Abstract

With recent progress in health science administration, a huge amount of data has been collected from thousands of subjects. Statistical and computational techniques are very necessary to understand such data and to make valid scientific conclusions. The purpose of this paper was to develop a statistical probability model and to predict future survival times for male breast cancer patients who were diagnosed in the USA during 1973-2009. A random sample of 500 male patients was selected from the Surveillance Epidemiology and End Results (SEER) database. The survival times for the male patients were used to derive the statistical probability model. To measure the goodness of fit tests, the model building criterions: Akaike Information Criteria (AIC), Bayesian Information Criteria (BIC), and Deviance Information Criteria (DIC) were employed. A novel Bayesian method was used to derive the posterior density function for the parameters and the predictive inference for future survival times from the exponentiated Weibull model, assuming that the observed breast cancer survival data follow such type of model. The Markov chain Monte Carlo method was used to determine the inference for the parameters. The summary results of certain demographic and socio-economic variables are reported. It was found that the exponentiated Weibull model fits the male survival data. Statistical inferences of the posterior parameters are presented. Mean predictive survival times, 95% predictive intervals, predictive skewness and kurtosis were obtained. The findings will hopefully be useful in treatment planning, healthcare resource allocation, and may motivate future research on breast cancer related survival issues.

Highlights

  • According to the World Health Organization (WHO), breast cancer accounts for 519,000 deaths worldwide

  • The purpose of this paper was to develop a statistical probability model and to predict future survival times for male breast cancer patients who were diagnosed in the USA during 1973-2009

  • The main goals of this paper are to: i) study some demographic and socio-economic variables; ii) review right skewed models Exponential Model (EEM) and exponentiated Weibull model (EWM); iii) display different scenarios of the EEM and EWM by changing the parameter; iv) a justification to prove that the given sample data follows the EEM and EWM by using model selection criteria for goodness of fit tests; v) draw a Bayesian analysis of the posterior distribution of the parameters; vi) derive Bayesian predictive model for future survival time from the EEM and EWM; vii) utilize the predictive models in the breast cancer survival data sets to obtain the predictive inference for future response and the likelihood of males getting breast cancer and; viii) to obtain the predictive intervals for the future survival times

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Summary

Introduction

According to the World Health Organization (WHO), breast cancer accounts for 519,000 deaths worldwide. Male breast cancers occur in patients experiencing gynecomastia due to hormonal problems and overabundance of estrogen precursors. These are usually due to side effects of therapeutic drugs, hormonal imbalance during puberty or side effects of androgenic and anabolic steroid abuse. We are focusing on the survival estimations for male breast cancer patients because of paucity of statistical studies for male survival times. The purpose of this paper was to develop a statistical probability model and to predict future survival times for male breast cancer patients who were diagnosed in the USA during 1973-2009. A novel Bayesian method was used to derive the posterior density function for the parameters and the predictive inference for future survival times from the exponentiated Weibull model, assuming that the observed breast cancer survival data follow such type of model. Conclusions: The findings will hopefully be useful in treatment planning, healthcare resource allocation, and may motivate future research on breast cancer related survival issues

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