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Re: st: Competing risk in surival analysis


From   Enzo Coviello <[email protected]>
To   [email protected]
Subject   Re: st: Competing risk in surival analysis
Date   Fri, 10 Oct 2003 19:41:19 +0200

At 06.25 10/10/03 +0800, you wrote:
Is anyone familiar with competing risk model in survival analysis. I have
gone through couple of publications. The concept was really blur and
conflicting.

The question: overdose mortality among injection drug users change with HIV.
The problem: competing risk between overdose mortality and AIDS death, as
well as other deaths in
                  IDUs.

I read the Paul Allison's survival book that has one chapter of competing
risk. BUt he was really talking about the cause-specific hazard, not
competing risk hazard. Also, recent paper from CASCADE study in Europe, the
outcome is AIDS defined illness and they calculated competing risk hazard by
censoring subjects who had uninterested illness at the end of follow-up,
instead of the date of that illness happened. But this strategy obviously
doesn't work for mortality.

Any help/thought. Appreciate!

Maybe this reference could be useful:
1) Lunn M Biometrics, 51: 524-532, 1995;
2) Tai BC, Stat in Medicine, 20: 661-684, 2001.

Lunn' s approach to competing risk modeling can be implemented using STATA.

Enzo

^^^^^^^^^^^^^^^^
Enzo Coviello
Dipartimento di Prevenzione ASL BA/1
via L. Barbera 27 - 70055 MINERVINO MURGE (BA)
Italy
tel - fax +39 0883 691053
tel (home) +39 0883 695055
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