Estimation of survival based on proportional hazards when cure is a possibility

Estimation of survival based on proportional hazards when cure is a possibility

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Article ID: iaor2004563
Country: Netherlands
Volume: 33
Issue: 12/13
Start Page Number: 1227
End Page Number: 1236
Publication Date: Jun 2001
Journal: Mathematical and Computer Modelling
Authors:
Keywords: risk
Abstract:

Inference based on the proportional hazards model is discussed in the presence of long-term survivors. The model is formulated as a cure model yielding an improper survivor function. An algorithm is proposed to fit the proportional hazards model restricted by the fixed survival rates at the end of observation period. A parametric cure model is used to estimate the proportion of long-term survivors. To combine the stability of the parametric method with the flexibility of the nonparametric one, the survival function is estimated nonparametrically conditional on the cure rates provided by the parametric analysis. The methods are applied to the data collected in clinical trials on Hodgkin's disease.

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