Abstract

Cause-specific hazard models are a popular tool for the analysis of competing risks data. The classical modeling approach in discrete time consists of fitting parametric multinomial logit models. A drawback of this method is that the focus is on main effects only, and that higher order interactions are hard to handle. Moreover, the resulting models contain a large number of parameters, which may cause numerical problems when estimating coefficients. To overcome these problems, a tree-based model is proposed that extends the survival tree methodology developed previously for time-to-event models with one single type of event. The performance of the method, compared with several competitors, is investigated in simulations. The usefulness of the proposed approach is demonstrated by an analysis of age-related macular degeneration among elderly people that were monitored by annual study visits.

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