Efficient parameter estimation for multivariate accelerated failure time model via the quadratic inference functions method

2019 ◽  
Vol 08 (04) ◽  
pp. 1950013
Author(s):  
Liya Fu ◽  
Zhuoran Yang ◽  
Mingtao Zhao ◽  
Yan Zhou

A popular approach, generalized estimating equations (GEE), has been applied to the multivariate accelerated failure time (AFT) model of the clustered and censored data. However, this method needs to estimate the correlation parameters and calculate the inverse of the correlation matrix. Meanwhile, the efficiency of the parameter estimators is low when the correlation structure is misspecified and/or the marginal distribution is heavy-tailed. This paper proposes using the quadratic inference functions (QIF) with a mixture correlation structure to estimate the coefficients in the multivariate AFT model, which can avoid estimating the correlation parameters and computing the inverse matrix of the correlation matrix. Moreover, the estimator derived from the QIF is consistent and asymptotically normal. Simulation studies indicate that the proposed method outperforms the method based on GEE when the marginal distribution has a heavy tail. Finally, the proposed method is used to analyze a real dataset for illustration.

2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110402
Author(s):  
Gayathri Thiruvengadam ◽  
Ravanan Ramanujam ◽  
Lakshmi Marappa

Objective To identify factors associated with recovery time from coronavirus disease 2019 (COVID-19). Methods In this retrospective study, data for patients with COVID-19 were obtained between 21 June and 30 August 2020. An accelerated failure time (AFT) model was used to identify covariates associated with recovery time (days from hospital admission to discharge). AFT models with different distributions (exponential, log-normal, Weibull, generalized gamma, and log-logistic) were generated. Akaike’s information criterion (AIC) was used to identify the most suitable model. Results A total of 730 patients with COVID-19 were included (92.5% recovered and 7.5% censored). Based on its low AIC value, the log-logistic AFT model was the best fit for the data. The covariates affecting length of hospital stay were oxygen saturation, lactate dehydrogenase, neutrophil-lymphocyte ratio, D-dimer, ferritin, creatinine, total leucocyte count, age > 80 years, and coronary artery disease. Conclusions The log-logistic AFT model accurately described the recovery time of patients with COVID-19.


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