scholarly journals IMPLEMENTASI MODEL ACCELERATED FAILURE TIME (AFT) BERDISTRIBUSI LOG-LOGISTIK PADA PASIEN PENYAKIT JANTUNG BAWAAN

2022 ◽  
Vol 10 (4) ◽  
pp. 518-531
Author(s):  
Dwi Nooriqfina ◽  
Sudarno Sudarno ◽  
Rukun Santoso

Log-Logistic Accelerated Failure Time (AFT) model is survival analysis that is used when the survival time follows Log-Logistic distribution. Log-Logistic AFT model can be used to estimate survival time, survival function, and hazard function. Log-Logistic AFT model was formed by regressing covariates linierly against the log of survival time. Regression coefficients are estimated using maximum likelihood method. This study uses data from Atrial Septal Defect (ASD) patients, which is a congenital disease with a hole in the wall that separates the top of two chambers of the heart by using sensor type III. Survival time as the response variable, that is the time from patient was diagnosed with ASD until the first relapse and uses age, gender, treatment status (catheterization/surgery), defect size that is the size of the hole in the heart terrace, pulmonary hypertension status, and pain status as predictor variables. The result showed that variable gender, treatment status, defect size, pulmonary hypertension status, and pain status affect the first recurrence of ASD patients, so it is found that category of female, untreated patient, defect size ≥12mm, having pulmonary hypertension, having chest pain tend to have first recurrence sooner than the other category. 

2021 ◽  
Vol 10 (3) ◽  
pp. 388-401
Author(s):  
Dwi Nooriqfina ◽  
Sudarno Sudarno ◽  
Rukun Santoso

Log-Logistic Accelerated Failure Time (AFT) model is survival analysis that is used when the survival time follows Log-Logistic distribution. Log-Logistic AFT model can be used to estimate survival time, survival function, and hazard function. Log-Logistic AFT model was formed by regressing covariates linierly against the log of survival time. Regression coefficients are estimated using maximum likelihood method. This study uses data from Atrial Septal Defect (ASD) patients, which is a congenital disease with a hole in the wall that separates the top of two chambers of the heart by using sensor type III. Survival time as the response variable, that is the time from patient was diagnosed with ASD until the first relapse and uses age, gender, treatment status (catheterization/surgery), defect size that is the size of the hole in the heart terrace, pulmonary hypertension status, and pain status as predictor variables. The result showed that variable gender, treatment status, defect size, pulmonary hypertension status, and pain status affect the first recurrence of ASD patients, so it is found that category of female, untreated patient, defect size ≥12mm, having pulmonary hypertension, having chest pain tend to have first recurrence sooner than the other category.


2016 ◽  
Vol 78 (6-4) ◽  
Author(s):  
Nurliyana Juhan ◽  
Nuradhiathy Abd Razak ◽  
Yong Zulina Zubairi ◽  
Nyi Nyi Naing ◽  
Che Haziqah Che Hussin ◽  
...  

Cervical cancer is the fourth most common cancer affecting women worldwide, after breast, colorectal, and lung cancers with 528 000 new cases every year. It is also the fourth most common cause of cancer death with 266 000 deaths in 2012 among women worldwide. In Malaysia it remains to be a great concern among clinicians; yet published works on survival of cervical cancer patients are somewhat limited. In this study, two survival regression models which are parametric Stratified Weibull model and Weibull Accelerated Failure Time (AFT) model are considered as the alternative and improvement of the well-known Cox proportional hazard model to evaluate the prognostic factor that effect on survival of patients with cervical cancer. Comparisons were made to find the best model. Data were taken from Hospital University Science Malaysia (HUSM) over a period of 12 years. From the analyses it was found that the AFT model was the most appropriate. The AFT model has shown that the median survival time for patient at stage III & IV (14 months) is about one third that of those at stages I & II (40 months) for the same distant metastasis group. While, the median survival time for patient with distant metastasis (17 months) is half that of those without distant metastasis (34 months) for the same stage group.


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 8 (1) ◽  
Author(s):  
Tafese Ashine ◽  
Geremew Muleta ◽  
Kenenisa Tadesse

AbstractHeart failure is a failure of the heart to pump blood with normal efficiency and a globally growing public health issue with a high death rate all over the world, including Ethiopia. The goal of this study was to identify factors affecting the survival time of heart failure patients. To achieve the aim, 409 heart failure patients were included in the study based on data taken from medical records of patients enrolled from January 2016 to January 2019 at Jimma University Medical Center, Jimma, Ethiopia. The Kaplan Meier plots and log-rank test were used for comparison of survival functions; the Cox-PH model and the Bayesian parametric survival models were used to analyze the survival time of heart failure patients using R-software. Integrated nested Laplace approximation methods have been applied. Out of the total heart failure patients in the study, 40.1% died, and 59.9% were censored. The estimated median survival time of patients was 31 months. Using model selection criteria, the Bayesian log-normal accelerated failure time model was found to be appropriate. The results of this model show that age, chronic kidney disease, diabetes mellitus, etiology of heart failure, hypertension, anemia, smoking cigarettes, and stages of heart failure all have a significant impact on the survival time of heart failure patients. The Bayesian log-normal accelerated failure time model described the survival time of heart failure patient's data-set well. The findings of this study suggested that the age group (49 to 65 years, and greater than or equal to 65 years); etiology of heart failure (rheumatic valvular heart disease, hypertensive heart disease, and other diseases); the presence of hypertension; the presence of anemia; the presence of chronic kidney disease; smokers; diabetes mellitus (type I, and type II); and stages of heart failure (II, III, and IV) shortened their survival time of heart failure patients.


2018 ◽  
Author(s):  
Enwu Liu ◽  
Karen Lim

AbstractWe describe a statistical method protocol to use a Weibull accelerated failure time (AFT) model to predict time to a health-related event. This prediction method is quite common in engineering reliability research but rarely used for medical predictions such as survival time. A worked example for how to perform the prediction using a published dataset is included.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Massimiliano Magro ◽  
Livio Corain ◽  
Silvia Ferro ◽  
Davide Baratella ◽  
Emanuela Bonaiuto ◽  
...  

The biological effect of alkaline water consumption is object of controversy. The present paper presents a 3-year survival study on a population of 150 mice, and the data were analyzed with accelerated failure time (AFT) model. Starting from the second year of life, nonparametric survival plots suggest that mice watered with alkaline water showed a better survival than control mice. Interestingly, statistical analysis revealed that alkaline water provides higher longevity in terms of “deceleration aging factor” as it increases the survival functions when compared with control group; namely, animals belonging to the population treated with alkaline water resulted in a longer lifespan. Histological examination of mice kidneys, intestine, heart, liver, and brain revealed that no significant differences emerged among the three groups indicating that no specific pathology resulted correlated with the consumption of alkaline water. These results provide an informative and quantitative summary of survival data as a function of watering with alkaline water of long-lived mouse models.


2021 ◽  
Author(s):  
Tafese Ashine Tefera ◽  
Geremew Muleta ◽  
Kenenisa Tadesse

Abstract Heart failure is failure of the heart to pump blood with normal efficiency and globally growing public health issue with high death rate over the world including Ethiopia. The aim of this study was to identify factors affecting the survival time of heart failure patients in Jimma University Medical Center. To reach the aim, 409 heart failure patients were including in the study based on data taken from medical record of patients enrolled during January, 2016 to January, 2019. Kaplan Meier plots and log rank test were used for comparison of survival function; Bayesian survival models was used to identify factors affecting the survival time heart failure patients. Of the total patients in the study 164 (40.1%) were died. The estimated median survival time of patients was 31 months. Bayesian log-normal accelerated failure time model fit heart failure data-set better than other Bayesian accelerated failure time models used in this study. From the results of this model shows that the survival time of heart failure patients significantly affected by age, chronic kidney disease, diabetes mellitus, etiology of heart failure, hypertension, anemia, smoking cigarette and stages of heart failure. Bayesian log-normal accelerated failure time model describes the heart failure data-set well. Age group (49 to 65 years and greater than 65 years); etiology of heart failure (rheumatic valvular heart disease, hypertensive heart disease and Other diseases); presence of hypertension; presence of anemic; presence of chronic kidney disease; smokers; diabetes mellitus (type I and type II diabetic); and stages of heart failure (II, III and IV) were prolong the timing death of heart failure patients. The hospital, Jimma University medical center, need to improve public awareness for early detection of heart failure.


2019 ◽  
Author(s):  
Sheng-li An ◽  
Pei Kang ◽  
Ying-xin Liu ◽  
Fu-qiang Huang

Abstract Considering the problem of identifying subgroup in a randomized clinical trial with respect to survival time, we present an analysis strategy to find subgroup of enhanced treatment effect. We fit univariate accelerated failure time (AFT) models with covariate-treatment interactions to identify predictive covariates. The false discovery rate is controlled by Benjamini-Hochberg procedure. Then a composite score conversion is employed to transform the set of identified covariates for each patient into a univariate score. To classify patient subgroups, a change-point algorithm is applied to searching for the threshold cutoff instead of using the median. Moreover, we adopted a biomarker adaptive design to check whether the treatment effect exists within certain subgroup. The simulation results show that the change-point method is remarkably superior to the median cutoff particularly when the subgroup sizes vary considerably. Furthermore, the 2-stage adaptive design has good power properties in detecting treatment effect while the type I error is generally controlled. As an illustration, we apply the proposed methods to an AIDS study. In conclusion, when the sample size is sufficient and the censoring rate is mild, the AFT model combined with change-point algorithm performs well in identifying subgroup. Keywords: accelerated failure time model; adaptive design; change-point algorithm; false discovery rate; precision medicine; subgroup identification


2021 ◽  
Author(s):  
Bacha Ewunetu Gemechu ◽  
Tilahun Bedaso Merga

Abstract Introduction Early cessation of EBF has the short and long term effect for the welfare of infants including the life-long impacts of poor school performance, reduced productivity, and impaired intellectual development. Objective of the study: the main objective of this study was to compare the performance of CPH model and AFT models in analyzing EBF data in Ethiopia, 2016 EDHS. Specifically, the study aimed to identify the major predictor variables of the duration of EBF based on 2016 EDHS data.Methodology: The secondary data is obtained from Ethiopian Demographic and Health Survey (EDHS), 2016. The outcome variable of this study was the duration of EBF in month. To achieve the objective of the study, descriptive survival analysis like the median survival time, Kaplan Meier survival estimate and log-rank test were used to compare the estimated survival probability among different levels of predictor variables at 5 percent significant level. The Cox proportional hazard regression and Accelerated failure time model were fitted and their results were compared using model comparison criterion such as AIC, BIC.Results: of 1092 interviewed mothers, 15.3 % of them were discontinued EBF and 84.7% of them were exclusively breastfed (censored). The estimated median duration of EBF was 3 months. Based on estimated Kaplan Meier survival curve and log-rank test, it was found that there was a statistically significant difference in survivor experience of discontinuing EBF over each duration with respect to place of delivery, maternal education, husband education, mode of delivery and employment status. The fitted CPH and AFT model indicated that mode of delivery, wealth index, and employment status was found as significant predictors of EBF duration. Moreover, comparatively Weibull AFT model performed better in analyzing EBF data. According to the fitted model, mothers who were in poor wealth index category and who gave birth by cesarean shortens the duration of EBF by 16% and 29% respectively. On the other hand, employed mothers were improved the duration of EBF by 26%. Conclusion: Weibull AFT model is performed better in analyzing EBF data. A mother who was unemployed, poor wealth index, and gave birth by cesarean shortens the duration of EBF than their counterparts. Therefore, special emphasis should be given for mothers who are unemployed, who are economically poor, and give birth by cesarean to improve the duration of EBF.


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