Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research

Joint modelling of longitudinal and survival data has received much attention in the recent years and is becoming increasingly used in clinical studies. When the longitudinal outcome and survival endpoints are associated, the many well-established models with different specifications proposed to an...

Full description

Bibliographic Details
Main Authors: Laetitia Teixeira, Inês Sousa, Anabela Rodrigues, Denisa Mendonça
Format: Article
Language:English
Published: Instituto Nacional de Estatística | Statistics Portugal 2019-04-01
Series:Revstat Statistical Journal
Subjects:
Online Access:https://revstat.ine.pt/index.php/REVSTAT/article/view/267
_version_ 1818513306222067712
author Laetitia Teixeira
Inês Sousa
Anabela Rodrigues
Denisa Mendonça
author_facet Laetitia Teixeira
Inês Sousa
Anabela Rodrigues
Denisa Mendonça
author_sort Laetitia Teixeira
collection DOAJ
description Joint modelling of longitudinal and survival data has received much attention in the recent years and is becoming increasingly used in clinical studies. When the longitudinal outcome and survival endpoints are associated, the many well-established models with different specifications proposed to analyse separately longitudinal and time-to-event outcomes are not suitable to analyse such data and a joint modelling approach is required. Although some joint models were adapted in order to allow for competing endpoints, this methodology has not been widely disseminated. The present study has as main objective to model jointly longitudinal and survival data in a competing risk context, discussing the different parameterisations of systematic implementations of these models in the R, using a real data set as an example for the comparison between the different model approaches. The relevance of this issue is associated with the need to draw attention of the users of this statistical software to the different interpretations of model parameters when fitting these models. To reinforce the relevance of these models in clinical research, we give an example of a data set on peritoneal dialysis that was analysed in this context, where death/transfer to haemodialysis was the event of interest and renal transplant was the competing event. Joint modelling results were also compared to separate analysis for these data.
first_indexed 2024-12-10T23:59:26Z
format Article
id doaj.art-a87b1d2287f64c90a9645fed976430a2
institution Directory Open Access Journal
issn 1645-6726
2183-0371
language English
last_indexed 2024-12-10T23:59:26Z
publishDate 2019-04-01
publisher Instituto Nacional de Estatística | Statistics Portugal
record_format Article
series Revstat Statistical Journal
spelling doaj.art-a87b1d2287f64c90a9645fed976430a22022-12-22T01:28:31ZengInstituto Nacional de Estatística | Statistics PortugalRevstat Statistical Journal1645-67262183-03712019-04-0117210.57805/revstat.v17i2.267Joint Modelling of Longitudinal and Competing Risks Data in Clinical ResearchLaetitia Teixeira 0Inês Sousa 1Anabela Rodrigues 2Denisa Mendonça 3Universidade do PortoUniversidade do MinhoUniversidade do PortoUniversidade do Porto Joint modelling of longitudinal and survival data has received much attention in the recent years and is becoming increasingly used in clinical studies. When the longitudinal outcome and survival endpoints are associated, the many well-established models with different specifications proposed to analyse separately longitudinal and time-to-event outcomes are not suitable to analyse such data and a joint modelling approach is required. Although some joint models were adapted in order to allow for competing endpoints, this methodology has not been widely disseminated. The present study has as main objective to model jointly longitudinal and survival data in a competing risk context, discussing the different parameterisations of systematic implementations of these models in the R, using a real data set as an example for the comparison between the different model approaches. The relevance of this issue is associated with the need to draw attention of the users of this statistical software to the different interpretations of model parameters when fitting these models. To reinforce the relevance of these models in clinical research, we give an example of a data set on peritoneal dialysis that was analysed in this context, where death/transfer to haemodialysis was the event of interest and renal transplant was the competing event. Joint modelling results were also compared to separate analysis for these data. https://revstat.ine.pt/index.php/REVSTAT/article/view/267competing risksjoint modellinglongitudinal dataperitoneal dialysistime-to-event data
spellingShingle Laetitia Teixeira
Inês Sousa
Anabela Rodrigues
Denisa Mendonça
Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research
Revstat Statistical Journal
competing risks
joint modelling
longitudinal data
peritoneal dialysis
time-to-event data
title Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research
title_full Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research
title_fullStr Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research
title_full_unstemmed Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research
title_short Joint Modelling of Longitudinal and Competing Risks Data in Clinical Research
title_sort joint modelling of longitudinal and competing risks data in clinical research
topic competing risks
joint modelling
longitudinal data
peritoneal dialysis
time-to-event data
url https://revstat.ine.pt/index.php/REVSTAT/article/view/267
work_keys_str_mv AT laetitiateixeira jointmodellingoflongitudinalandcompetingrisksdatainclinicalresearch
AT inessousa jointmodellingoflongitudinalandcompetingrisksdatainclinicalresearch
AT anabelarodrigues jointmodellingoflongitudinalandcompetingrisksdatainclinicalresearch
AT denisamendonca jointmodellingoflongitudinalandcompetingrisksdatainclinicalresearch