Publication Date:
2011-11-17
Description:
In this article, we propose a parametric model for the distribution of time to first event when events are overdispersed and can be properly fitted by a Negative Binomial distribution. This is a very common situation in medical statistics, when the occurrence of events is summarized as a count for each patient and the simple Poisson model is not adequate to account for overdispersion of data. In this situation, studying the time of occurrence of the first event can be of interest. From the Negative Binomial distribution of counts, we derive a new parametric model for time to first event and apply it to fit the distribution of time to first relapse in multiple sclerosis (MS). We develop the regression model with methods for covariate estimation. We show that, as the Negative Binomial model properly fits relapse counts data, this new model matches quite perfectly the distribution of time to first relapse, as tested in two large datasets of MS patients. Finally we compare its performance, when fitting time to first relapse in MS, with other models widely used in survival analysis (the semiparametric Cox model and the parametric exponential, Weibull, log-logistic and log-normal models). Content Type Journal Article Pages 1-18 DOI 10.1007/s10985-011-9207-z Authors Paola Siri, Department of Mathematics (DIMAT), Polytechnic of Turin, Corso Duca degli Abruzzi 24, 10129 Torino, Italy Eric Henninger, Merck Serono S.A., 9 Chemin des Mines, 1202 Geneva, Switzerland Maria Pia Sormani, Biostatistics Unit, Department of Health Sciences (DISSAL), University of Genova, Via Pastore 1, 16132 Genova, Italy Journal Lifetime Data Analysis Online ISSN 1572-9249 Print ISSN 1380-7870
Print ISSN:
1380-7870
Electronic ISSN:
1572-9249
Topics:
Mathematics
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