Semi-Parametric Non-Proportional Hazard Model With Time Varying Covariate
Journal of Modern Applied Statistical
Methods
Volume 14 | Issue 2
Article 9
11-1-2015
Semi-Parametric Non-Proportional Hazard Model
With Time Varying Covariate
Kazeem A. Adeleke
Obafemi Awolowo University,
Alfred A. Abiodun
University of Ilorin, Kwara State,
R. A. Ipinyomi
University of Ilorin, Kwara State,
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Recommended Citation
Adeleke, Kazeem A.; Abiodun, Alfred A.; and Ipinyomi, R. A. (2015) "Semi-Parametric Non-Proportional Hazard Model With Time
Varying Covariate," Journal of Modern Applied Statistical Methods: Vol. 14 : Iss. 2 , Article 9.
DOI: 10.22237/jmasm/1446350880
Available at: http://digitalcommons.wayne.edu/jmasm/vol14/iss2/9
This Regular Article is brought to you for free and open access by the Open Access Journals at DigitalCommons@WayneState. It has been accepted for
inclusion in Journal of Modern Applied Statistical Methods by an authorized editor of DigitalCommons@WayneState.
Semi-Parametric Non-Proportional Hazard Model With Time Varying
Covariate
Cover Page Footnote
I sincerely acknowledge the contributions of Dr Abdul-Raheem AKINDELE, a Lecturer in the department of
Psychology, Olabisi Onabanjo University, Ago-Iwoye for his immense contribution and counselling during
data collection stage.
This regular article is available in Journal of Modern Applied Statistical Methods: http://digitalcommons.wayne.edu/jmasm/vol14/
iss2/9
Journal of Modern Applied Statistical Methods
November 2015, Vol. 14, No. 2, 68-87.
Copyright © 2015 JMASM, Inc.
ISSN 1538 − 9472
Semi-Parametric Non-Proportional Hazard
Model with Time Varying Covariate
Kazeem A. Adeleke
Alfred A. Abiodun
R. A. Ipinyomi
Obafemi Awolowo University
Ile-Ife, Nigeria
University of Ilorin, Kwara State
Ilorin, Nigeria
University of Ilorin, Kwara State
Ilorin, Nigeria
The application of survival analysis has extended the importance of statistical methods
for time to event data that incorporate time dependent covariates. The Cox proportional
hazards model is one such method that is widely used. An extension of the Cox model
with time-dependent covariates was adopted when proportionality assumption are
violated. The purpose of this study is to validate the model assumption when hazard rate
varies with time. This approach is applied to model data on duration of infertility subject
to time varying covariate. Validity is assessed by a set of simulation experiments and
results indicate that a non proportional hazard model performs well in the phase of
violated assumptions of the Cox proportional hazards.
Keywords:
Survival time, non-proportional hazards, time-dependent covariate, semi
parametric model.
Introduction
In survival or life testing experiments, the assumption of Cox model (1972),
may not hold. Example of this is when effect of a treatment on survival
diminishes in the course of time to event. Different systems have different
prognostic factors, some are time fixed although some are time varying. One
advantage of Cox proportional regression models is the ability to incorporate time
varying coefficients and time varying covariates (Cox, 1972, Therneau &
Grambsch, 2000). The former refers to a variable that is measured at baseline and
whose values remain fixed to a variable whose value remains fixed over the
duration of follow-up. Although, its effects on hazards is allowed to change over
the follow-up period. The later refers to a variable whose value itself varies over
time of follow-up. Example of time varying covariate includes the exposure of a
pharmaceutical agent to cumulative dosage of radiation, duration of relationship
Kazeem A. Adeleke is a lecturer in the Mathematics Department. Email him at:
. Alfred A. Abiodun is a lecturer in the Department of Statistics.
R. A. Ipinyomi is an Professor of Statistics. Email him at: .
68
ADELEKE ET AL.
as a measure of duration of infertility in marriage, the receipt of an organ
transplant. The natures of time varying covariate are very important and take
major role of this work. In the above example, the first and second are continuous
time variates whose value is non-decreasing over the time, the third example
which is the receipt of an organ is also a time varying covariate but dichotomous
in nature because the subject may be exposed or unexposed to the treatment.
Recently a number of studies have been directed towards modelling time
varying covariates as well as stratification which are semi-parametric nonproportional hazard models (Austin, 2012, Lehr, 2004, Abrahamowicz, 2007,
Bender, Augustin, & Blettner, 2005, Ata & Sozer, 2007, Austin, 2012, Zhou,
2001). A more advanced method of generating time varying covariate is the work
of Zhou (2001) where the use of an exponential distribution was examined in
conjunction with a transformation to the Cox model including time varying
covariate. A piecewise exponential distribution was used to obtain a dichotomous
or step function covariate which was in turn incorporated into the Cox model and
analysed through a semi-parametric approach.
Bender et al. (2005) generated survival data that follows Cox proportional
hazard model using three parametric distributions namely: exponential, Weibull
and Gompertz and limited his study to only time fixed covariate. New extensions
of Cox model with time varying covariate have been developed by Sylvestre and
Abrahmowicz (2007) due to an undiscovered and complicated nature of
longitudinal data structure where validation is made through simulation. They
described and evaluated two alternatives for generation of survival times
conditional on time varying covariate.
Applications of Cox model with time varying covariate are likely to
continue to become increasingly important in medical research. The methods put
forth by Sylvester and Abrahmowicz are however not presented in a close form.
Leemis (1987), Leemis, Shih and Ryertson (1990), and Shih and Leemis, (1993)
have offered different frameworks for generation of survival time that follow a
Cox model with time varying following accelerated life and proportional hazards
models where his procedures adopted one time varying covariate and no time
fixed covariates. A recent study on Cox regression model in the presence of nonproportional hazards was carried out by Ata and Sozer (2007), where they worked
on alternative different models in the violation of proportional assumption. Our
study extend the work of Bender et al. (2005), and Zhou (2001), with an
additional argument that allows for a fixed covariate, continuous time varying
covariate and a step function covariate using exponential model see Austin (2012).
69
SEMI-PARAMETRIC NON-PROPORTIONAL HAZARD MODEL
Non-proportional hazards models
Recall the Cox proportional hazards model with time fixed covariate x
hi t hi t , x h0 t exp x
(1)
w (...truncated)