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Morine Delhelle

Publications and source records attributed to Morine Delhelle.

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Copula based dependent censoring in cure models with covariates

In survival analysis, the time-to-event variable T is frequently subject to right censoring. Individuals may withdraw from the study for various reasons, or may not experience the event of interest before the end of follow-up. In this paper, we distinguish between two types of censoring: a potentially dependent censoring time C, which may be stochastically related to T, and an independent administrative censoring time A. In addition, the data may exhibit a cure fraction, meaning that some individuals will never experience the event. We build upon a recent work about a fully parametric mixture cure model, which accounts for dependent censoring through copulas. The proposed extension incorporates administrative censoring and allows covariates to affect all model parameters. This framework enables a more accurate modelling of the dependence between survival and censoring times while providing greater flexibility through covariate effects, leading to more individualised estimation of the cure fraction, the dependence structure, and other clinically relevant quantities. Moreover, the presence of covariates allows for weaker identification conditions.

stat.ME

Copula based dependent censoring in cure models

In this paper we consider a time-to-event variable $T$ that is subject to random right censoring, and we assume that the censoring time $C$ is stochastically dependent on $T$ and that there is a positive probability of not observing the event. There are various situations in practice where this happens, and appropriate models and methods need to be considered to avoid biased estimators of the survival function or incorrect conclusions in clinical trials. We consider a fully parametric model for the bivariate distribution of $(T,C)$, that takes these features into account. The model depends on a parametric copula (with unknown association parameter) and on parametric marginal distributions for $T$ and $C$. Sufficient conditions are developed under which the model is identified, and an estimation procedure is proposed. In particular, our model allows to identify and estimate the association between $T$ and $C$, even though only the smallest of these variables is observable. The finite sample performance of the estimated parameters is illustrated by means of a thorough simulation study and the analysis of breast cancer data.

stat.ME