Nonparametric estimation from current status data with competing risks

Abstract

SUMMARY A great deal of recent attention has focused on the estimation of survival distributions based on current status data, an extreme form of interval censored data. This particular data structure arises in a wide variety of applications where cross-sectional observation either naturally occurs or is preferred to more traditional forms of follow-up. Here we consider current status data in the context of competing risks. We briefly consider simple parametric models as a backdrop to nonparametric procedures. We make some brief comparisons and remarks regarding the nonparametric maximum likelihood estimator. The ideas are illustrated on the data of Krailo & Pike (1983) which considers estimation of the age distribution at both natural and operative menopause. We also consider the case where there is exact observation of failure times due to one of the competing risks when failure occurs prior to the monitoring time. Basic techniques of survival analysis focus on estimation of the survival distribution based on various forms of censored data. An extreme form of censoring arises where the only information on studied individuals is their survival status at a single monitoring time. This particular data structure is known as current status data. Nonparametric estimation of the survival function and semiparametric techniques for related regression models, based on current status data, have been much studied of late. Here, we consider estimation of sub-survival functions based on current status observations in the presence of competing risks. For simplicity, we describe only two competing risks, but the ideas are easily extended when there are more than two possible causes of failure. Let )j denote the cause-specific hazard function for cause j = 1, 2 (Kalbfleisch & Prentice, 2002, p. 252). If T and J are the random variables that measure time to failure and cause of failure, respectively, the two sub-distribution functions of interest are