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[S] Frail frailty?

To: S-News <s-news@wubios.wustl.edu>
Subject: [S] Frail frailty?
From: Geir Egil Eide <Geir.Eide@nhh.no>
Date: Fri, 25 Feb 2000 13:52:11 +0100
Organization: Norwegian School of Economics and Business Administration
Sender: owner-s-news@wubios.wustl.edu
Dear S-Plus users.

>From Dr Renaud Lancelot I got a quick reply which actually solved my
problem:

> > 
> > Dear S-Plus users.
> > 
> > Is there any S-Plus function for estimating parametric survival models
> > with frailty, for instance a Weibull-model with gamma-frailty like in
> > Aalen, Bjertness & Sønju : Statistics in Medicine 14, 1819-1829 (1995)?

Lancelot's reply:

> 
> It is implemented in S+ 2000 r2 / Win (it probably comes from Pr
> Therneau's Surv5 library: please check). See on-line help file for
> frailty():
> 
> DESCRIPTION
> Fit a penalized factor variable in a survival model; random effects or
> frailties are one instance of this.
> 
> USAGE
> frailty(x, distribution="gamma", ...)
> 
> REQUIRED ARGUMENTS
> x       a variable describing discrete groups.
> 
> OPTIONAL ARGUMENTS
> distribution    character string specifying the distribution of the random
> effect. Currently, the legal values are "gamma", "gaussian", and "t".
> ...     other arguments to the specific frailty function.
> 
> VALUE
> a variable with attached attributes, so as to be recognized as a
> penalized term by coxph or survReg.
> 
> DETAILS
> this routine calls frailty.gamma, frailty.gaussian, or frailty.t to do
> the actual work.
> 
> SEE ALSO
> coxph, survReg, frailty.gamma, frailty.gaussian, frailty.t.
> 
> EXAMPLES
> coxph(Surv(time, status) ~ age + sex + frailty(inst), data=lung,
>      na.action=na.exclude)
> 
While I was already aware of this function, my confusion arose from the
fact that I did not get an estimate of the frailty variance as the
standard output from applying this function:

       *** Parametric Survival ***

Call:
survReg(formula = Surv(Obsdays, Restored == 3, type = "right") ~ Tunnty
+ Caract + 
        frailty(Patientn), data = oppeg5, na.action = na.exclude, dist =
"weibull", 
        scale = 0, control = list(maxiter = 30, rel.tolerance = 1e-005,
failure
= 1))
             Value Std. Error       z         p 
(Intercept)  9.442      0.696  13.564 6.54e-042
     Tunnty -0.571      0.193  -2.956 3.12e-003
     Caract -0.321      0.358  -0.897 3.70e-001
 Log(scale) -1.435      0.147  -9.747 1.90e-022

Scale= 0.238 

Weibull distribution
Loglik(model)= -174.4   Loglik(intercept only)= -226.9
        Chisq= 105.05 on 45.5 degrees of freedom, p= 1.3e-006 
Number of Newton-Raphson Iterations:  6 26 
n= 302 

Correlation of Coefficients:
           (Intercept) Tunnty Caract 
    Tunnty -0.478                   
    Caract -0.828      -0.007       
Log(scale)  0.290      -0.145 -0.108

However, the following did the trick (gave me the frailty variance):

> weibfrail <- survReg(formula = Surv(Obsdays, Restored == 3, type = "right") ~ 
> Tunnty + Caract + 
+       frailty(Patientn), data = oppeg5, na.action = na.exclude, dist =
"weibull", 
+       scale = 0, control = list(maxiter = 30, rel.tolerance = 1e-005,
failure = 1))
> weibfrail
Call:
survReg(formula = Surv(Obsdays, Restored == 3, type = "right") ~ Tunnty
+ Caract + 
        frailty(Patientn), data = oppeg5, na.action = na.exclude, dist =
"weibull", 
        scale = 0, control = list(maxiter = 30, rel.tolerance = 1e-005,
failure = 1))

                    coef se(coef)   se2  Chisq   DF        p 
      (Intercept)  9.442 0.696    0.587 183.98  1.0 0.0e+000
           Tunnty -0.571 0.193    0.185   8.74  1.0 3.1e-003
           Caract -0.321 0.358    0.279   0.80  1.0 3.7e-001
frailty(Patientn)                       144.91 44.4 1.3e-012

Scale= 0.238 

Iterations: 6 outer, 26 Newton-Raphson
     Variance of random effect= 1.18   EM likelihood = -43 
Degrees of freedom for terms=  0.7  0.9  0.6 44.4  1.0 
Likelihood ratio test=105  on 45.5 df, p=1.34e-006  n= 302 
>
I suggest the frailty parameter should be included in the standard
summary output!

Best regards

Geir E. Eide


> 
> 
> -- 
> Dr Renaud Lancelot, vétérinaire
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