A positive stable frailty model for clustered failure time data with covariate-dependent frailty

Biometrics. 2011 Mar;67(1):8-17. doi: 10.1111/j.1541-0420.2010.01444.x.

Abstract

Summary In this article, we propose a positive stable shared frailty Cox model for clustered failure time data where the frailty distribution varies with cluster-level covariates. The proposed model accounts for covariate-dependent intracluster correlation and permits both conditional and marginal inferences. We obtain marginal inference directly from a marginal model, then use a stratified Cox-type pseudo-partial likelihood approach to estimate the regression coefficient for the frailty parameter. The proposed estimators are consistent and asymptotically normal and a consistent estimator of the covariance matrix is provided. Simulation studies show that the proposed estimation procedure is appropriate for practical use with a realistic number of clusters. Finally, we present an application of the proposed method to kidney transplantation data from the Scientific Registry of Transplant Recipients.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Biometry / methods*
  • Cluster Analysis*
  • Computer Simulation
  • Data Interpretation, Statistical*
  • Humans
  • Kidney Transplantation / mortality*
  • Models, Statistical*
  • Proportional Hazards Models*
  • Risk Assessment / methods
  • Risk Factors
  • Survival Analysis*
  • Survival Rate
  • United States / epidemiology