A Flexible Joint Longitudinal-Survival Model for Analysis of End-Stage Renal Disease Data

07/06/2018

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by   Sepehr Akhavan-Masouleh, et al.

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We propose a flexible joint longitudinal-survival framework to examine the association between longitudinally collected biomarkers and a time-to-event endpoint. More specifically, we use our method for analyzing the survival outcome of end-stage renal disease patients with time-varying serum albumin measurements. Our proposed method is robust to common parametric assumptions in that it avoids explicit distributional assumptions on longitudinal measures and allows for subject-specific baseline hazard in the survival component. Fully joint estimation is performed to account for the uncertainty in the estimated longitudinal biomarkers included in the survival model.