Estimation of Relative and Absolute Risks in a Competing-Risks Setting Using a Nested Case-Control Study Design: Example From the ProMort Study.


Journal

American journal of epidemiology
ISSN: 1476-6256
Titre abrégé: Am J Epidemiol
Pays: United States
ID NLM: 7910653

Informations de publication

Date de publication:
01 06 2019
Historique:
received: 23 10 2017
revised: 28 01 2019
accepted: 29 01 2019
pubmed: 13 4 2019
medline: 11 2 2020
entrez: 13 4 2019
Statut: ppublish

Résumé

In this paper, we describe the Prognostic Factors for Mortality in Prostate Cancer (ProMort) study and use it to demonstrate how the weighted likelihood method can be used in nested case-control studies to estimate both relative and absolute risks in the competing-risks setting. ProMort is a case-control study nested within the National Prostate Cancer Register (NPCR) of Sweden, comprising 1,710 men diagnosed with low- or intermediate-risk prostate cancer between 1998 and 2011 who died from prostate cancer (cases) and 1,710 matched controls. Cause-specific hazard ratios and cumulative incidence functions (CIFs) for prostate cancer death were estimated in ProMort using weighted flexible parametric models and compared with the corresponding estimates from the NPCR cohort. We further drew 1,500 random nested case-control subsamples of the NPCR cohort and quantified the bias in the hazard ratio and CIF estimates. Finally, we compared the ProMort estimates with those obtained by augmenting competing-risks cases and by augmenting both competing-risks cases and controls. The hazard ratios for prostate cancer death estimated in ProMort were comparable to those in the NPCR. The hazard ratios for dying from other causes were biased, which introduced bias in the CIFs estimated in the competing-risks setting. When augmenting both competing-risks cases and controls, the bias was reduced.

Identifiants

pubmed: 30976789
pii: 5320054
doi: 10.1093/aje/kwz026
pmc: PMC8210820
doi:

Substances chimiques

Prostate-Specific Antigen EC 3.4.21.77

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1165-1173

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Renata Zelic (R)

Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.

Daniela Zugna (D)

Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica.

Matteo Bottai (M)

Unit of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Ove Andrén (O)

Department of Urology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Jonna Fridfeldt (J)

Department of Urology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Jessica Carlsson (J)

Department of Urology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Sabina Davidsson (S)

Department of Urology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Valentina Fiano (V)

Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica.

Michelangelo Fiorentino (M)

Pathology Service, Addarii Institute of Oncology, Sant'Orsola-Malpighi Hospital, Bologna, Italy.

Francesca Giunchi (F)

Pathology Service, Addarii Institute of Oncology, Sant'Orsola-Malpighi Hospital, Bologna, Italy.

Chiara Grasso (C)

Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica.

Luca Lianas (L)

Data-Intensive Computing Division, Center for Advanced Studies, Research and Development in Sardinia, Pula, Italy.

Cecilia Mascia (C)

Data-Intensive Computing Division, Center for Advanced Studies, Research and Development in Sardinia, Pula, Italy.

Luca Molinaro (L)

Division of Pathology, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza Hospital, Turin, Italy.

Gianluigi Zanetti (G)

Data-Intensive Computing Division, Center for Advanced Studies, Research and Development in Sardinia, Pula, Italy.

Lorenzo Richiardi (L)

Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica.

Andreas Pettersson (A)

Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.

Olof Akre (O)

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Department of Urology, Karolinska University Hospital, Stockholm, Sweden.

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