Diverse analysis approaches have been proposed to distinguish data missing due to death from nonresponse, and to summarize trajectories of longitudinal data truncated by death. We demonstrate how these analysis approaches arise from factorizations of the distribution of longitudinal data and survival information. Models are illustrated using cognitive functioning data for older adults. For unconditional models, deaths do not occur, deaths are independent of the longitudinal response, or the unconditional longitudinal response is averaged over the survival distribution. Unconditional models, such as random effects models fit to unbalanced data, may implicitly impute data beyond the time of death. Fully conditional models stratify the longitudinal response trajectory by time of death. Fully conditional models are effective for describing individual trajectories, in terms of either aging (age, or years from baseline) or dying (years from death). Causal models (principal stratification) as currently applied are fully conditional models, since group differences at one timepoint are described for a cohort that will survive past a later timepoint. Partly conditional models summarize the longitudinal response in the dynamic cohort of survivors. Partly conditional models are serial cross-sectional snapshots of the response, reflecting the average response in survivors at a given timepoint rather than individual trajectories. Joint models of survival and longitudinal response describe the evolving health status of the entire cohort. Researchers using longitudinal data should consider which method of accommodating deaths is consistent with research aims, and use analysis methods accordingly.
It is common in medical studies that the outcome of interest is truncated by death, meaning that a subject has died before the outcome could be measured. In this case, restricted analysis among survivors may be subject to selection bias. Hence, it is of interest to estimate the survivor average causal effect, defined as the average causal effect among the subgroup consisting of subjects who would survive under either exposure. In this paper, we consider the identification and estimation problems of the survivor average causal effect. We propose to use a substitution variable in place of the la…
Nonparametric Estimation of Event-Free Survival for Data with Left-Truncated Death and Intermittently Assessed Nonfatal Events
University of Minnesota（明尼苏达大学）；Columbia University（哥伦比亚大学）；University of Texas（德克萨斯大学）；University of Texas Southwestern Medical Center（德克萨斯大学西南医学中心）；University of Mississippi Medical Center（密西西比大学医学中心）；University of North Carolina（北卡罗来纳大学）；Wake Forest University School of Medicine（维克森林大学医学院）
Longitudinal Outcomes Truncated by Death: Causal Estimands and Bayesian Estimators
Amsterdam UMC（阿姆斯特丹大学医学中心）；Singapore University of Technology and Design（新加坡科技设计大学）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
Patient reported outcomes including quality of life (QoL) assessments are increasingly being included as either primary or secondary outcomes in randomized controlled trials. While making the outcomes more relevant for patients it entails a challenge in cases where death or a similar event makes the outcome of interest undefined. A pragmatic - and much used - solution is to assign diseased patient with the lowest possible QoL score. This makes medical sense, but creates a statistical problem since traditional tests such as t-tests or Wilcox tests potentially looses large amounts of statistical…
Time-smoothed inverse probability weighted estimation of effects of generalized time-varying treatment strategies on repeated outcomes truncated by death
Evaluating treatment effects on longitudinal outcomes with attrition due to death: Methods for a two-dimentional estimand with a case study in Quality of Life
Ghent University（根特大学）；Leiden University Medical Center（莱顿大学医学中心）；Pfizer Inc（辉瑞公司）；Oslo University Hospital（奥斯陆大学医院）；European Organisation for Research and Treatment of Cancer (EORTC) Headquarters（欧洲癌症研究与治疗组织（EORTC）总部）；University of Freiburg（弗赖堡大学）
Toward Joint Prediction of a Longitudinal Marker and a Terminal Event: A bivariate discrete-time framework
Harvard T.H. Chan School of Public Health（哈佛陈曾熙公共卫生学院）；Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心理查德·A和苏珊·F史密斯结果研究中心）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
A Bayesian semi-parametric approach to causal mediation for longitudinal mediators and time-to-event outcomes with application to a cardiovascular disease cohort study
The Adult Changes in Thought (ACT) study is a long-running prospective study of incident all-cause dementia and Alzheimer's disease (AD). As the cohort ages, death (a terminal event) is a prominent competing risk for AD (a non-terminal event), although the reverse is not the case. As such, analyses of data from ACT can be placed within the semi-competing risks framework. Central to semi-competing risks, and in contrast to standard competing risks, is that one can learn about the dependence structure between the two events. To-date, however, most methods for semi-competing risks treat dependenc…
Joint modelling of longitudinal and time-to-event data has received much attention recently. Increasingly, extensions to standard joint modelling approaches are being proposed to handle complex data structures commonly encountered in applied research. In this paper we propose a joint model for hierarchical longitudinal and time-to-event data. Our motivating application explores the association between tumor burden and progression-free survival in non-small cell lung cancer patients. We define tumor burden as a function of the sizes of target lesions clustered within a patient. Since a patient …
Evidence supporting the current World Health Organization recommendations of early antiretroviral therapy (ART) initiation for adolescents is inconclusive. We leverage a large observational data and compare, in terms of mortality and CD4 cell count, the dynamic treatment initiation rules for HIV-infected adolescents. Our approaches extend the marginal structural model for estimating outcome distributions under dynamic treatment regimes (DTR), developed in Robins et al. (2008), to allow the causal comparisons of both specific regimes and regimes along a continuum. Furthermore, we propose strate…
When considering functional principal component analysis for sparsely observed longitudinal data that take values on a nonlinear manifold, a major challenge is how to handle the sparse and irregular observations that are commonly encountered in longitudinal studies. Addressing this challenge, we provide theory and implementations for a manifold version of the principal analysis by conditional expectation (PACE) procedure that produces representations intrinsic to the manifold, extending a well-established version of functional principal component analysis targeting sparsely sampled longitudina…
A joint model for (un)bounded longitudinal markers, competing risks, and recurrent events using patient registry data
Erasmus University Medical Center（伊拉斯姆斯大学医学中心）；Duke University（杜克大学）；Cincinnati Children’s Hospital Medical Center（辛辛那提儿童医院医疗中心）；University of Cincinnati（辛辛那提大学）
