6 Lec Q Part 3
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Questions and Answers

What was the p-value for the Likelihood ratio test?

  • 0.002 (correct)
  • 0.005
  • 0.003
  • 0.004
  • How many events were included in the sample?

  • 214
  • 152 (correct)
  • 66
  • None of the above
  • What was the hazard ratio for sex?

  • .5939 (correct)
  • 1.0203
  • 1.008
  • .389
  • What was the 95% confidence interval for sex?

    <p>(.422, .836)</p> Signup and view all the answers

    What was the concordance reported for the initial Cox model?

    <p>0.612</p> Signup and view all the answers

    What was used to model time-varying coefficients?

    <p>$tt()$ function</p> Signup and view all the answers

    What test was repeated for the time-varying model?

    <p>Wald test</p> Signup and view all the answers

    What does the Cox model equation with multiple predictors look like?

    <p>$h(t|X_1, X_2, ..., X_p) = h_0(t)exp(b_1X_1 + b_2X_2 + ... + b_pX_p)$</p> Signup and view all the answers

    How can each coefficient $b_i$ in the Cox model equation be used to calculate a hazard ratio?

    <p>By exponentiating each coefficient $b_i$</p> Signup and view all the answers

    What does the formula for fitting a Cox model in R typically look like?

    <p>Surv(time, event) ~ x1 + x2 + ...</p> Signup and view all the answers

    What does the output 'exp(coef)' represent in the context of Cox modeling?

    <p>The exponentiated coefficients representing hazard ratios</p> Signup and view all the answers

    What does a concordance value of 0.612 indicate in Cox modeling?

    <p>Moderate predictive accuracy</p> Signup and view all the answers

    What does the 'status' variable represent in the lung cancer survival data set used for Cox modeling?

    <p>'status' indicates whether an event occurred or not (censored or dead)</p> Signup and view all the answers

    Study Notes

    Cox Proportional Hazards Model Analysis in Medical Research

    • Likelihood ratio, Wald, and Score tests were conducted, resulting in p-values of 0.002, 0.003, and 0.003 respectively, on 3 degrees of freedom.
    • The sample size was 214, with 152 events and some observations dropped due to missingness.
    • Hazard ratios were calculated for age (1.0203), sex (.5939), and weight loss (1.008), with corresponding interpretations for each.
    • Standard errors for log hazard ratios were provided.
    • The 95% confidence interval for sex was between .422 and .836, indicating a decrease in hazard for females compared to males.
    • A concordance of 0.612 was reported.
    • Stratified Cox model was used to control for the effects of a variable, despite violating the proportional hazards assumption.
    • The stratified Cox model provided new parameter estimates and a concordance of 0.561.
    • Time-varying coefficients were modeled using interaction terms with time, with a recommendation to use the function tt() to avoid mistakes.
    • An interaction of sex with time was specified, allowing the effect of sex to change linearly with time.
    • The likelihood ratio, Wald, and Score tests were repeated for the time-varying model, resulting in p-values of 0.002, 0.003, and 0.002 respectively.
    • The log-hazard-ratio for sex at day t = 0 was estimated as -0.942, corresponding to a hazard ratio of exp(-0.942) = 0.389, and the change in the log-hazard-ratio for each additional day was also estimated.

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    Test your knowledge of Cox model with multiple predictors, hazard ratios, and fitting the Cox model with the survival package. This quiz also covers using new data sets for Cox modeling.

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