joineRML: a joint model and software package for time-to-event and multivariate longitudinal outcomes.

Background: Joint modelling of longitudinal and time-to-event outcomes has received considerable attention over recent years. Commensurate with this has been a rise in statistical software options for fitting these models. However, these tools have generally been limited to a single longitudinal out...

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Publicado en:BMC Medical Research Methodology Vol. 18; no. 1
Autores principales: Hickey, Graeme L., Philipson, Pete, Jorgensen, Andrea, Kolamunnage-Dona, Ruwanthi
Formato: research Journal Article
Publicado: BioMed Central 6/7/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/7/2018
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      pub: BioMed Central
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        atl: joineRML: a joint model and software package for time-to-event and multivariate longitudinal outcomes.
      aug:
        au:
          Hickey, Graeme L.
          Philipson, Pete
          Jorgensen, Andrea
          Kolamunnage-Dona, Ruwanthi
        affil: Department of Biostatistics, Institute of Translational Medicine, University of Liverpool Waterhouse Building, 1-5 Brownlow Street L69 3GL Liverpool UK
      sug:
        subj:
          Algorithms
          Linear Regression
          Software
          Biometrics Methods
          Human
          Multivariate Analysis
          Reproducibility of Results
          Systems Analysis
          Prospective Studies
          Outcome Assessment Statistics and Numerical Data
          Outcome Assessment Methods
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: Background: Joint modelling of longitudinal and time-to-event outcomes has received considerable attention over recent years. Commensurate with this has been a rise in statistical software options for fitting these models. However, these tools have generally been limited to a single longitudinal outcome. Here, we describe the classical joint model to the case of multiple longitudinal outcomes, propose a practical algorithm for fitting the models, and demonstrate how to fit the models using a new package for the statistical software platform R, joineRML.Results: A multivariate linear mixed sub-model is specified for the longitudinal outcomes, and a Cox proportional hazards regression model with time-varying covariates is specified for the event time sub-model. The association between models is captured through a zero-mean multivariate latent Gaussian process. The models are fitted using a Monte Carlo Expectation-Maximisation algorithm, and inferences are based on approximate standard errors from the empirical profile information matrix, which are contrasted to an alternative bootstrap estimation approach. We illustrate the model and software on a real data example for patients with primary biliary cirrhosis with three repeatedly measured biomarkers.Conclusions: An open-source software package capable of fitting multivariate joint models is available. The underlying algorithm and source code makes use of several methods to increase computational speed.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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