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Estimation of Proportional Hazards Models for Survival Times with Nested Errors

 


Rick L. Williams and Gayle S. Bieler
1993, American Statistical Association, Proceedings of the Biopharmaceutical Section, 115-120.

Keywords: Correlated failure times; Taylor series variance approximation; Cox regression

Abstract
A simple variance estimation method is demonstrated for proportional hazards models of survival times with a nested error structure. For example, this method is appropriate when repeated measurements are taken on a single animal in neurobehavioral toxicology experiments, when analyzing littermates in teratology studies, or whenever survival times are clustered, as in families or clinics. The method derives from Binder's (1992) work for complex sample surveys using a Taylor series approach which yields consistent estimates of the model parameters and their variance-covariance matrix. In a simulation study of the level and power of significance tests of model parameters, we find that the method maintains the specified Type l error rate. We further demonstrate the method using repeated measurements of time to avoidance in a neurobehavioral toxicology experiment. This approach is implemented in the SUDAAN software package.