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Nonparametric covariate hypothesis tests for the cure rate in mixture cure models

Ana López‐Cheda, María Amalia Jácome, Ingrid Van Keilegom, Ricardo Cao

2020Statistics in Medicine19 citationsDOIOpen Access PDF

Abstract

In lifetime data, like cancer studies, there may be long term survivors, which lead to heavy censoring at the end of the follow-up period. Since a standard survival model is not appropriate to handle these data, a cure model is needed. In the literature, covariate hypothesis tests for cure models are limited to parametric and semiparametric methods. We fill this important gap by proposing a nonparametric covariate hypothesis test for the probability of cure in mixture cure models. A bootstrap method is proposed to approximate the null distribution of the test statistic. The procedure can be applied to any type of covariate, and could be extended to the multivariate setting. Its efficiency is evaluated in a Monte Carlo simulation study. Finally, the method is applied to a colorectal cancer dataset.

Topics & Concepts

CovariateCensoring (clinical trials)Nonparametric statisticsStatisticsTest statisticMultivariate statisticsParametric statisticsStatistical hypothesis testingEconometricsStatisticNull hypothesisComputer scienceMathematicsStatistical Methods and InferenceColorectal Cancer Screening and DetectionGenetic factors in colorectal cancer