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”

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 frailty models for recurrent and terminal events

In this post we’re going to take a look at joint frailty models, and how to fit them with our merlin command. Importantly, we’ll also discuss how to interpret the results. Joint frailty models An area of intense research in recent years is in the field of joint frailty models, which has become the commonlyContinue reading “Joint frailty models for recurrent and terminal events”

multistate v4.4.0: semi-parametric multi-state modelling

multistate version 4.4.0 has been released! Ok, that may have happened a few weeks ago… The headlines: predictms now supports the Cox model as a transition model, estimated usingmerlin or stmerlin Predictions from a multi-state Cox model are implemented using asimulation approach Supported predictions from a multi-state Cox model include transitionprobabilities, probability, and length ofContinue reading “multistate v4.4.0: semi-parametric multi-state modelling”