“…Two main families of models can be distinguished: the mixture and the non-mixture (also referred to as the promotion time model) cure models. The mixture cure model, first introduced by Berkson and Gage (1952) and extensively studied in the statistical literature afterward (see Peng and Dear 2000;Peng 2003;Lu 2010 among others), defines the population survival function as a mixture of contributions due to the susceptible and the non-susceptible sub-populations:…”
“…Two main families of models can be distinguished: the mixture and the non-mixture (also referred to as the promotion time model) cure models. The mixture cure model, first introduced by Berkson and Gage (1952) and extensively studied in the statistical literature afterward (see Peng and Dear 2000;Peng 2003;Lu 2010 among others), defines the population survival function as a mixture of contributions due to the susceptible and the non-susceptible sub-populations:…”
“…Cure rate models have been used for modeling time-to-event data for various types of cancers, including breast cancer, non-Hodgkins lymphoma, leukemia, prostate cancer and melanoma. Perhaps the most popular type of cure rate models is the mixture model introduced by Berkson and Gage (1952) and Maller and Zhou (1996). In this model, the population is divided into two subpopulations so that an individual either is cured with probability π , or has a proper survival function S(t), with probability 1 − π.…”
“…Boag (1949) developed the first cure rate model by introducing a component representing the proportion of cured patients in the population and a distribution representing the lifetime of the susceptibles, which in the literature is known as the mixture cure rate model. Three years later, this was modified by Berkson and Gage (1952). Farewell (1982) considered the mixture model and used a logistic regression for the mixture proportion and a Weibull regression for the latency.…”
Section: Introductionmentioning
confidence: 99%
“…The books by Maller and Zhou (1996) and Ibrahim et al (2001) serve as excellent references on cure rate models. More recently, Rodrigues (2009) developed a flexible family of cure rate models, in terms of dispersion, by unifying the long-term survival models proposed by Boag (1949), Berkson and Gage (1952) and Chen et al (1999). Rodrigues et al (2011) extended the proposal of Yakovlev and Tsodikov (1996) through a special case of the compound (destructive) weighted Poisson distribution.…”
In this paper, we develop the steps of the expectation maximization algorithm (EM algorithm) for the determination of the maximum likelihood estimates (MLEs) of the parameters of the destructive exponentially weighted Poisson cure rate model in which the lifetimes are assumed to be Weibull. This model is more flexible than the promotion time cure rate model as it provides an interesting and realistic interpretation of the biological mechanism of the occurrence of an event of interest by including a destructive process of the initial number of causes in a competitive scenario. The standard errors of the MLEs are obtained by inverting the observed information matrix. An extensive Monte Carlo simulation study is carried out to evaluate the performance of the developed method of estimation. Finally, a known melanoma data are analyzed to illustrate the method of inference developed here. With these data, a comparison is also made with the scenario when the destructive mechanism is not included in the analysis.
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