Flexible geoadditive survival analysis of non-Hodgkin lymphoma in Peru

Knowledge of prognostic factors is an important task for the clinical management of Non Hodgkin Lymphoma (NHL). In this work, we study the variables affecting survival of NHL in Peru by means of geoadditive Cox-type structured hazard regression models while accounting for potential spatial correlati...

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Detalles Bibliográficos
Autores: Flores, Carlos, Rodríguez-Girondo, Mar, Cadarso-Suárez, Carmen, Kneib, Thomas, Gómez Melis, Guadalupe|||0000-0003-4252-4884, Casanova, Luís
Tipo de recurso: artículo
Fecha de publicación:2012
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2099/13325
Acceso en línea:https://hdl.handle.net/2099/13325
Access Level:acceso abierto
Palabra clave:Mathematical statistics
Non-Hodgkin lymphoma
structured regression models
survival analysis
Estadística matemàtica--Aplicacions
Classificació AMS::62 Statistics::62P Applications
Classificació AMS::62 Statistics::62N Survival analysis and censored data
Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística matemàtica
Descripción
Sumario:Knowledge of prognostic factors is an important task for the clinical management of Non Hodgkin Lymphoma (NHL). In this work, we study the variables affecting survival of NHL in Peru by means of geoadditive Cox-type structured hazard regression models while accounting for potential spatial correlations in the survival times. We identified eight covariates with significant effect for overall survival. Some of them are widely known such as age, performance status, clinical stage and lactic dehydrogenase, but we also identified hemoglobin, leukocytes and lymphocytes as covariates with a significant effect on the overall survival of patients with NHL. Besides, the effect of continuous covariates is clearly nonlinear and hence impossible to detect with the classical Cox method. Although the spatial component does not show a significant effect, the results show a trend of low risk in certain areas