The continuous predictor X is discretized into a categorical covariate X ? with low range (X < X1k), median range (X1k < X < Xdosk), and high range (X > X2k) according to each pair of candidate cut-points.
Then the categorical covariate X ? (site level ‘s the average range) is fitted in the an effective Cox design additionally the concomitant Akaike Guidance Expectations (AIC) worthy of try computed. The pair of slashed-items that decreases AIC beliefs is described as maximum reduce-activities. Additionally, going for clipped-things by Bayesian information standards (BIC) gets the exact same performance just like the AIC (Additional document step one: Tables S1, S2 and you can S3).
Implementation during the Roentgen
The optimal equal-HR method was implemented in the language R (version 3.3.3). The freely available R package ‘survival’ was used to fit Cox models with P-splines. The R package ‘pec’ was employed for computing the Integrated Brier Score (IBS). The R package ‘maxstat’ was used to implement the minimum p-value method with log-rank statistics. And an R package named ‘CutpointsOEHR’ was developed for the optimal equal-HR method. This package could be installed in R by coding devtools::install_github(“yimi-chen/CutpointsOEHR”). All tests were two-sided and considered statistically significant at P < 0.05.
The newest simulation analysis
An effective Monte Carlo simulator data was applied to check the latest show of your optimum equivalent-Time strategy and other discretization measures such as the average split up (Median), the upper minimizing quartiles philosophy (Q1Q3), as well as the minimal record-rank take to p-worthy of method (minP). To investigate new overall performance of these procedures, the brand new predictive performance away from Cox activities fitting with different discretized variables is reviewed.
Form of the fresh new simulation investigation
U(0, 1), ? was the size and style parameter from Weibull distribution, v is the shape factor from Weibull shipping, x is actually an ongoing covariate out of an elementary regular shipping, and you may s(x) is actually the brand new https://datingranking.net/tr/bookofsex-inceleme/ offered intent behind desire. In order to imitate U-formed relationship ranging from x and you may record(?), the type of s(x) is set-to become
where parameters k1, k2 and a were used to control the symmetric and asymmetric U-shaped relationships. When -k1 was equal to k2, the relationship was almost symmetric. For each subject, censoring time C was simulated by the uniform distribution with [0, r]. The final observed survival time was T = min(T0, C), and d was a censoring indicator of whether the event happened or not in the observed time T (d = 1 if T0 ? C, else d = 0). The parameter r was used to control the censoring proportion Pc.
One hundred independent datasets were simulated with n = 500 subjects per dataset for various combinations of parameters k1, k2, a, v and Pc. Moreover, the simulation results of different sample sizes were shown in the supplementary file, Additional file 1: Figures S1 and S2. The values of (k1, k2, a) were set to be (? 2, 2, 0), (? 8/3, 8/5, ? 1/2), (? 8/5, 8/3, 1/2), (? 4, 4/3, ? 1), and (? 4/3, 4, 1), which were intuitively presented in Fig. 2. Large absolute values of a meant that the U-shaped relationship was more asymmetric than that with small absolute values of a. Peak asymmetry factor of the above (k1, k2, a) values were 1, 5/3, 3/5, 3, 1/3, respectively. The survival times were Weibull distributed with the decreasing (v = 1/2), constant (v = 1) and increasing (v = 5) hazard rates. The scale parameter of Weibull distribution was set to be 1. The censoring proportion Pc was set to be 0, 20 and 50%. For each scenario, the median method, the Q1Q3 method, the minP method and the optimal equal-HR method were performed to find the optimal cut-points.
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