A functional approach to study the relationship between dynamic covariates and survival outcomes: an application to a randomized clinical trial on osteosarcoma
- Editor(s):
- Pollice, A.; Salvati, N.; Schirripa Spagnolo, F.
Abstract
In clinical research, associating dynamic time-varying covariates (e.g. biomarkers or drug assumption) with an event-time outcome represents a challenging task that could be tackled exploiting Functional Data Analysis (FDA). In particular, FDA techniques can be used to represent dynamic time-varying covariates in terms of functions, which can be plugged into a Cox-type regression model to investigate the effect on survival outcomes. Data from MRC BO06/EORTC 80931 randomised controlled trial for treatment of osteosarcoma were analysed. Time-varying covariates related to alkaline phosphatase levels and chemotherapy dose during treatment were considered.
Functional Data AnalysisSurvival ModelsOsteosarcoma
