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Statistical Methods in Medical Research
Article . 2024 . Peer-reviewed
License: CC BY
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Delayed kernels for longitudinal survival analysis and dynamic prediction

Authors: Annabel Louisa Davies; Anthony CC Coolen; Tobias Galla;

Delayed kernels for longitudinal survival analysis and dynamic prediction

Abstract

Predicting patient survival probabilities based on observed covariates is an important assessment in clinical practice. These patient-specific covariates are often measured over multiple follow-up appointments. It is then of interest to predict survival based on the history of these longitudinal measurements, and to update predictions as more observations become available. The standard approaches to these so-called ‘dynamic prediction’ assessments are joint models and landmark analysis. Joint models involve high-dimensional parameterizations, and their computational complexity often prohibits including multiple longitudinal covariates. Landmark analysis is simpler, but discards a proportion of the available data at each ‘landmark time’. In this work, we propose a ‘delayed kernel’ approach to dynamic prediction that sits somewhere in between the two standard methods in terms of complexity. By conditioning hazard rates directly on the covariate measurements over the observation time frame, we define a model that takes into account the full history of covariate measurements but is more practical and parsimonious than joint modelling. Time-dependent association kernels describe the impact of covariate changes at earlier times on the patient’s hazard rate at later times. Under the constraints that our model (a) reduces to the standard Cox model for time-independent covariates, and (b) contains the instantaneous Cox model as a special case, we derive two natural kernel parameterizations. Upon application to three clinical data sets, we find that the predictive accuracy of the delayed kernel approach is comparable to that of the two existing standard methods.

Countries
Netherlands, Spain, United Kingdom
Keywords

Models, Statistical, 330, Biophysics, Survival analysis, Weighted cumulative effects, Survival Analysis, 510, Time-dependent covariates, Landmarking, Original Research Articles, Humans, Longitudinal Studies, Dynamic prediction, Joint modelling, Neurophysics, Proportional Hazards Models

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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