4.6 Article

Estimating cure rates from survival data: An alternative to two-component mixture models

Journal

JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION
Volume 98, Issue 464, Pages 1063-1078

Publisher

AMER STATISTICAL ASSOC
DOI: 10.1198/01622145030000001007

Keywords

Bayesian methods; biologically based models; bounded cumulative hazard; cure models; hazard regression; semiparametric inference; survival data

Funding

  1. NATIONAL CANCER INSTITUTE [R01CA074015, U10CA023318, U01CA097414, U01CA088177] Funding Source: NIH RePORTER
  2. NCI NIH HHS [U01 CA088177, U01 CA097414-04, U01 CA097414-03, U10 CA023318, U01 CA097414-05, R01 CA074015, U01 CA097414-01, U01 CA097414-02, U01 CA097414] Funding Source: Medline

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This article considers the utility of the bounded cumulative hazard model in cure rate estimation, which is an appealing alternative to the widely used two-component mixture model. This approach has the following distinct advantages: (1) It allows for a natural way to extend the proportional hazards regression model, leading to a wide class of extended hazard regression models. (2) In some settings the model can be interpreted in terms of biologically meaningful parameters. (3) The model structure is particularly suitable for semiparametric and Bayesian methods of statistical inference. Notwithstanding the fact that the model has been around for less than a decade, a large body of theoretical results and applications has been reported to date. This review article is intended to give a big picture of these modeling techniques and associated statistical problems. These issues are discussed in the context of survival data in cancer.

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