Effect of frailty on marginal regression estimates in survival analysis

Robert Henderson, Paul Oman

    Research output: Contribution to journalArticlepeer-review

    115 Citations (Scopus)

    Abstract

    Unexplained heterogeneity in univariate survival data and association in multivariate survival can both be modelled by the inclusion of frailty effects. This paper investigates the consequences of ignoring frailty in analysis, fitting misspecified Cox proportional hazards models to the marginal distributions. Regression coefficients are biased towards 0 by an amount which depends in magnitude on the variability of the frailty terms and the form of frailty distribution. The bias is reduced when censoring is present. Fitted marginal survival curves can also differ substantially from the true marginals.
    Original languageEnglish
    Pages (from-to)367-379
    JournalJournal of the Royal Statistical Society. Series B: Statistical Methodology
    Volume61
    Issue number2
    DOIs
    Publication statusPublished - Apr 1999

    Keywords

    • Censoring
    • consistency
    • Cox model
    • frailty
    • marginal model
    • multivariate survival

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