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The development of clinical prediction models requires the selection of suitable predictor variables. Techniques to perform objective Bayesian variable selection in the linear model are well developed and have been extended to the generalized linear model setting as well as to the Cox proportional hazards model. Here, we consider discrete time-to-event data with competing risks and propose methodology to develop a clinical prediction model for the daily risk of acquiring a ventilator-associated pneumonia (VAP) attributed to P. aeruginosa (PA) in intensive care units. The competing events for a PA VAP are extubation, death, and VAP due to other bacteria. Baseline variables are potentially important to predict the outcome at the start of ventilation, but may lose some of their predictive power after a certain time. Therefore, we use a landmark approach for dynamic Bayesian variable selection where the set of relevant predictors depends on the time already spent at risk. We finally determine the direct impact of a variable on each competing event through cause-specific variable selection.
This article presents an overview of statistical methods for the analysis of discrete failure times with competing events. We describe the most commonly used modeling approaches for this type of data, including discrete versions of the cause‐specific hazards model and the subdistribution hazard model. In addition to discussing the characteristics of these methods, we present approaches to nonparametric estimation and model validation. Our literature review suggests that discrete competing‐risks analysis has gained substantial interest in the research community and is used regularly in econometrics, biostatistics, and educational research.This article is categorized under: Statistical Models > Survival Models Statistical Models > Semiparametric Models Statistical Models > Generalized Linear Models
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