Epi (version 2.56)

crr.Lexis: Fit a competing risks regression model (Fine-Gray model) using a Lexis object)

Description

Fits a competing risks regression model using a Lexis object assuming that every person enters at time 0 and exits at time lex.dur. Thus is only meaningful for Lexis objects with one record per person, (so far).

Usage

crr.Lexis( obj, mod, quiet=FALSE, ...)

Value

A crr object (which is a list), with two extra elements in the list, model.Lexis - the model formula supplied, and transitions - a table of transitions and censorings showing which transition was analysed and which were taken as competing events.

Arguments

obj

A Lexis object; variables in mod are taken from this.

mod

Formula, with the l.h.s. a character constant equal to a level of obj$lex.Xst, and the r.h.s. a model formula interpreted in obj.

quiet

Logical indicating whether a brief summary should be printed.

...

Further arguments passed on to crr.

Author

Bendix Carstensen, http://bendixcarstensen.com

Details

This function is a simple wrapper for crr, allowing a formula-specification of the model (which allows specifications of covariates on the fly), and utilizing the structure of Lexis objects to simplify specification of the outcome. Prints a summary of the levels used as event, competing events and censoring.

By the structure of the Lexis object it is not necessary to indicate what the censoring code or competing events are, that is automatically derived from the Lexis object.

Currently only one state is allowed as l.h.s. (response) in mod.

See Also

crr, Lexis

Examples

# Thorotrats patients, different histological types of liver cancer
# Load thorotrast data, and restrict to exposed
data(thoro)
tht <- thoro[thoro$contrast==1,]
# Define exitdate as the date of livercancer
tht$dox <- pmin( tht$liverdat, tht$exitdat, na.rm=TRUE )
tht <- subset( tht, dox > injecdat )
# Convert to calendar years in dates
tht <- cal.yr( tht )

# Set up a Lexis object with three subtypes of liver cancer and death
tht.L <- Lexis( entry = list( per = injecdat,
                              tfi = 0 ),
                 exit = list( per = dox ),
          exit.status = factor( 1*hepcc+2*chola+3*hmang+
                                4*(hepcc+chola+hmang==0 & exitstat==1),
                                labels=c("No cancer","hepcc","chola","hmang","Dead") ),
                 data = tht )
summary( tht.L )

# Show the transitions
boxes( tht.L, boxpos=list(x=c(20,rep(80,3),30),
                          y=c(60,90,60,30,10) ),
              show.BE="nz", scale.R=1000 )

# Fit a model for the Hepatocellular Carcinoma as outcome
# - note that you can create a variable on the fly:
library( cmprsk )
hepcc <- crr.Lexis( tht.L, "hepcc" ~ volume + I(injecdat-1940) )
hepcc$model.Lexis
hepcc$transitions

# Models for the three other outcomes:
chola <- crr.Lexis( tht.L, "chola" ~ volume + I(injecdat-1940) )
hmang <- crr.Lexis( tht.L, "hmang" ~ volume + I(injecdat-1940) )
dead  <- crr.Lexis( tht.L, "Dead"  ~ volume + I(injecdat-1940) )

# Compare the effects
# NOTE: This is not necessarily a joint model for all transitions.
zz <- rbind( ci.exp(hepcc),
             ci.exp(chola),
             ci.exp(hmang),
             ci.exp(dead) )
zz <- cbind( zz[c(1,3,5,7)  ,],
             zz[c(1,3,5,7)+1,] )
rownames( zz ) <- c("hepcc","chola","hmang","dead")
colnames( zz )[c(1,4)] <- rownames( ci.exp(chola) )
round( zz, 3 )