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On the use of Fractional Polynomials in Dynamic Cox Models (2007)

Abstract
Despite a sophisticated research on modelling of survival data in the last years, the most popular model used in practice is still the proportional hazards regression model proposed by Cox (1972). This is mainly due to its exceptional simplicity. Nevertheless the fundamental assumption of the Cox model is the proportionality of the hazards, which particularly implies that the covariate effects are constant over time. For many applications this assumption is, however, doubtful. Other, more flexible approaches, which are able to cope with non-proportional hazards usually require nonstandard estimation techniques, which are often rather complex and thus not favoured in application. Moreover, the selection of an appropriate test-statistic, to examine the improvement of the fit, is not obvious. In this paper we propose a flexible, yet simple method for modelling dynamic e ects in survival data within the Cox framework. The method is based on Fractional Polynomials as introduced by Ro...

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Typ text
Sprache Englisch
Verknüpfungen 10.1.1.46.8136