A Proportional Hazards Model for the Subdistribution of a Competing Risk
Abstract With explanatory covariates, the standard analysis for competing risks data involves modeling the cause-specific hazard functions via a proportional hazards assumption. Unfortunately, the cause-specific hazard function does not have a direct interpretation in terms of…
# A Proportional Hazards Model for the Subdistribution of a Competing Risk
> OpenAlex Metadata Hub · https://openalex.org/W2038981426
## Bibliographic
- **DOI:** 10.1080/01621459.1999.10474144
- **Year:** 1999
- **Citations:** 13621
- **Open Access:** No (closed)
- **License:** —
- **Source:** https://doi.org/10.1080/01621459.1999.10474144
## Authors
- Jason P. Fine
- Malcolm H. Ray
## Abstract
Abstract With explanatory covariates, the standard analysis for competing risks data involves modeling the cause-specific hazard functions via a proportional hazards assumption. Unfortunately, the cause-specific hazard function does not have a direct interpretation in terms of survival probabilities for the particular failure type. In recent years many clinicians have begun using the cumulative incidence function, the marginal failure probabilities for a particular cause, which is intuitively appealing and more easily explained to the nonstatistician. The cumulative incidence is especially relevant in cost-effectiveness analyses in which the survival probabilities are needed to determine treatment utility. Previously, authors have considered methods for combining estimates of the cause-specific hazard functions under the proportional hazards formulation. However, these methods do not allow the analyst to directly assess the effect of a covariate on the marginal probability function. In this article we propose a novel semiparametric proportional hazards model for the subdistribution. Using the partial likelihood principle and weighting techniques, we derive estimation and inference procedures for the finite-dimensional regression parameter under a variety of censoring scenarios. We give a uniformly consistent estimator for the predicted cumulative incidence for an individual with certain covariates; confidence intervals and bands can be obtained analytically or with an easy-to-implement simulation technique. To contrast the two approaches, we analyze a dataset from a breast cancer clinical trial under both models. Key Words: Hazard of subdistributionMartingalePartial likelihoodTransformation model
## Keywords
Covariate, Proportional hazards model, Censoring (clinical trials), Inverse probability weighting, Statistics, Estimator, Weighting, Econometrics, Cumulative incidence, Nominal level, Inference, Hazard, Mathematics, Confidence interval, Computer science, Medicine, Artificial intelligence
## Concepts
- Covariate
- Proportional hazards model
- Censoring (clinical trials)
- Inverse probability weighting
- Statistics
- Estimator
- Weighting
- Econometrics
- Cumulative incidence
- Nominal level
- Inference
- Hazard
- Mathematics
- Confidence interval
- Computer science
- Medicine
- Artificial intelligence
- Cohort
- Radiology
- Chemistry
- Organic chemistry
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*Metadata only — full text not imported unless Open Access license permits.*
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Tóm lược học thuật (đã diễn giải): Abstract With explanatory covariates, the standard analysis for competing risks data involves modeling the cause-specific hazard functions via a proportional hazards assumption. Unfortunately, the cause-specific hazard function does not have a direct interpretation in terms of survival probabilities for the particular failure type. In recent years many clinicians have begun using the cumulative incidence function, the marginal failure probabilities for a particular cause, which is intuitively appealing and more easily explained to the nonstatistician. The cumulative incidence is especially relevant in cost-effectiveness analyses in which the survival probabilities are needed to determine treatment utility. Previously, authors have considered methods for combining estimates of the cause-specific hazard functions under the proportional hazards formulation. However, these methods do not all…
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1. Abstract With explanatory covariates, the standard analysis for competing risks data involves modeling the cause-specific hazard functions via a proportional hazards assumption.
2. Unfortunately, the cause-specific hazard function does not have a direct interpretation in terms of survival probabilities for the particular failure type.
3. In recent years many clinicians have begun using the cumulative incidence function, the marginal failure probabilities for a particular cause, which is intuitively appealing and more easily explained to the nonstatistician.
4. The cumulative incidence is especially relevant in cost-effectiveness analyses in which the survival probabilities are needed to determine treatment utility.
5. Previously, authors have considered methods for combining estimates of the cause-specific hazard functions under the proportional hazards formulation.
6. However, these methods do not allow the analyst to directly assess the effect of a covariate on the marginal probability function.
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