Send to

Choose Destination
Stat Med. 2016 Jan 30;35(2):268-81. doi: 10.1002/sim.6625. Epub 2015 Aug 11.

The partly Aalen's model for recurrent event data with a dependent terminal event.

Author information

Department of Statistics and Informatics Science, College of Science, Providence University, Taichung City, 43301, Taiwan.
Department of Financial and Computational Mathematics, College of Science, Providence University, Taichung City, 43301, Taiwan.
Department of Statistics, College of Management, Tunghai University, Taichung City, 40704, Taiwan.
Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung City, 40705, Taiwan.


Recurrent event data are commonly observed in biomedical longitudinal studies. In many instances, there exists a terminal event, which precludes the occurrence of additional repeated events, and usually there is also a nonignorable correlation between the terminal event and recurrent events. In this article, we propose a partly Aalen's additive model with a multiplicative frailty for the rate function of recurrent event process and assume a Cox frailty model for terminal event time. A shared gamma frailty is used to describe the correlation between the two types of events. Consequently, this joint model can provide the information of temporal influence of absolute covariate effects on the rate of recurrent event process, which is usually helpful in the decision-making process for physicians. An estimating equation approach is developed to estimate marginal and association parameters in the joint model. The consistency of the proposed estimator is established. Simulation studies demonstrate that the proposed approach is appropriate for practical use. We apply the proposed method to a peritonitis cohort data set for illustration.


Aalen's model; additive model; frailty; recurrent event data; terminal event

[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center