Age-Specific Logistic Regression with Complex Event Time Data

TL;DR

This paper introduces two novel age-specific logistic regression methods using inverse probability of censoring weighting to better predict primary ovarian insufficiency risk in female childhood cancer survivors.

Contribution

It extends existing IPCW approaches to handle complex censoring and compares their efficiency, providing new tools for risk assessment in censored survival data.

Findings

Second approach more efficient under heavy censoring

Performance depends heavily on censoring distribution estimation

Numerical studies validate the methods' effectiveness

Abstract

In attempt to advance the current practice for assessing and predicting the primary ovarian insufficiency (POI) risk in female childhood cancer survivors, we propose two estimating function based approaches for age-specific logistic regression. Both approaches adapt the inverse probability of censoring weighting (IPCW) strategy and yield consistent estimators with asymptotic normality. The first approach modifies the IPCW weights used by Im et al. (2023) to account for doubly censoring. The second approach extends the outcome weighted IPCW approach to use the information of the subjects censored before the analysis time. We consider variance estimation for the estimators and explore by simulation the two approaches implemented in the situations where the conditional right-censoring time distribution required in the IPCW weighs is unknown and approximated using the survival random forest approaches, stratified empirical distribution functions, or the estimator under the Cox proportional hazards model. The numerical studies indicate that the second approach is more efficient when right-censoring is relatively heavy, whereas the first approach is preferable when the right-censoring is light. We also observe that the performance of the two approaches heavily relies on the estimation of censoring distribution in our simulation settings. The POI data from a childhood cancer survivor study are employed throughout the paper for motivation and illustration. Our data analysis provides new insight into understanding the POI risk among cancer survivors.