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Modeling clustered long‐term survivors using marginal mixture cure model
Authors:Yi Niu  Lixin Song  Yufeng Liu  Yingwei Peng
Institution:1. School of Mathematical Sciences, Dalian University of Technology, Dalian, Liaoning, China;2. Department of Public Health Sciences, Queen's University, Kingston, ON, Canada;3. Department of Mathematics and Statistics, Queen's University, Kingston, ON, Canada;4. Cancer Care and Epidemiology, Cancer Research Institute, Queen's University, Kingston, ON, Canada
Abstract:There is a great deal of recent interests in modeling right‐censored clustered survival time data with a possible fraction of cured subjects who are nonsusceptible to the event of interest using marginal mixture cure models. In this paper, we consider a semiparametric marginal mixture cure model for such data and propose to extend an existing generalized estimating equation approach by a new unbiased estimating equation for the regression parameters in the latency part of the model. The large sample properties of the regression effect estimators in both incidence and the latency parts are established. The finite sample properties of the estimators are studied in simulation studies. The proposed method is illustrated with a bone marrow transplantation data and a tonsil cancer data.
Keywords:ES algorithm  generalized estimating equations  logistic regression model  proportional hazards model  sandwich variance estimation
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