Survival Data Analysis in Epidemiology

Biostatistics/Epidemiology 537

Margaret Sullivan Pepe

Department of Biostatistics

University of Washington

Course Outline

Winter 2002

Lectures:                T, Th       1:30-3:20                  T625

Discussion:                T         12:30-1:20                 T625 (not mandatory)

Videotape:           Lectures will be videotaped and available at the Reserve Desk in the Health Sciences library. 

Web site:             Data files and some course announcements will be on our class specific website http://courses.washington.edu/b537

Handouts:            Extra copies of the handouts are filed in the Biostatistics (F600) reception area.

Instructor:      Margaret Pepe, Professor of Biostatistics

                        Office:              HSB F-672

                        Telephone:        543-1044

                        e-mail: mspepe@u.washington.edu

                        Office hours:     Wednesday 11am-1pm Biostatistics conference room F-600 or by appointment

                                               

Teaching assistant:                Holly Janes, Biostatistics (25% FTE)

                                                e-mail: hjanes@u.washington.edu

                                                Laura Lee Johnson (25%FTE)

                                                e-mail:leejohn@u.washington.edu

 

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Required text:  Hosmer DW and Lemeshow S .  Applied Survival Analysis  Wiley,1999     

Required software:  STATA

Grading:         20%  Homework (distributed on Thursdays, due 1 week later, no late assignments  )

                       20%  Class participation and weekly quiz (10mins on Tuesdays at 1:30, no makeups)

                        20%  Midterm 1      (two hour in class on February 7)

                        20%  Project           (distributed by  February 7, due March 7)

                        20%  Final               (March 21, Thursday 10:30am-12:20 pm
                                                                using discussion time in exam timetable)

   

Course Summary

It is assumed that when entering BIOST/EPI 537, you have completed courses in linear regression and logistic regression (Biost/Epi 536) .  You should understand the basic statistical concepts of sampling variation, parameter estimation, confidence limits, and statistical hypothesis testing.  You should already be familiar with Stata - the computer package used in this course. By the end of this course, you should be able to do the following:

1.      Estimate survival curves using the Kaplan-Meier estimator

2.      Estimate the (smoothed) instantaneous mortality or hazard rate

3.      Compare two or more survival curves using a log-rank or similar test

4.      Fit the Cox model to survival data and assess the significance, variation (estimates and their confidence intervals), and scientific impact of the included predictors

5.      Use graphical and other methods for assessing adequacy of the fitted model.

6.      Use time-dependent covariates in the Cox model and interpret the coefficients

7.      Use nested cohort methods and risk-set sampling to approximate a full survival model analysis

8.      Use some simple methods for analyzing correlated survival data

9.      Construct person-years at risk tables and analyze them with Poisson regression

10.  Describe the methods and results to a non-statistical reader.

 

        Much of the material comes from the lecture notes prepared previously for this course by Dr. Barbara McKnight, Bill Barlow and Norm Breslow. Questions from registered students are encouraged.  The questions often clarify points on which several students may share the same uncertainty.  If you believe your question is not of general interest, feel free to ask me your question before or after class.  We expect you to talk to your classmates about the materials and homeworks to gain further insight. 

 References

Breslow N and Day N.  Statistical Methods in Cancer Research, Volume 2: The Design and Analysis of Cohort Studies.  Lyons, France: IARC Scientific Publications No 82, 1987.

Collett D.  Modelling Survival Data in Medical Research. New York: Chapman & Hall, 1994.

Kleinbaum DG. Survival Analysis: A Self-Learning Text. New York : Springer, 1996.