Semiparametric additive rates model for recurrent events data with intermittent gaps

Pei-Fang Su, Junjiang Zhong, Huang-Tz Ou

Research output: Contribution to journalArticle

Abstract

Statistical methods for analyzing recurrent events have attracted significant attention. The majority of existing works consider situations in which subjects are observed over time periods and events of interest that occurred during the course of follow-up are recorded. In some applications, a subject may leave the study for a period of time and then resume due to various reasons. During the absence, which is referred to as an intermittent gap in this study, it may be impossible to observe a recording of the event. A naive analysis disregards gaps and considers events to be a typical recurrent event dataset. However, this may result in biased estimations and misleading results. In this study, we build an additive rates model for recurrent event data considering intermittent gaps. We provide the asymptotic theories behind the proposed model, as well as the goodness of fit between observed and modeled values. Simulation studies reveal that the estimations perform well if intermittent gaps are taken into account. In addition, we utilized the longitudinal cohort of elderly patients who have type 2 diabetes and at least one record of a severe recurrent complication, hypoglycemia, from the National Health Insurance Research Database in Taiwan to demonstrate the proposed method.

Original languageEnglish
Pages (from-to)1343-1356
Number of pages14
JournalStatistics in Medicine
Volume38
Issue number8
DOIs
Publication statusPublished - 2019 Apr 15

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Recurrent Events
National Health Programs
Biased Estimation
Taiwan
Hypoglycemia
Type 2 Diabetes Mellitus
Diabetes
Databases
Asymptotic Theory
Goodness of fit
Complications
Period of time
Insurance
Statistical method
Health
Research
Simulation Study
Model
Demonstrate
Datasets

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Statistics and Probability

Cite this

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Semiparametric additive rates model for recurrent events data with intermittent gaps. / Su, Pei-Fang; Zhong, Junjiang; Ou, Huang-Tz.

In: Statistics in Medicine, Vol. 38, No. 8, 15.04.2019, p. 1343-1356.

Research output: Contribution to journalArticle

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