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Regression analysis of clustered current status data with informative cluster size under a transformed survival model

  • Yanqin Feng , Shijiao Yin und Jieli Ding EMAIL logo
Veröffentlicht/Copyright: 24. März 2025
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Abstract

In this paper, we study inference methods for regression analysis of clustered current status data with informative cluster sizes. When the correlated failure times of interest arise from a general class of semiparametric transformation frailty models, we develop a nonparametric maximum likelihood estimation based method for regression analysis and conduct an expectation-maximization algorithm to implement it. The asymptotic properties including consistency and asymptotic normality of the proposed estimators are established. Extensive simulation studies are conducted and indicate that the proposed method works well. The developed approach is applied to analyze a real-life data set from a tumorigenicity study.


Corresponding author: Jieli Ding, School of Mathematics and Statistics, Wuhan University, Wuhan, 430072, P.R. China, E-mail: 

Acknowledgments

The authors thank the Editor, the Associate Editor, and the two reviewers for their insightful comments and suggestions that greatly improved the article. We thank the Supercomputing Center of Wuhan University for computing support.

  1. Research ethics: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Use of Large Language Models, AI and Machine Learning Tools: None declared.

  5. Conflict of interest: The authors state no conflict of interest.

  6. Research funding: None declared.

  7. Data availability: Not applicable.

Appendix: Some supplementary derivations and proofs of the asymptotic properties

A Some supplementary derivations about the proposed EM algorithm

Denote the estimate of θ obtained from the k-th iteration in the EM algorithm as θ (k). Using the law of iterated expectations, we have

E μ i j ξ i | O i , O i * , θ ( k ) = E ξ ξ i E μ i j | ξ i , O i , O i * , θ ( k ) O i , O i * , θ ( k ) ,

and by the Bayes’ theorem, we have

E μ i j | ξ i , O i , O i * , θ ( k ) = 0 μ i j f ( μ i j | ξ i , O i , O i * , θ ( k ) ) d μ i j = 0 μ i j f ( O i * | μ i j , ξ i , O i , θ ( k ) ) ϕ ( μ i j | ξ i ) d μ i j 0 f ( O i * | μ i j , ξ i ) ϕ ( μ i j | ξ i ) d μ i j ,

where f(⋅|⋅) is the conditional probability density function. Thus, we obtain that

E μ i j ξ i | O i , O i * , θ ( k ) = E ξ ξ i E μ i j | ξ i , O i , O i * , θ ( k ) O i , O i * , θ ( k ) = δ i j E ξ ξ i 1 0 μ i j exp ( μ i j W i j ) ϕ ( μ i j | r ) d μ i j 1 0 exp ( μ i j W i j ) ϕ ( μ i j | r ) d μ i j O i , O i * , θ ( k ) + ( 1 δ i j ) E ξ ξ i 0 μ i j exp ( μ i j W i j ) ϕ ( μ i j | r ) d μ i j 0 exp ( μ i j W i j ) ϕ ( μ i j | r ) d μ i j O i , O i * , θ ( k ) = δ i j E ξ ξ i 1 exp ( G i ( W i j ) ) G i ( W i j ) 1 exp ( G i ( W i j ) ) O i , O i * , θ ( k ) + ( 1 δ i j ) E ξ ξ i G i ( W i j ) | O i , O i * , θ ( k ) .

Similarly, we have

E Z ijl | O i , O i * , θ ( k ) = E μ , ξ E Z ijl | μ i j , ξ i , O i , O i * , θ ( k ) O i , O i * , θ ( k ) I ( t l C i j ) + E μ , ξ E Z ijl | μ i j , ξ i , O i , O i * , θ ( k ) O i , O i * , θ ( k ) I ( t l > C i j ) = δ i j E μ , ξ O i * Z ijl d F ( Z ijl | μ i j , ξ i , O i ) Pr t l C i j Z ijl > 0 O i , O i * , θ ( k ) I ( t l C i j ) + E μ , ξ Z ijl Z ijl f ( Z ijl | μ i j , ξ i , O i ) O i , O i * , θ ( k ) I ( t l > C i j ) = δ i j E ξ E λ l e X i j β μ i j ξ i 1 e μ i j W i j ξ i , O i , O i * , θ ( k ) O i , O i * , θ ( k ) I ( t l C i j ) + λ l e X i j β E μ i j ξ i | O i , O i * , θ ( k ) I ( t i > C i j ) = δ i j λ l e X i j β E ξ ξ i 1 exp ( G ( W i j ) ) O i , O i * , θ ( k ) I ( t l C i j ) + λ l e X i j β E μ i j ξ i | O i , O i * , θ ( k ) I ( t l > C i j ) .

B Proofs of the asymptotic properties

Let P n denote the empirical measure corresponding to the probability measure P . In other words, for a function g and a random sample {X 1, …, X n } from the distribution F, define P g = g ( x ) d F ( x ) and P n g = n 1 i = 1 n g ( X i ) . The following lemma is necessary for the proofs of the asymptotic properties of θ ̂ .

Lemma 1.

Under conditions (A4) and (A5), with probability one, we have

0 j = 1 n i exp G ξ i 0 t e X i j β d Λ ( s ) f ( ξ i | γ ) d ξ i c j = 1 n i { 1 + Λ ( t ) } ρ 0 ,

where c is a generic constant that may vary from place to place and is independent of β , γ and Λ.

The proof of this lemma can be obtained by similar arguments in Li et al. [8].

Now we are ready to prove the asymptotic properties of θ ̂ . The proofs will be started based on the following weighted log-likelihood function corresponding to equation (2):

(A.1) w ( β , γ , Λ ) = i = 1 n 1 n i log 0 j = 1 n i 1 exp G ξ i 0 C i j e X i j β d Λ ( t ) δ i j × exp G ξ i 0 C i j e X i j β d Λ ( t ) 1 δ i j f ( ξ i | γ ) d ξ i i = 1 n w i ( β , γ , Λ ) .

Proof of Theorem 4.1:

To establish the consistency, we first define

Λ ̃ ( t ) = 0 t Λ 0 ( s ) f 1 ( s ) d 1 n i = 1 n 1 n i j = 1 n i I ( C i j t ) ,

where f 1(t) is the Radon-Nikodym derivative of E[I(C ij < t)]. Because n 1 i = 1 n n i 1 j = 1 n i I ( C i j t ) E [ I ( C i j t ) ] uniformly in t with probability 1, it is easy to see that Λ ̃ ( t ) converges uniformly to Λ0(t) with probability 1 for t ∈ [τ 1, τ 2] as n.

Define

F ω = 0 t e X i j β d Λ ( s ) : β B , Λ B V ω [ τ 1 , τ 2 ]

and

F = I ( t s ) exp X i j β ,

where BV ω [τ 1, τ 2] denotes functions which have total variation in [τ 1, τ 2] bounded by a given constant ω. Note that any function in F is bounded, thus G n g = n ( P n P ) g 0 for every function g in F (page 81 of van der Vaart and Wellner [29], which means the function class F is a Donsker class. On the other hand, it follows from the arguments of Li et al. [8] that F ω is a Donkser class.

Note from conditions (A4) and (A5) that w in (A.1) is bounded away from zero. Therefore, w ( β 0 , γ 0 , Λ ̃ ) belongs to some Donsker class due to the preservation property of the Donsker class under the Lipschitz-continous transformations. Then we can get that | P n w i ( β 0 , γ 0 , Λ ̃ ) P w i ( β 0 , γ 0 , Λ ̃ ) | 0 almost surely. By the construction of Λ ̃ , P w i ( β 0 , γ 0 , Λ ̃ ) converges to P w i ( β 0 , γ 0 , Λ 0 ) , which is finite. And meanwhile, according to the definition of ( β ̂ , γ ̂ , Λ ̂ ) , we have P n w i ( β ̂ , γ ̂ , Λ ̂ ) P n w i ( β 0 , γ 0 , Λ ̃ ) . Hence, with probability 1, lim inf n P n w i ( β ̂ , γ ̂ , Λ ̂ ) c 1 for a constant c 1. By using Lemma 1, we have

c 1 lim inf n P n w i ( β ̂ , γ ̂ , Λ ̂ ) lim sup n P n 1 n i log ξ i j = 1 n i exp G ξ i 0 C i j e X i j β ̂ d Λ ̂ ( s ) 1 δ i j f ( ξ i | γ ̂ ) d ξ i lim sup n P n 1 n i log c j = 1 n i { 1 + Λ ( C i j ) } ρ 0 ( 1 δ i j ) lim sup n P n 1 n i j = 1 n i ρ 0 ( 1 δ i j ) log ( 1 + Λ ( C i j ) ) + log c n i lim sup n P n 1 n i j = 1 n i ρ 0 ( 1 δ i j ) I ( C i j = τ 2 ) log ( 1 + Λ ( τ 2 ) ) + log c n i .

So we obtain that

(A.2) lim sup n P n 1 n i j = 1 n i ρ 0 ( 1 δ i j ) I ( C i j = τ 2 ) log ( 1 + Λ ( τ 2 ) ) c 2 ,

for a constant c 2. Combining Condition (A5) and inequality (A.2), we obtain that lim sup n Λ ̂ ( τ 2 ) < with probability 1. By Helly’s select lemma and the properties of compact sets, we can see that there exists a parameter θ * = ( β * , γ * , Λ * ) B × B V ω [ τ 1 , τ 2 ] , such that β ̂ β * , γ ̂ γ * , and Λ ̂ Λ * as n. Obviously, to prove the consistency of θ ̂ , it is sufficient to show that ( β *, γ*, Λ*) = ( β 0, γ 0, Λ0).

Define p( β , γ, Λ) = exp{n i wi ( β , γ, Λ)}, and let p 0 = p ( β 0 , γ 0 , Λ 0 ) , p 1 = p ( β ̂ , γ ̂ , Λ ̂ ) + p ( β 0 , γ 0 , Λ ̃ ) / 2 , p 2 = p ( β * , γ * , Λ * ) + p ( β 0 , γ 0 , Λ ̃ ) / 2 , it can be seen that P log ( p 1 ) converges to P log ( p 2 ) . Note that P n ( w i ( β ̂ , γ ̂ , Λ ̂ ) / n i ) P n ( w i ( β 0 , γ 0 , Λ 0 ) / n i ) , then

P n log p ( β 0 , γ 0 , Λ 0 ) + p ( β 0 , γ 0 , Λ ̃ ) / 2 / n i P n ( log ( p 1 ) / n i ) ,

which yields that P log p 0 P log p 1 0 . We therefore conclude by Zeng et al. [24] that P log ( { p ( β 0 , γ 0 , Λ 0 ) + p ( β 0 , γ 0 , Λ ̃ ) } / 2 ) P log ( p ( β * , γ * , Λ * ) + p ( β 0 , γ 0 , Λ ̃ ) / 2 ) 0 , that is, P log p 0 P log p 2 0 . On the other hand, by the properties of the Kullback-Leibler information, we have P log p 0 P log p 2 0 . Combining these two inequalities yields that p( β 0, γ 0, Λ0) = p( β *, γ*, Λ*) holds.

Next, setting δ ij = 0 for j = 1, 2, …, n i and integrate s from 0 to t j ∈ [τ 1, τ 2], for any j = 1, …, n i , we set t j = 0 if j′ ≠ j. Due to p( β 0, γ 0, Λ0) = p( β *, γ*, Λ*), we have

0 exp G ξ i 0 t j e X i j β * d Λ * ( s ) f ( ξ | γ * ) d ξ = 0 exp G ξ i 0 t j e X i j β 0 d Λ 0 ( s ) f ( ξ | γ 0 ) d ξ .

By the arguments in the proof of Theorem 1 in Elbers and Ridder [30], we can find that γ* = γ 0, and

exp G ξ i 0 t j e X i j β * d Λ * ( s ) = exp G ξ i 0 t j e X i j β 0 d Λ 0 ( s ) .

Note that both exp(⋅) and G(⋅) are monotonically increasing functions, we have

0 t j e X i j β * d Λ * ( s ) = 0 t j e X i j β 0 d Λ 0 ( s ) , j = 1,2 , , n i .

We differentiate both sides of the above equation with respect to t j and take the logarithm to obtain

X i j β * + log λ * ( t j ) = X i j β 0 + log λ 0 ( t j ) ,

for t j ∈ [τ 1, τ 2] and j = 1, …, n i . Based on Condition (A3), we conclude that β 0 = β *, γ 0 = γ* and Λ0 = Λ*. This completes the proof of the consistency.

Proof of Theorem 4.2:

Similar to Li et al. [8], to prove the asymptotic normality, it is sufficient to verify the four conditions stated in Theorem 2 of Murphy [31]. First, we consider parameter submodels β ɛ = β + ɛ h 1, γ ɛ = γ + ɛh 2 and Λ ε ( t ) = Λ ( t ) + ε 0 t h 3 ( s ) d s , where h h 1 , h 2 , h 3 H h : h 1 R p , h 2 R , h 3 B V ω [ τ 1 , τ 2 ] , h 1 < , | h 2 | < . Define

S n ( β , γ , Λ ) ( h ) = S n , β ( β , γ , Λ ) ( h 1 ) + S n , γ ( β , γ , Λ ) ( h 2 ) + S n , Λ ( β , γ , Λ ) ( h 3 ) ,

where S n, β ( β , γ, Λ)( h 1), S n,γ ( β , γ, Λ)(h 2) and S n( β , γ, Λ)(h 3) are score functions along the submodels, which have the following specific expressions:

(A.3) S n , β ( β , γ , Λ ) ( h 1 ) = 1 n w ( β ε , γ , Λ ) ε ε = 0 = 1 n i = 1 n 1 n i L i 1 0 j = 1 n i A i j j = 1 n i K i j ξ i 0 C i j e X i j β X i j h 1 d Λ ( s ) f ( ξ i | γ ) d ξ i ,

(A.4) S n , γ ( β , γ , Λ ) ( h 2 ) = 1 n w ( β , γ ε , Λ ) ε ε = 0 = 1 n i = 1 n 1 n i L i 1 0 j = 1 n i A i j f ( ξ i | γ ) γ h 2 d ξ i ,

and

(A.5) S n , Λ ( β , γ , Λ ) ( h 3 ) = 1 n w ( β , γ , Λ ε ) ε ε = 0 = 1 n i = 1 n 1 n i L i 1 0 j = 1 n i A i j j = 1 n i K i j ξ i 0 C i j e X i j β h 3 ( s ) d s f ( ξ i | γ ) d ξ i ,

where

K i j = δ i j exp G ( m ( C i j ) ) G ( m ( C i j ) ) 1 exp G ( m ( C i j ) ) ( 1 δ i j ) G ( m ( C i j ) ) , L i = 0 j = 1 n i A i j f ( ξ i | γ ) d ξ i ,

with A i j = ( 1 S ( C i j ) ) δ i j S ( C i j ) 1 δ i j and m ( C i j ) = 0 C i j ξ i e X i j β d Λ ( s ) . The score function S n is a score function from ( β , γ, Λ) to l ( H ) , where l ( H ) is the space of bounded real-valued functions on H under the supremum norm. The asymptotic version of S n ( β , γ, Λ)( h ) is S( β , γ, Λ)( h )≔S β ( β , γ, Λ)( h 1) + S γ ( β , γ, Λ)(h 2) + S Λ( β , γ, Λ)(h 3), where the functions S β ( β , γ, Λ)( h 1), S γ ( β , γ, Λ)(h 2) and S Λ( β , γ, Λ)(h 3) are obtained by replacing the empirical sums in equations (A.3)(A.5) by their expectations.

As long as we can verify the four conditions stated in Theorem 2 of Murphy [31], the required asymptotic normality will hold. The first one that n S n ( β 0 , γ 0 , Λ 0 ) ( h ) S ( β 0 , γ 0 , Λ 0 ) ( h ) converges weakly to a tight Gaussian process on l ( H ) holds since w ( β 0, γ 0, Λ0) belongs to a Donsker class and S β ( β 0.γ 0, Λ0)( h 1), S γ ( β 0.γ 0, Λ0)(h 2) and S Λ( β 0.γ 0, Λ0)(h 3) are bounded Lipschitz functions with respect to H [8]. The second one, by Proposition 1 in the Appendix of Bickel et al. [32], we can show that the asymptotic score function S( β , γ, Λ) is Fréchet differentiable. The third one, the approximation condition stated in the fourth prerequisite of Theorem 2 in Murphy [31] can be proved by using Lemma 3.3.5 in van der Vaart and Wellner [29]. Finally, we only need to prove that the third prerequisite of Theorem 2 in Murphy [31] is true. That is, we need to prove the invertibility of S ̇ ( β 0 , γ 0 , Λ 0 ) .

Let S ̇ ( β 0 , γ 0 , Λ 0 ) ( β ̂ β 0 , γ ̂ γ 0 , Λ ̂ Λ 0 ) ( h ) be the derivative of S( β , γ, Λ)( h ) along the submodels β 0 + ε ( β ̂ β 0 ) , γ 0 + ϵ ( γ ̂ γ 0 ) and d Λ 0 + ε ( d Λ ̂ d Λ 0 ) , which is equal to

( β ̂ β 0 ) T Q 1 ( h ) + ( γ ̂ γ 0 ) Q 2 ( h ) + 0 Q 3 ( h ) d ( Λ ̂ Λ 0 ) ( t ) ,

where

Q 1 ( h ) = B 1 h 1 h 2 + 0 D 1 ( t , h 3 ) d t , Q 2 ( h ) = B 2 T h 1 h 2 + 0 D 2 ( t , h 3 ) d t ,

and

Q 3 ( h ) = B 3 T h 1 h 2 + 0 D 3 ( t , h 3 ) d t ,

where B 1 is a p × (p + 1) constant matrix, B 2 and B 3 are (p + 1)-vectors. The elements in matrices ( D 1 ( ) ) p × 1 , ( D 2 ( ) ) 1 × 1 and ( D 3 ( ) ) 1 × 1 are all continuously differentiable functions depending on the true distribution.

It can be seen that the invertibility of S ̇ ( β 0 , γ 0 , Λ 0 ) is equivalent to the invertibility of the continuous linear operator Q( h ) = (Q 1( h )′, Q 2( h ), Q 3( h )). It suffices to prove that Q( h ) is a one-to-one map [33]. In finite dimensional space, note that if Q( h ) = 0 , then S ̇ ( β 0 , γ 0 , Λ 0 ) ( β β 0 , γ γ 0 , Λ Λ 0 ) ( h ) = 0 for any ( β , γ, Λ) in the neighbourhood of ( β 0, γ 0, Λ0). Take the submodels β = β 0 + ɛh 1, γ = γ 0 + ɛh 2 and dΛ = (1 + ɛh 3)dΛ0, by the definition of S ̇ ( β 0 , γ 0 , Λ 0 ) , we have S ̇ ( β 0 , γ 0 , Λ 0 ) ( h ) = P ( S n , β ( h 1 ) + S n , γ ( h 2 ) + S n , Λ ( h 3 ) ) 2 = 0 . Thus S β ( h 1) + S γ (h 2) + S Λ(h 3) = 0 almost surely. This implies that X i j h 1 + h 3 ( t ) = 0 for any t ∈ [τ 1, τ 2] combining the definitions of S β ( h 1), S γ (h 2) and S Λ(h 3), so h ≡ 0 by Condition (A3). Thus we complete the proof of the invertibility, and the asymptotic property stated in Theorem 4.2 can be immediately derived from Theorem 2 of Murphy [31].

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Received: 2023-11-12
Accepted: 2025-02-04
Published Online: 2025-03-24

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