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NEMO English Seminar Dynamic predictions using flexible joint models of longitudinal and time-to-event data Jessica Barrett University of Cambridge, U.K.

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Presentation on theme: "NEMO English Seminar Dynamic predictions using flexible joint models of longitudinal and time-to-event data Jessica Barrett University of Cambridge, U.K."β€” Presentation transcript:

1 NEMO English Seminar Dynamic predictions using flexible joint models of longitudinal and time-to-event data Jessica Barrett University of Cambridge, U.K. Li Su University of Cambridge Robinson Way, U.K. Statistics in Medicine, 36(9): , 2017. Speaker JUNGJU PARK Date 18th July 2018

2 Introduction Key words Limited traditional predictive modeling
Joint model for longitudinal and time-to-event data Predictions of patient prognosis (e.g., patient survival) Biomarker information Limited traditional predictive modeling Simple linear model Static prediction Contribution Including time-dependent random effects with non-stationary covariance structure Individualized dynamic predictions

3 Example (HIV Epidemiology Research Study, HERS)

4 Few equations πœ‡ 𝑖 𝑑 = 𝐱 𝑖 𝑑 T 𝜢+ π‘š 𝑖 𝑑 Functions Base model
Patient 𝑖, time 𝑑 πœ‡ 𝑖 𝑑 is the mean function of process π‘Œ 𝑖 𝑑 𝐱 𝑖 𝑑 is the vector of covariates π‘š 𝑖 𝑑 is the true underlying time trajectory Base model To estimate the coefficients of 𝜢 πœ‡ 𝑖 𝑑 = 𝐱 𝑖 𝑑 T 𝜢+ π‘š 𝑖 𝑑 Handling error with P-splines π‘š 𝑖 𝑑 = 𝑙=0 𝑀 𝛽 𝑙 + 𝑏 𝑖𝑙 𝐡 𝑙 𝑑

5 πœ† π‘–π‘Ÿ =1βˆ’Ξ¦ 𝐱 π‘–π‘Ÿ T 𝜢 + 𝜸 π‘Ÿ 𝑇 𝐖 π‘–π‘Ÿ 𝐛 𝑖
Some details Survival sub-model (discrete hazard rate) πœ† π‘–π‘Ÿ =1βˆ’Ξ¦ 𝐱 π‘–π‘Ÿ T 𝜢 + 𝜸 π‘Ÿ 𝑇 𝐖 π‘–π‘Ÿ 𝐛 𝑖 Maximum penalized likelihood estimation Dynamic predictions of survival probabilities

6 Result

7 NEMO English Seminar Deep multi-task gaussian processes for survival analysis with competing risks Ahmed M. Alla University of California, Los Anageles Mihaela van de Schaar University of Oxford 31st Conference on Neural Information Processing Systems (NIPS 2017)

8 Introduction Key words Difficulties in real world Contributions
Competing Risks Deep multi-task Gaussian Processes (DMGP) Difficulties in real world Patients with comorbidities (renal disease and diabetes) Contributions Survival analysis with competing risks (or diseases) Patient-specific and cause-specific incident model

9 How to handle the competing risks
Key assumption: The earliest event is observable. Data set 𝐷= 𝐗 𝑖 , 𝑇 𝑖 , π‘˜ 𝑖 𝑖=1 𝑛 𝐗 𝑖 , vector of covariates 𝑇 𝑖 , time until an event occur π‘˜ 𝑖 , type of event

10 Results Definition of cause-specific concordance index (C-index)
Performance comparisons


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