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Joint Inference on HIV Viral Dynamics and Immune Suppression in Presence of Measurement Errors
Authors:L. Wu  W. Liu  X. J. Hu
Affiliation:1. Department of Statistics, University of British Columbia, Vancouver, British Columbia V6T 1Z2, Canada;2. Department of Mathematics and Statistics, York University, Toronto, Ontario M3J 1P3, Canada;3. Department of Statistics and Actuarial Science, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
Abstract:Summary : In an attempt to provide a tool to assess antiretroviral therapy and to monitor disease progression, this article studies association of human immunodeficiency virus (HIV) viral suppression and immune restoration. The data from a recent acquired immune deficiency syndrome (AIDS) study are used for illustration. We jointly model HIV viral dynamics and time to decrease in CD4/CD8 ratio in the presence of CD4 process with measurement errors, and estimate the model parameters simultaneously via a method based on a Laplace approximation and the commonly used Monte Carlo EM algorithm. The approaches and many of the points presented apply generally.
Keywords:Laplace approximation  Longitudinal data  Mixed‐effects  Nonlinear models  Time‐to‐event
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