model is a simple fixed degree polynomial, for example, a simple linear function. This test provides a goodness-of-fit test for checking parametric models against nonparametric models. It is based on the mixed-model representation of the smoothing spline estimator of the nonparametric function and the variance component score test by treating the inverse of the smoothing parameter as an extra variance component. We also consider testing the equivalence of two nonparametric functions in semiparametric additive mixed models for two groups, such as treatment and placebo groups. The proposed tests are applied to data from an epidemiological study and a clinical trial and their performance is evaluated through simulations.     

Quadratic inference functions for varying-coefficient models with longitudinal data

Nonparametric smoothing methods are used to model longitudinal data, but the challenge remains to incorporate correlation into nonparametric estimation procedures. In this article, we propose an efficient estimation procedure for varying-coefficient models for longitudinal data. The proposed procedure can easily take into account correlation within subjects and deal directly with both continuous and discrete response longitudinal data under the framework of generalized linear models. The proposed approach yields a more efficient estimator than the generalized estimation equation approach when the working correlation is misspecified. For varying-coefficient models, it is often of interest to test whether coefficient functions are time varying or time invariant. We propose a unified and efficient nonparametric hypothesis testing procedure, and further demonstrate that the resulting test statistics have an asymptotic chi-squared distribution. In addition, the goodness-of-fit test is applied to test whether the model assumption is satisfied. The corresponding test is also useful for choosing basis functions and the number of knots for regression spline models in conjunction with the model selection criterion. We evaluate the finite sample performance of the proposed procedures with Monte Carlo simulation studies. The proposed methodology is illustrated by the analysis of an acquired immune deficiency syndrome (AIDS) data set.     

A Multivariate Goodness-of-Fit Test for Stochastically Ordered Distributions

There are a number of nonparametric procedures known for testing goodness-of-fit in the univariate case. Similar procedures can be derived for testing goodness-of-fit in the multivariate case through an application of the theory of statistically equivalent blocks (SEB). The SEB transforms the data into coverages which are distributed as spacings from a uniform distribution on [0,1], under the null hypothesis. In this paper, we present a multivariate nonparametric test of goodness-of-fit based on the SEB when the multivariate distributions under the null hypothesis and the alternative hypothesis are “weakly” ordered. Empirical results are given on the performance of the proposed test in an application to the problem of assessing the reliability of a p-component system.     

A Unified Approach to Simultaneous Rank Test Procedures in the Unbalanced One‐way Layout

A general nonparametric approach to asymptotic multiple test procedures is proposed which is based on relative effects and which includes continuous as well as discontinuous distributions. The results can be applied to all relevant multiple testing problems in the one‐way layout and include the well known Steel tests as special cases. Moreover, a general estimator for the asymptotic covariance matrix is considered that is consistent even under alternative. This estimator is used to derive simultaneous confidence intervals for the relative effects as well as a test procedure for the multiple nonparametric Behrens‐Fisher problem.     

Nonparametric Tests for Interval‐Censored Failure Time Data

This paper discusses two sample nonparametric comparison of survival functions when only interval‐censored failure time data are available. The problem considered often occurs in, for example, biological and medical studies such as medical follow‐up studies and clinical trials. For the problem, we present and study several nonparametric test procedures that include methods based on both absolute and squared survival differences as well as simple survival differences. The presented tests provide alternatives to existing methods, most of which are rank‐based tests and not sensitive to nonproportional or nonmonotone alternatives. Simulation studies are performed to evaluate and compare the proposed methods with existing methods and suggest that the proposed tests work well for nonmonotone alternatives as well as monotone alternatives. An illustrative example is presented.     

Variance estimation for statistics computed from single recurrent event processes

This article is concerned with variance estimation for statistics that are computed from single recurrent event processes. Such statistics are important in diagnosis for each individual recurrent event process. The proposed method only assumes a semiparametric form for the first-order structure of the processes but not for the second-order (i.e., dependence) structure. The new variance estimator is shown to be consistent for the target parameter under very mild conditions. The estimator can be used in many applications in semiparametric rate regression analysis of recurrent event data such as outlier detection, residual diagnosis, as well as robust regression. A simulation study and application to two real data examples are used to demonstrate the use of the proposed method.     

Nonparametric Modeling of the Mean Survival Time in a Multi‐factor Design Based on Randomly Right‐Censored Data

Statistical procedures and methodology for assessment of interventions or treatments based on medical data often involves complexities due to incompleteness of the available data as a result of drop out or the inability of complete follow up until the endpoint of interest. In this article we propose a nonparametric regression model based on censored data when we are concerned with investigation of the simultaneous effects of the two or more factors. Specifically, we will assess the effect of a treatment (dose) and a covariate (e.g., age categories) on the mean survival time of subjects assigned to combinations of the levels of these factors. The proposed method allows for varying levels of censorship in the outcome among different groups of subjects at different levels of the independent variables (factors). We derive the asymptotic distribution of the estimators of the parameters in our model, which then allows for statistical inference. Finally, through a simulation study we assess the effect of the censoring rates on the standard error of these types of estimators. (© 2004 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim)     

Bias-corrected variance estimation and hypothesis testing for spatial point and marked point processes using subsampling

Summary We introduce novel regression extrapolation based methods to correct the often large bias in subsampling variance estimation as well as hypothesis testing for spatial point and marked point processes. For variance estimation, our proposed estimators are linear combinations of the usual subsampling variance estimator based on subblock sizes in a continuous interval. We show that they can achieve better rates in mean squared error than the usual subsampling variance estimator. In particular, for n×n observation windows, the optimal rate of n^?2 can be achieved if the data have a finite dependence range. For hypothesis testing, we apply the proposed regression extrapolation directly to the test statistics based on different subblock sizes, and therefore avoid the need to conduct bias correction for each element in the covariance matrix used to set up the test statistics. We assess the numerical performance of the proposed methods through simulation, and apply them to analyze a tropical forest data set.     

Revealing the factors that promote speciation

What biological attributes of organisms promote speciation, and ultimately, species diversity? This question has a long history of interest, with proposed diversity promoters including attributes such as sexual selection, ecological specialism and dispersability. However, such ideas are difficult to test because the time-scale of processes involved is too great for direct human observation and experimentation. An increasingly powerful solution is to investigate diversity patterns among extant groups to infer the nature of processes operating during the evolution of those groups. This approach relies on the use of robust, phylogenetically based null models to overcome some of the problems inherent in observational inference. We illustrate this area by (i) discussing recent advances in identifying correlates of diversity among higher taxa, and (ii) proposing new methods for analysing patterns in species-level phylogenies, drawing examples from a wide range of organisms.