Stratified proportional subdistribution hazards model with covariate-adjusted censoring weight for case-cohort studies

The case-cohort study design is widely used to reduce cost when collecting expensive covariates in large cohort studies with survival or competing risks outcomes. A case-cohort study dataset consists of two parts: (a) a random sample and (b) all cases or failures from a specific cause of interest. Clinicians often assess covariate effects on competing risks outcomes. The proportional subdistribution hazards model directly evaluates the effect of a covariate on the cumulative incidence function under the non-covariate-dependent censoring assumption for the full cohort study. However, the non-covariate-dependent censoring assumption is often violated in many biomedical studies. In this article, we propose a proportional subdistribution hazards model for case-cohort studies with stratified data with covariate-adjusted censoring weight. We further propose an efficient estimator when extra information from the other causes is available under case-cohort studies. The proposed estimators are shown to be consistent and asymptotically normal. Simulation studies show (a) the proposed estimator is unbiased when the censoring distribution depends on covariates and (b) the proposed efficient estimator gains estimation efficiency when using extra information from the other causes. We analyze a bone marrow transplant dataset and a coronary heart disease dataset using the proposed method.     

Regression analysis of case-cohort studies in the presence of dependent interval censoring

The case-cohort design is widely used as a means of reducing the cost in large cohort studies, especially when the disease rate is low and covariate measurements may be expensive, and has been discussed by many authors. In this paper, we discuss regression analysis of case-cohort studies that produce interval-censored failure time with dependent censoring, a situation for which there does not seem to exist an established approach. For inference, a sieve inverse probability weighting estimation procedure is developed with the use of Bernstein polynomials to approximate the unknown baseline cumulative hazard functions. The proposed estimators are shown to be consistent and the asymptotic normality of the resulting regression parameter estimators is established. A simulation study is conducted to assess the finite sample properties of the proposed approach and indicates that it works well in practical situations. The proposed method is applied to an HIV/AIDS case-cohort study that motivated this investigation.     

Influence Function Based Variance Estimation and Missing Data Issues in Case-Cohort Studies

Recognizing that the efficiency in relative risk estimation for the Cox proportional hazards model is largely constrained by the total number of cases, Prentice (1986) proposed the case-cohort design in which covariates are measured on all cases and on a random sample of the cohort. Subsequent to Prentice, other methods of estimation and sampling have been proposed for these designs. We formalize an approach to variance estimation suggested by Barlow (1994), and derive a robust variance estimator based on the influence function. We consider the applicability of the variance estimator to all the proposed case-cohort estimators, and derive the influence function when known sampling probabilities in the estimators are replaced by observed sampling fractions. We discuss the modifications required when cases are missing covariate information. The missingness may occur by chance, and be completely at random; or may occur as part of the sampling design, and depend upon other observed covariates. We provide an adaptation of S-plus code that allows estimating influence function variances in the presence of such missing covariates. Using examples from our current case-cohort studies on esophageal and gastric cancer, we illustrate how our results our useful in solving design and analytic issues that arise in practice.     

Proportional hazards model for competing risks data with missing cause of failure

We consider the semiparametric proportional hazards model for the cause-specific hazard function in analysis of competing risks data with missing cause of failure. The inverse probability weighted equation and augmented inverse probability weighted equation are proposed for estimating the regression parameters in the model, and their theoretical properties are established for inference. Simulation studies demonstrate that the augmented inverse probability weighted estimator is doubly robust and the proposed method is appropriate for practical use. The simulations also compare the proposed estimators with the multiple imputation estimator of Lu and Tsiatis (2001). The application of the proposed method is illustrated using data from a bone marrow transplant study.     

Estimation of conditional cumulative incidence functions under generalized semiparametric regression models with missing covariates,with application to analysis of biomarker correlates in vaccine trials

This article presents generalized semiparametric regression models for conditional cumulative incidence functions with competing risks data when covariates are missing by sampling design or happenstance. A doubly robust augmented inverse probability weighted (AIPW) complete-case approach to estimation and inference is investigated. This approach modifies IPW complete-case estimating equations by exploiting the key features in the relationship between the missing covariates and the phase-one data to improve efficiency. An iterative numerical procedure is derived to solve the nonlinear estimating equations. The asymptotic properties of the proposed estimators are established. A simulation study examining the finite-sample performances of the proposed estimators shows that the AIPW estimators are more efficient than the IPW estimators. The developed method is applied to the RV144 HIV-1 vaccine efficacy trial to investigate vaccine-induced IgG binding antibodies to HIV-1 as correlates of acquisition of HIV-1 infection while taking account of whether the HIV-1 sequences are near or far from the HIV-1 sequences represented in the vaccine construct.     

Additive risk model with case-cohort sampled current status data

Two-phase stratified sampling has been extensively used in large epidemiologic studies as a way of reducing costs associated with assembling covariate histories and enlarging relative sample sizes of the most informative subgroups. In this article, we investigate case-cohort sampled current status data under the additive risk model assumption. We describe a class of estimating equations, each depending on a different prevalence ratio estimate. Asymptotic properties of the proposed estimators and inference based on the “m out of n” nonparametric bootstrap are investigated. A small simulation study is employed to evaluate the finite sample performance and relative efficiency of the proposed estimators.     

Regression Analysis of Length‐biased and Right‐censored Failure Time Data with Missing Covariates

Length‐biased and right‐censored failure time data arise from many fields, and their analysis has recently attracted a great deal of attention. Two examples of the areas that often produce such data are epidemiological studies and cancer screening trials. In this paper, we discuss regression analysis of such data in the presence of missing covariates, for which no established inference procedure seems to exist. For the problem, we consider the data arising from the proportional hazards model and propose two inverse probability weighted estimation procedures. The asymptotic properties of the resulting estimators are established, and the extensive simulation study conducted for the evaluation of the proposed methods suggests that they work well for practical situations.     

CBPS-based estimation for linear models with responses missing at random

In this article, based on the covariate balancing propensity score (CBPS), estimators for the regression coefficients and the population mean are obtained, when the responses of linear models are missing at random. It is proved that the proposed estimators are asymptotically normal. In simulation studies and real example, the proposed estimators show improved performance relative to usual augmented inverse probability weighted estimators.     

Using generalized doubly robust estimator to estimate average treatment effects of multiple treatments in observational studies

The generalized doubly robust estimator is proposed for estimating the average treatment effect (ATE) of multiple treatments based on the generalized propensity score (GPS). In medical researches where observational studies are conducted, estimations of ATEs are usually biased since the covariate distributions could be unbalanced among treatments. To overcome this problem, Imbens [The role of the propensity score in estimating dose-response functions, Biometrika 87 (2000), pp. 706–710] and Feng et al. [Generalized propensity score for estimating the average treatment effect of multiple treatments, Stat. Med. (2011), in press. Available at: http://onlinelibrary.wiley.com/doi/10.1002/sim.4168/abstract] proposed weighted estimators that are extensions of a ratio estimator based on GPS to estimate ATEs with multiple treatments. However, the ratio estimator always produces a larger empirical sample variance than the doubly robust estimator, which estimates an ATE between two treatments based on the estimated propensity score (PS). We conduct a simulation study to compare the performance of our proposed estimator with Imbens’ and Feng et al.’s estimators, and simulation results show that our proposed estimator outperforms their estimators in terms of bias, empirical sample variance and mean-squared error of the estimated ATEs.     

Stratified Case-Cohort Analysis of General Cohort Sampling Designs

Abstract.  It is shown that variance estimates for regression coefficients in exposure-stratified case-cohort studies (Borgan et al ., Lifetime Data Anal., 6, 2000, 39–58) can easily be obtained from influence terms routinely calculated in the standard software for Cox regression. By allowing for post-stratification on outcome we also place the estimators proposed by Chen ( J. R. Statist. Soc. Ser. B , 63, 2001, 791–809) for a general class of cohort sampling designs within the Borgan et al. 's framework, facilitating simple variance estimation for these designs. Finally, the Chen approach is extended to accommodate stratified designs with surrogate variables available for all cohort members, such as stratified case-cohort and counter-matching designs.     

Statistical inference for generalized case-cohort design under the proportional hazards model with parameter constraints

ABSTRACT

The generalized case-cohort design is widely used in large cohort studies to reduce the cost and improve the efficiency. Taking prior information of parameters into consideration in modeling process can further raise the inference efficiency. In this paper, we consider fitting proportional hazards model with constraints for generalized case-cohort studies. We establish a working likelihood function for the estimation of model parameters. The asymptotic properties of the proposed estimator are derived via the Karush-Kuhn-Tucker conditions, and their finite properties are assessed by simulation studies. A modified minorization-maximization algorithm is developed for the numerical calculation of the constrained estimator. An application to a Wilms tumor study demonstrates the utility of the proposed method in practice.     

Analysis of two-phase sampling data with semiparametric additive hazards models

Under the case-cohort design introduced by Prentice (Biometrica 73:1–11, 1986), the covariate histories are ascertained only for the subjects who experience the event of interest (i.e., the cases) during the follow-up period and for a relatively small random sample from the original cohort (i.e., the subcohort). The case-cohort design has been widely used in clinical and epidemiological studies to assess the effects of covariates on failure times. Most statistical methods developed for the case-cohort design use the proportional hazards model, and few methods allow for time-varying regression coefficients. In addition, most methods disregard data from subjects outside of the subcohort, which can result in inefficient inference. Addressing these issues, this paper proposes an estimation procedure for the semiparametric additive hazards model with case-cohort/two-phase sampling data, allowing the covariates of interest to be missing for cases as well as for non-cases. A more flexible form of the additive model is considered that allows the effects of some covariates to be time varying while specifying the effects of others to be constant. An augmented inverse probability weighted estimation procedure is proposed. The proposed method allows utilizing the auxiliary information that correlates with the phase-two covariates to improve efficiency. The asymptotic properties of the proposed estimators are established. An extensive simulation study shows that the augmented inverse probability weighted estimation is more efficient than the widely adopted inverse probability weighted complete-case estimation method. The method is applied to analyze data from a preventive HIV vaccine efficacy trial.     

Statistical inference for varying-coefficient partially linear errors-in-variables models with missing data

Abstract

The purpose of this paper is twofold. First, we investigate estimations in varying-coefficient partially linear errors-in-variables models with covariates missing at random. However, the estimators are often biased due to the existence of measurement errors, the bias-corrected profile least-squares estimator and local liner estimators for unknown parametric and coefficient functions are obtained based on inverse probability weighted method. The asymptotic properties of the proposed estimators both for the parameter and nonparametric parts are established. Second, we study asymptotic distributions of an empirical log-likelihood ratio statistic and maximum empirical likelihood estimator for the unknown parameter. Based on this, more accurate confidence regions of the unknown parameter can be constructed. The methods are examined through simulation studies and illustrated by a real data analysis.     

Exposure Stratified Case-Cohort Designs

A variant of the case-cohort design is proposed for the situation in which a correlate of the exposure (or prognostic factor) of interest is available for all cohort members, and exposure information is to be collected for a case-cohort sample. The cohort is stratified according to the correlate, and the subcohort is selected by stratified random sampling. A number of possible methods for the analysis of such exposure stratified case-cohort samples are presented, some of their statistical properties developed, and approximate relative efficiency and optimal allocation to the strata discussed. The methods are compared to each other, and to randomly sampled case-cohort studies, in a limited computer simulation study. We found that all of the proposed analysis methods performed well and were more efficient than a randomly sampled case-cohort study.     

A regularized variable selection procedure in additive hazards model with stratified case-cohort design

Case-cohort designs are commonly used in large epidemiological studies to reduce the cost associated with covariate measurement. In many such studies the number of covariates is very large. An efficient variable selection method is needed for case-cohort studies where the covariates are only observed in a subset of the sample. Current literature on this topic has been focused on the proportional hazards model. However, in many studies the additive hazards model is preferred over the proportional hazards model either because the proportional hazards assumption is violated or the additive hazards model provides more relevent information to the research question. Motivated by one such study, the Atherosclerosis Risk in Communities (ARIC) study, we investigate the properties of a regularized variable selection procedure in stratified case-cohort design under an additive hazards model with a diverging number of parameters. We establish the consistency and asymptotic normality of the penalized estimator and prove its oracle property. Simulation studies are conducted to assess the finite sample performance of the proposed method with a modified cross-validation tuning parameter selection methods. We apply the variable selection procedure to the ARIC study to demonstrate its practical use.     

Computing the Cox Model for Case Cohort Designs

Prentice (1986) proposed a case-cohort design as an efficient subsampling mechanism for survival studies. Several other authors have expanded on these ideas to create a family of related sampling plans, along with estimators for the covariate effects. We describe how to obtain the proposed parameter estimates and their variance estimates using standard software packages, with SAS and SPLUS as particular examples.     

Correlation and efficiency of propensity score-based estimators for average causal effects

Propensity score-based estimators are commonly used to estimate causal effects in evaluation research. To reduce bias in observational studies, researchers might be tempted to include many, perhaps correlated, covariates when estimating the propensity score model. Taking into account that the propensity score is estimated, this study investigates how the efficiency of matching, inverse probability weighting, and doubly robust estimators change under the case of correlated covariates. Propositions regarding the large sample variances under certain assumptions on the data-generating process are given. The propositions are supplemented by several numerical large sample and finite sample results from a wide range of models. The results show that the covariate correlations may increase or decrease the variances of the estimators. There are several factors that influence how correlation affects the variance of the estimators, including the choice of estimator, the strength of the confounding toward outcome and treatment, and whether a constant or non-constant causal effect is present.     

Penalized Weighted Least Squares to Small Area Estimation

In this paper, a penalized weighted least squares approach is proposed for small area estimation under the unit level model. The new method not only unifies the traditional empirical best linear unbiased prediction that does not take sampling design into account and the pseudo‐empirical best linear unbiased prediction that incorporates sampling weights but also has the desirable robustness property to model misspecification compared with existing methods. The empirical small area estimator is given, and the corresponding second‐order approximation to mean squared error estimator is derived. Numerical comparisons based on synthetic and real data sets show superior performance of the proposed method to currently available estimators in the literature.     

Simultaneous estimation of the hardy-weinberg proportions

We consider the problem of simultaneously estimating k + 1 related proportions, with a special emphasis on the estimation of Hardy-Weinberg (HW) proportions. We prove that the uniformly minimum-variance unbiased estimator (UMVUE) of two proportions which are individually admissible under squared-error loss are inadmissible in estimating the proportions jointly. Furthermore, rules that dominate the UMVUE are given. A Bayesian analysis is then presented to provide insight into this inadmissibility issue: The UMVUE is undesirable because the two estimators are Bayes rules corresponding to different priors. It is also shown that there does not exist a prior which yields the maximum-likelihood estimators simultaneously. When the risks of several estimators for the HW proportions are compared, it is seen that some Bayesian estimates yield significantly smaller risks over a large portion of the parameter space for small samples. However, the differences in risks become less significant as the sample size gets larger.     

Bayesian estimation of parameters of inverse Weibull distribution

The present paper describes the Bayes estimators of parameters of inverse Weibull distribution for complete, type I and type II censored samples under general entropy and squared error loss functions. The proposed estimators have been compared on the basis of their simulated risks (average loss over sample space). A real-life data set is used to illustrate the results.