More efficient estimators for marginal additive hazards model in case-cohort studies with multiple outcomes

Abstract

Case-cohort study designs are widely used to reduce the cost of large cohort studies. When several diseases are of interest, we can use the same subcohort. In this paper, we will study the casecohort design of marginal additive hazards model for multiple outcomes by a more efficient version. Instead of analyzing each disease separately, ignoring the additional exposure measurements collected on subjects with other diseases, we propose a new weighted estimating equation approach to improve the efficiency by utilizing as much information collected as possible. The consistency and asymptotic normality of the resulting estimator are established. Simulation studies are conducted to examine the finite sample performance of the proposed estimator, which confirm the efficiency gains.