Accommodating informative dropout and death: a joint modelling approach for longitudinal and semi-competing risks data

J R Stat Soc Ser C Appl Stat. 2018 Jan;67(1):145-163. doi: 10.1111/rssc.12210. Epub 2017 Jan 30.

Abstract

Both dropout and death can truncate observation of a longitudinal outcome. Since extrapolation beyond death is often not appropriate, it is desirable to obtain the longitudinal outcome profile of a population given being alive. We propose a new likelihood-based approach to accommodating informative dropout and death by jointly modelling the longitudinal outcome and semi-competing event times of dropout and death, with an important feature that the conditional longitudinal profile of being alive can be conveniently obtained in a closed form. We use proposed methods to estimate different longitudinal profiles of CD4 count for patients from the HIV Epidemiology Research Study.

Keywords: Joint models; Missing data; Shared parameter models; Survival analysis.

Publication types

  • Research Support, U.S. Gov't, P.H.S.