• Journal of Gastric Cancer
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• 제15권4호
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• pp.238-245
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• 2015

Purpose: This study aimed to identify time-dependent prognostic factors and demonstrate the time-dependent effects of important prognostic factors in patients with advanced gastric cancer (AGC). Materials and Methods: We retrospectively evaluated 3,653 patients with AGC who underwent curative standard gastrectomy between 1991 and 2005 at the Korea Cancer Center Hospital. Multivariate survival analysis with Cox proportional hazards regression was used in the analysis. A non-proportionality test based on the Schoenfeld residuals (also known as partial residuals) was performed, and scaled Schoenfeld residuals were plotted over time for each covariate. Results: The multivariate analysis revealed that sex, depth of invasion, metastatic lymph node (LN) ratio, tumor size, and chemotherapy were time-dependent covariates violating the proportional hazards assumption. The prognostic effects (i.e., log of hazard ratio [LHR]) of the time-dependent covariates changed over time during follow-up, and the effects generally diminished with low slope (e.g., depth of invasion and tumor size), with gentle slope (e.g., metastatic LN ratio), or with steep slope (e.g., chemotherapy). Meanwhile, the LHR functions of some covariates (e.g., sex) crossed the zero reference line from positive (i.e., bad prognosis) to negative (i.e., good prognosis). Conclusions: The time-dependent effects of the prognostic factors of AGC are clearly demonstrated in this study. We can suggest that time-dependent effects are not an uncommon phenomenon among prognostic factors of AGC.

• 응용통계연구
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• 제37권2호
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• pp.225-237
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• 2024

경쟁위험자료에서 일부 공변량들이 연구대상들의 일부분에 대해 관측되지 않을 수 있다. 그런 경우 결측된 공변량 값을 가진 연구대상들을 분석에서 제외하는 것은 편향된 추정치와 효율성 손실이 발생할 수 있다. 본 논문에서는 누락된 공변량을 가진 원인별 비례위험모형의 회귀모수 추정을 위해 다중대체 방법과 증대된 역 확률 가중 방법을 연구하였다. 모의실험을 통해 다중대체 방법과 증대된 역 확률 가중 방법에 의해 구해진 추정량의 성능을 평가한 결과, 이 방법들이 잘 수행됨을 확인하였다. 미국 국립암연구소의 전립선, 폐, 대장, 난소 암 선별 시험 연구에서 제공하는 종양 크기의 값이 누락된 유방암 자료에 대해 암 사망 위험률과 다른 원인 사망 위험률에 유의한 영향을 미치는 요인을 파악하기 위해 다중대체 방법과 증대된 역 확률 가중 방법을 적용하였다. 다중대체 방법과 증대된 역 확률 가중 방법에 의해 원인별 비례위험모형을 적합한 결과, 인종, 기혼여부, 병기, 분화도, 종양의 크기는 유방암 사망 위험률에 유의한 영향을 미치는 요인들이였으며, 병기가 유방암 사망 위험률을 높이는데 가장 큰 영향을 미치는 요인임을 확인하였다. 진단시 연령과 종양의 크기는 다른 원인 사망 위험률을 높이는데 유의한 영향을 미치는 요인이였다.

• Communications for Statistical Applications and Methods
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• 제4권2호
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• pp.435-444
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• 1997

The objective of this study is to investigate the problem of goodness of fit testing based on nonparametric function estimation techniques for the random censorship model. The small and large sample properties of the proposed test, $E_{mn}$, were investigated and it is shown that under the proportional hazard model $E_{mn}$ has higher power compared to the powers of the Kolmogorov -Smirnov, Kuiper, Cramer-von Mises, and analogue of the Cramer-von Mises type test statistic.

• Asian Pacific Journal of Cancer Prevention
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• 제16권12호
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• pp.5081-5084
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• 2015

Background: Breast cancer is a malignant tumor that starts from cells of the breast and is seen mainly in women. It's the most common cancer in women worldwide and is a major threat to health. The purpose of this study was to fit a Cox proportional hazards model for prediction and determination of years of survival in Iranian patients. Materials and Methods: A total of 366 patients with breast cancer in the Cancer Research Center were included in the study. A Cox proportional hazard model was used with variables such as tumor grade, number of removed positive lymph nodes, human epidermal growth factor receptor 2 (HER2) expression and several other variables. Kaplan-Meier curves were plotted and multi-years of survival were evaluated. Results: The mean age of patients was 48.1 years. Consumption of fatty foods (p=0.033), recurrence (p<0.001), tumor grade (p=0.046) and age (p=0.017) were significant variables. The overall 1- year, 3-year and 5-year survival rates were found to be 93%, 75% and 52%. Conclusions: Use of covariates and the Cox proportional hazard model are effective in predicting the survival of individuals and this model distinguished 4 effective factors in the survival of patients.

• Journal of Preventive Medicine and Public Health
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• 제48권4호
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• pp.216-224
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• 2015

Objectives: Decreased fertility and impaired health owing to early menopause are significant health issues. Smoking is a modifiable health-related behavior that influences menopausal age. We investigated the effects of smoking-associated characteristics on menopausal age in Korean women. Methods: This study used data from the Korea National Health and Nutrition Examination Survey from 2007 to 2012. Menopausal age in relation to smoking was analyzed as a Kaplan-Meier survival curve for 11 510 women (aged 30 to 65 years). The risk of entering menopause and experiencing early menopause (before age 48) related to smoking were assessed using a Cox proportional hazards model. Results: The menopausal age among smokers was 0.75 years lower than that among non-smokers (p<0.001). The results of the Cox proportional hazards model showed pre-correction and post-correction risk ratios for entering menopause related to smoking of 1.26 (95% confidence interval [CI], 1.09 to 1.46) and 1.27 (95% CI, 1.10 to 1.47), respectively, and pre-correction and post-correction risk ratios for experiencing early menopause related to smoking of 1.36 (95% CI, 1.03 to 1.80) and 1.40 (95% CI, 1.05 to 1.85), respectively. Conclusions: Smokers reached menopause earlier than non-smokers, and their risk for experiencing early menopause was higher.

• Communications for Statistical Applications and Methods
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• 제22권4호
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• pp.313-320
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• 2015

In this research, we compare the efficiency of two test procedures proposed by Prentice and Gloeckler (1978) and Park and Hong (2009) for grouped data with possible right censored observations. Both test statistics were derived using the likelihood ratio principle, but under different semi-parametric models. We review the two statistics with asymptotic normality and consider obtaining empirical powers through a simulation study. The simulation study considers two types of models the location translation model and the scale model. We discuss some interesting features related to the grouped data and obtain null distribution functions with a re-sampling method. Finally we indicate topics for future research.

• 한국수자원학회논문집
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• 제42권6호
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• pp.457-464
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• 2009

본 논문에서는 상수관로의 파손자료를 이용하여 관로의 위험률을 산정하기 위해 사용되는 비례위험모형의 관로의 순차적 파손시간 예측정확도를 분석하고 이를 이용하여 관로의 경제적 교체 시간구간을 산정할 수 있는 방법론을 제시하였다. 비례위험모형에 기초한 생존함수를 이용하여 연구대상 관로들의 순차적 파손시간을 예측하고 이들을 기록된 파손시간과의 차이를 분석하였다. 이를 통하여 비례위험모형의 파손시간 예측 오차를 최소화하는 생존확률은 0.70인 것으로 결정되었으며, 세 번째 파손으로부터 일곱 번째 파손에 대한 모형만이 관로의 파손시간을 예측하는데 적합한 것으로 분석되었다. 생존확률 0.70과 순차적 파손사건에 대한 생존함수의 하한 및 상한을 이용하여 예제로 사용된 관로에 대해 예측된 파손시간의 95% 신뢰구간의 하한 및 상한을 추정하였다. 예측된 파손시간의 95% 신뢰 구간의 하한과 상한을 이용하여 관로 파손 경향모형인 General Pipe Break Prediction Models(GPBM)을 구축하고 이들을 관로의 한계파괴율과 결합하여 시간에 대한 해를 구하므로써 경제적 교체 시간구간을 산정하였다.

• 한국생물정보학회:학술대회논문집
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• 한국생물정보시스템생물학회 2005년도 BIOINFO 2005
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• pp.357-360
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• 2005

In this paper we consider the well-known semiparametric proportional hazards (PH) models for survival analysis. These models are usually used with few covariates and many observations (subjects). But, for a typical setting of gene expression data from DNA microarray, we need to consider the case where the number of covariates p exceeds the number of samples n. For a given vector of response values which are times to event (death or censored times) and p gene expressions (covariates), we address the issue of how to reduce the dimension by selecting the significant genes. This approach enable us to estimate the survival curve when n < < p. In our approach, rather than fixing the number of selected genes, we will assign a prior distribution to this number. The approach creates additional flexibility by allowing the imposition of constraints, such as bounding the dimension via a prior, which in effect works as a penalty. To implement our methodology, we use a Markov Chain Monte Carlo (MCMC) method. We demonstrate the use of the methodology to diffuse large B-cell lymphoma (DLBCL) complementary DNA(cDNA) data.

• 응용통계연구
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• 제25권6호
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• pp.959-975
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• 2012

Each year research institutions such as the Korea Employment Information Service(KEIS), a government institution established for the advancement of employment support services, and Job Korea, a popular Korean job website, announce first job waiting times after college graduation. This provides useful information understand and resolve youth unemployment problems. However, previous reports deal with the time as a completely observed one and are not appropriate. This paper proposes a new study on first job waiting times after college graduation set to 4 months prior to graduation. In Korea, most college students hunt for jobs before college graduation in addition, the full-fledged job markets also open before graduation. In this case the exact waiting time of college graduates can be right-censored. We apply a Cox proportional hazards model to evaluate the associations between first job waiting times and risk factors. A real example is based on the 2008 Graduates Occupational Mobility Survey(GOMS).

• Nonlinear Functional Analysis and Applications
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• 제28권3호
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• pp.793-800
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• 2023

In this paper, we propose a generalization of Lindley distribution (GLD) via a special structure that is concern with progressively Type-II right censoring and time failure data. We study the modern properties that we have built by such combination, for example, survival function, hazard function, moments, and estimation by non-Bayesian methods. Application on some selected data related to Lindley distribution (LD) and (ED) have been employed to find out the best distribution that can fit data comparing with the GLD.