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Activity Number: 82 - New Statistical Methods for Survival Analysis in Complex Biomedical Studies
Type: Invited
Date/Time: Monday, August 8, 2022 : 8:30 AM to 10:20 AM
Sponsor: Lifetime Data Science Section
Abstract #323901
Title: Spatial Dependence Modeling of Latent Susceptibility and Time to Joint Damage in Psoriatic Arthritis
Author(s): Fangya Mao* and Richard Cook
Companies: University of Waterloo and University of Waterloo
Keywords:
Abstract:

Important scientific insights into chronic diseases affecting several organ systems can be gained from modeling spatial dependence of sites experiencing damage progression. We describe models and methods for studying spatial dependence of joint damage in psoriatic arthritis (PsA). Since many joints may remain unaffected even among individuals with a long disease history, spatial dependence is first modeled in latent joint-specific indicators of susceptibility. Among susceptible joints, a Gaussian copula is adopted for dependence modeling of times to damage. Likelihood and composite likelihoods are developed for settings where individuals are under intermittent observation and progression times are subject to type K interval censoring. Two-stage estimation procedures help mitigate the computational burden arising when a large number of processes are under consideration. Simulation studies confirm that the proposed methods provide valid inference, and an application to the motivating data from the University of Toronto Psoriatic Arthritis Clinic yields important insights which can help physicians distinguish PsA from arthritic conditions with different dependence patterns.


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