Abstract

A family of tests for the presence of regression effect under proportional and non-proportional hazards models is described. The non-proportional hazards model, although not completely general, is very broad and includes a large number of possibilities. In the absence of restrictions, the regression coefficient, β(t), can be any real function of time. When β(t) = β, we recover the proportional hazards model which can then be taken as a special case of a non-proportional hazards model. We study tests of the null hypothesis; H0:β(t) = 0 for all t against alternatives such as; H1:∫β(t)dF(t) ≠ 0 or H1:β(t) ≠ 0 for some t. In contrast to now classical approaches based on partial likelihood and martingale theory, the development here is based on Brownian motion, Donsker’s theorem and theorems from O’Quigley [1] and Xu and O’Quigley [2]. The usual partial likelihood score test arises as a special case. Large sample theory follows without special arguments, such as the martingale central limit theorem, and is relatively straightforward.

Highlights

  • When t, we recover the proportional hazards model which can be taken as a special case of a non-proportional hazards model

  • The model makes the key assumption that the regression coefficients do not change with time and much study has gone into investigating and correcting for potential departures from these assumptions [4,5,6,7,8,9,10]

  • Sometimes we can anticipate in advance that the proportional hazards model may be too restrictive

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Summary

Background

The complex nature of data arising in the context of survival studies is such that it is common to make use of a multivariate regression model. The example which gave rise to our own interest in this question concerned 2174 breast cancer patients, followed over a period of 15 years at the Institut Curie in Paris, France. For these data, as well as a number of other studies in breast cancer, the presence of non-proportional hazards effects has been observed by several authors. As well as a number of other studies in breast cancer, the presence of non-proportional hazards effects has been observed by several authors Often this is ignored but this can seriously impact inferences.

Notation
Models
Model Based Probabilities
Important Empirical Processes
Non- and Partially Proportional Hazards Models
Test Statistics
Distance Travelled at Time t
Greatest Distance from Origin at Time t
Brownian Bridge Test
Reflected Brownian Motion
Multivariate Model
Tests in the Multivariate Setting
Findings
An Example
Full Text
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