Nonparametric estimation of bivariate failure time associations in the presence of a competing risk

Most research on the study of associations among paired failuretimes has either assumed time invariance or been based on complexmeasures or estimators. Little has accommodated competing risks.This paper targets the conditional cause-specific hazard ratio,henceforth called the cause-specific cross ratio, a recent modificationof the conditional hazard ratio designed to accommodate competingrisks data. Estimation is accomplished by an intuitive, nonparametricmethod that localizes Kendall's tau. Time variance is accommodatedthrough a partitioning of space into ‘bins’ betweenwhich the strength of association may differ. Inferential proceduresare developed, small-sample performance is evaluated, and themethods are applied to the investigation of familial associationin dementia onset.     

Two-sample tests for comparing intra-individual genetic sequence diversity between populations

Consider a study of two groups of individuals infected with a population of a genetically related heterogeneous mixture of viruses, and multiple viral sequences are sampled from each person. Based on estimates of genetic distances between pairs of aligned viral sequences within individuals, we develop four new tests to compare intra-individual genetic sequence diversity between the two groups. This problem is complicated by two levels of dependency in the data structure: (i) Within an individual, any pairwise distances that share a common sequence are positively correlated; and (ii) for any two pairings of individuals which share a person, the two differences in intra-individual distances between the paired individuals are positively correlated. The first proposed test is based on the difference in mean intra-individual pairwise distances pooled over all individuals in each group, standardized by a variance estimate that corrects for the correlation structure using U-statistic theory. The second procedure is a nonparametric rank-based analog of the first test, and the third test contrasts the set of subject-specific average intra-individual pairwise distances between the groups. These tests are very easy to use and solve correlation problem (i). The fourth procedure is based on a linear combination of all possible U-statistics calculated on independent, identically distributed sequence subdatasets, over the two levels (i) and (ii) of dependencies in the data, and is more complicated than the other tests but can be more powerful. Although the proposed methods are empirical and do not fully utilize knowledge from population genetics, the tests reflect biology through the evolutionary models used to derive the pairwise sequence distances. The new tests are evaluated theoretically and in a simulation study, and are applied to a dataset of 200 HIV sequences sampled from 21 children.     

Nonparametric tests for two-group comparisons of dependent observations obtained at varying time points

We propose new tests for two-group comparisons of repeated measures of a response where the repeated measures might be obtained at arbitrary time points that differ over individuals. The tests are almost U-statistics in that the kernel contains some unknown parameters that need to be estimated from the data. Our methods are designed for settings in which response means of one group are strictly greater than the response means of the other group. The tests do not make any assumptions regarding the distribution of the repeated measures except that one of the tests assumes that the repeated measures can be grouped into distinct periods of observations (e.g., around fixed follow-up time points) such that the covariance between scores only depends on the periods the observations belong to and that the covariance matrices are the same in the two groups. The tests are valid even if the probability that a response is observed depends on the level of response provided that the missing data mechanism is the same in both groups. Inference can conveniently be based on resampling. We provide asymptotic results for the test statistics. We investigate size and power of the tests and use them to assess differences in viral load decline for drug-resistant and drug-sensitive human immunodeficiency virus (HIV)-1 infected patients.     

Joint Regression Analysis of Survival and Quality-Adjusted Survival

In this paper, a semiparametric bivariate linear regression model for survival and quality-adjusted survival is investigated. Even with a parametric specification for the joint, distribution, maximum likelihood is not applicable because of induced informative censoring. We propose inference procedures based on estimating functions. The estimators are consistent and asymptotically normal. Hypothesis tests and confidence intervals may be constructed with easy-to-implement resampling techniques. Simultaneous regression modeling of survival and quality-adjusted survival has not been studied formally. Our methodology gives parameter estimates that are highly interpretable in the context of a cost-effectiveness analysis. The usefulness of the proposal is illustrated with a breast cancer dataset.