tpr (version 0.3-3)

dnase: rhDNase Data

Description

Randomized trial of rhDNase for treatment of cystic fibrosis

Usage

data(dnase)

Format

A data frame with 767 observations on the following 6 variables.

id

subject id

rx

treatment arm: 0 = placebo, 1 = rhDNase

fev

forced expirotary volume, a measure of lung capacity

futime

follow time

iv1

IV start time

iv2

IV stop time

Details

During an exacerbation, patients received intravenous (IV) antibiotics and were considered unsusceptible until seven exacerbation-free days beyond the end of IV therapy.

A few subjects were infected at the time of enrollment, for instance a subject has a first infection interval of -21 to 7. We do not count this first infection as an "event", and the subject first enters the risk set at day 7.

References

Yan and Fine (2008). Analysis of Episodic Data with Application to Recurrent Pulmonary Exacerbations in Cystic Fibrosis Patients. JASA.

Examples

## This example steps through how to set up for the tpr function.
## Three objects are needed:
##     1) response process (an object of "lgtdl")
##     2) data availability process (an object of "lgtdl")
##     3) a time-independent covariate matrix

data(dnase)

## extracting the unique id and subject level information
dat <- unique(dnase[,c("id", "futime", "fev", "rx")])

## construct temporal process response for recurrent enent
rec <- lapply(split(dnase[,c("id", "iv1", "futime")], dnase$id),
              function(x) {
                v <- x$iv1
                maxfu <- max(x$futime)
                ## iv1 may be negative!!!
                if (is.na(v[1])) c(0, maxfu + 1.0)
                else if (v[1] < 0) c(v[1] - 1, v[!is.na(v)], maxfu + 1.0)
                else c(0, v[!is.na(v)], maxfu + 1.0)
              })

yrec <- lapply(rec,
               function(x) {
                 dat <- data.frame(time=x, cov=1:length(x)-1)
                 len <- length(x)
                 dat$cov[len] <- dat$cov[len - 1]
                 as.lgtdl(dat)
               })

## construct temporal process response for accumulative days exacerbation
do1.acc <- function(x) {
  gap <- x$iv2 - x$iv1 + 1
  if (all(is.na(gap))) yy <- tt <- NULL
  else {
    gap <- na.omit(gap)
    yy <- cumsum(rep(1, sum(gap)))
    tt <- unlist(sapply(1:length(gap), function(i)
                        seq(x$iv1[i], x$iv2[i], by=1.0)))
  }
  yy <- c(0, yy, rev(yy)[1])
  if (!is.null(tt[1]) && tt[1] < 0)
    tt <- c(tt[1] - 1, tt, max(x$futime) + 1.0)
  else tt <- c(0, tt, max(x$futime) + 1.0)
  as.lgtdl(data.frame(time=tt, cov=yy))
}

yacc <- lapply(split(dnase[,c("id", "iv1", "iv2", "futime")], dnase$id),
              do1.acc)

## construct data availability (or at risk) indicator process
tu <- max(dat$futime) + 0.001
rt <- lapply(1:nrow(dat),
             function(i) {
               x <- dat[i, "futime"]
               time <- c(0, x, tu)
               cov <- c(1, 0, 0)
               as.lgtdl(data.frame(time=time, cov=cov))
             })

## time-independent covariate matrix
xmat <- model.matrix(~ rx + fev, data=dat)
## time-window in days
tlim <- c(10, 168)
good <- unlist(lapply(yrec, function(x) x$time[1] == 0))


## fully functional temporal process regression

## for recurrent event
m.rec <- tpr(yrec, rt, xmat[,1:3], list(), xmat[,-(1:3),drop=FALSE], list(),
             tis=10:160, w = rep(1, 151), family = poisson(),
             evstr = list(link = 5, v = 3))
par(mfrow=c(1,3), mgp=c(2,1,0), mar=c(4,2,1,0), oma=c(0,2,0,0))
for(i in 1:3) ci.plot(m.rec$tis, m.rec$alpha[,i], sqrt(m.rec$valpha[,i]))
## hypothesis test of significance
## integral test, covariate index 2 and 3
sig.test.int.ff(m.rec, idx=2:3, ncut=2)
sig.test.boots.ff(m.rec, idx=2:3, nsim=1000)
## constant fit
cfit <- cst.fit.ff(m.rec, idx=2:3)

## goodness-of-fit test for constant fit
gof.test.int.ff(m.rec, idx=2:3, ncut=2)
gof.test.boots.ff(m.rec, idx=2:3, nsim=1000)




## for cumulative days in exacerbation
m.acc <- tpr(yacc, rt, xmat[,1:3], list(), xmat[,-(1:3),drop=FALSE], list(),
             tis=10:160, w = rep(1, 151), family = gaussian(),
             evstr = list(link = 1, v = 1))
par(mfrow=c(1,3), mgp=c(2,1,0), mar=c(4,2,1,0), oma=c(0,2,0,0))
for(i in 1:3) ci.plot(m.acc$tis, m.acc$alpha[,i], sqrt(m.acc$valpha[,i]))