Current status data occurs when failure time of subjects in a survival study is only known to be either less or greater than the censoring time. Thus, the failure time is either left – or right – censored. Analyzing data of this structure under the Cox Proportional Hazards model with dependent censoring assumption can be challenging. To address this, a Penalized Maximum Likelihood Estimation (PMLE) approach was proposed. The unknown baseline cumulative hazard functions for both the failure time and the censoring time were estimated using splines. The advantage of penalized approach over unpenalized method is that that the desired smoothness level of the functions are controlled by their respective penalty terms. The possible dependence between the failure and censoring times was accounted for using the gamma-frailty model. An easy to implement hybrid computational algorithm is proposed to estimate the PMLEs and the Bayesian technique was employed for the estimation of the variances of the parameters. Extensive simulation studies were conducted to assess the statistical properties of the PMLEs. It was observed that the realized estimators were not only consistent, asymptotically normal and efficient, but also, were robust to the number of knots chosen, the proportion of dependent censoring used and the frailty distribution employed. The proposed PMLE method was further applied to real data obtained from tumorigenicity experiment.
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