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Retrospective Ascertainment of Recurrent Events: An Application to Time to Pregnancy

 

作者: ThomasH. Scheike,   JørgenH. Petersen,   Torben Martinussen,  

 

期刊: Journal of the American Statistical Association  (Taylor Available online 1999)
卷期: Volume 94, issue 447  

页码: 713-725

 

ISSN:0162-1459

 

年代: 1999

 

DOI:10.1080/01621459.1999.10474174

 

出版商: Taylor & Francis Group

 

关键词: Censoring;Cox regression;Discrete survival data;Fecundity;Frailty model;Left truncation;Random effects;Right truncation;Right censoring;Time to pregnancy

 

数据来源: Taylor

 

摘要:

Retrospectively ascertained data are common in many areas, including demography, epidemiology, and actuarial science. The main objective of this article is to study the effect of retrospective ascertainment on inference regarding recurrent events of time to pregnancy (TTP) data. For the particular TTP dataset that we consider, couples are included retrospectively based on their first pregnancy and then followed prospectively to a second pregnancy or to end of study. We consider a conditional model for the recurrent events data where the second TTP is included only if it is observed and a full model where the nonobserved second TTPs are included as suitably right censored. We furthermore consider two different approaches to modeling the dependencies of the recurrent events. A traditional frailty model, where the frailty enters the model as an unobserved covariate, and a marginal frailty model are applied. We find that efficiency is gained from including the second TTPs, with the full model being the most efficient. Further, the marginal frailty model is preferred over the traditional frailty model because estimates of covariate effects are easier to interpret and are more robust to changes in the frailty distribution.

 

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