Joint longitudinal-survival models have been widely developed, but there are many avenues of research where they are lacking in terms of methodological development, and importantly, accessible implementations. We think merlin fills a few gaps. In this post, we’ll take a look at the extension to modelling multiple continuous longitudinal outcomes, jointly with survival. For simplicity,Continue reading “Multivariate joint longitudinal-survival models”

# Category Archives: Stata

## Simulation and estimation of three-level survival models: IPD meta-analysis of recurrent event data

In this example I’ll look at the analysis of clustered survival data with three levels. This kind of data arises in the meta-analysis of recurrent event times, where we have observations (events or censored), k (level 1), nested within patients, j (level 2), nested within trials, i (level 3). Random intercepts The first example willContinue reading “Simulation and estimation of three-level survival models: IPD meta-analysis of recurrent event data”

## Probabilistic sensitivity analysis and survival models

Today we’re going to take a little look into probabilistic sensitivity analysis (PSA), and how it can be implemented within the context of survival analysis. Now PSA is used extensively in health economic modelling, where a particular parameter (or parameters) of interest, are altered or varied, to represent different scenarios and levels of variation. WeContinue reading “Probabilistic sensitivity analysis and survival models”

## Joint longitudinal-survival models with time-dependent effects (non-proportional hazards)

In this post we’ll focus on how to model time-dependent effects (non-proportional hazards), specifically within a joint longitudinal-survival model. If this is your first time reading a little about joint models, check out our other posts on joint models on our Tutorials page. Now joint models are becoming commonplace in medical research, but as always,Continue reading “Joint longitudinal-survival models with time-dependent effects (non-proportional hazards)”

## Survival analysis with interval censoring

Interval censoring occurs when we don’t know the exact time an event occurred, only that it occurred within a particular time interval. Such data is common in ophthalmology and dentistry, where events are only picked up at scheduled appointments, but they actually occurred at some point since the previous visit. Arguably, we could say allContinue reading “Survival analysis with interval censoring”

## Relative survival analysis

Relative survival models are predominantly used in population based cancer epidemiology (Dickman et al. 2004), where interest lies in modelling and quantifying the excess mortality in a population with a particular disease, compared to a reference population, appropriately matched on things like age, gender and calendar time. One of the benefits of the approach isContinue reading “Relative survival analysis”

## Mixed effects for the level 1 variance function in a multilevel model

In this example, we look at a paper by the late great statistician Harvey Goldstein and colleagues (Goldstein et al., 2017) that proposed a two-level model with complex level 1 variation. This will be a nice illustration of the use of family(user) combined with the family(null) options of merlin to provide an accessible implementation ofContinue reading “Mixed effects for the level 1 variance function in a multilevel model”

## Flexible parametric survival analysis with frailty

This example takes a look at incorporating a frailty, or random intercept, into a flexible parametric survival model, and how to fit them in Stata. First we’ll use merlin to estimate our model, and then the more user-friendly wrapper function stmixed. More details on these models can be found in the following papers: Crowther MJ,Continue reading “Flexible parametric survival analysis with frailty”

## A user-defined/custom hazard model

This tutorial will illustrate some of the more advanced capabilities of merlin when modelling survival data, but with the aim of using an accessible example. During my PhD, Paul Lambert and I developed stgenreg in Stata for modelling survival data with a general user-specified hazard function, with the generality achieved by using numerical integration toContinue reading “A user-defined/custom hazard model”

## Joint longitudinal and competing risks models: Simulation, estimation and prediction

This post takes a look at an extension of the standard joint longitudinal-survival model, which is to incorporate competing risks. Let’s start by formally defining the model. We will assume a continuous longitudinal outcome, where and is our normally distributed residual variability. We call our trajectory function, representing the true underlying value of the continuousContinue reading “Joint longitudinal and competing risks models: Simulation, estimation and prediction”