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Reduced‐rank hazard regression for modelling non‐proportional hazards
Author(s) -
Perperoglou Aris,
Cessie Saskia le,
van Houwelingen Hans C.
Publication year - 2006
Publication title -
statistics in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.996
H-Index - 183
eISSN - 1097-0258
pISSN - 0277-6715
DOI - 10.1002/sim.2360
Subject(s) - covariate , proportional hazards model , statistics , rank (graph theory) , econometrics , mathematics , regression , regression analysis , combinatorics
Abstract The Cox proportional hazards model is the most common method to analyse survival data. However, the proportional hazards assumption might not hold. The natural extension of the Cox model is to introduce time‐varying effects of the covariates. For some covariates such as (surgical)treatment non‐proportionality could be expected beforehand. For some other covariates the non‐proportionality only becomes apparent if the follow‐up is long enough. It is often observed that all covariates show similar decaying effects over time. Such behaviour could be explained by the popular (gamma‐) frailty model. However, the (marginal) effects of covariates in frailty models are not easy to interpret. In this paper we propose the reduced‐rank model for time‐varying effects of covariates. Starting point is a Cox model with p covariates and time‐varying effects modelled by q time functions (constant included), leading to a p × q structure matrix that contains the regression coefficients for all covariate by time function interactions. By reducing the rank of this structure matrix a whole range of models is introduced, from the very flexible full‐rank model (identical to a Cox model with time‐varying effects) to the very rigid rank one model that mimics the structure of a gamma‐frailty model, but is easier to interpret. We illustrate these models with an application to ovarian cancer patients. Copyright © 2005 John Wiley & Sons, Ltd.