Additional R packages for this vignette:
This example reads in centered_ipd_twt
data that was
created in calculating_weights
vignette and uses
adtte_twt
and pseudo_ipd_twt
datasets to run
survival analysis using the maic_anchored
function by
specifying endpoint_type = "tte"
.
Set up is very similar to unanchored_survival
vignette,
except now that we have a common treatment between two trials. Common
treatment has to have same name in the data and we need to specify
additional parameter, trt_common
, in
maic_unanchored
.
data(centered_ipd_twt)
data(adtte_twt)
data(pseudo_ipd_twt)
centered_colnames <- c("AGE", "AGE_SQUARED", "SEX_MALE", "ECOG0", "SMOKE", "N_PR_THER_MEDIAN")
centered_colnames <- paste0(centered_colnames, "_CENTERED")
#### derive weights
weighted_data <- estimate_weights(
data = centered_ipd_twt,
centered_colnames = centered_colnames
)
# inferential result
result <- maic_anchored(
weights_object = weighted_data,
ipd = adtte_twt,
pseudo_ipd = pseudo_ipd_twt,
trt_ipd = "A",
trt_agd = "B",
trt_common = "C",
normalize_weight = FALSE,
endpoint_name = "Overall Survival",
endpoint_type = "tte",
eff_measure = "HR",
time_scale = "month",
km_conf_type = "log-log"
)
There are two summaries available in the result: descriptive and
inferential. In the descriptive section, we have summaries from fitting
survfit
function. Note that restricted mean (rmean),
median, and 95% CI are summarized in the time_scale
specified.
## trt_ind treatment type records n.max n.start events
## 1 C C IPD, before matching 500 500.0000 500.0000 500.00000
## 2 A A IPD, before matching 500 500.0000 500.0000 190.00000
## 3 C C IPD, after matching 500 199.4265 199.4265 199.42645
## 4 A A IPD, after matching 500 199.4265 199.4265 65.68877
## 5 C C AgD, external 500 500.0000 500.0000 500.00000
## 6 B B AgD, external 300 300.0000 300.0000 178.00000
## events% rmean se(rmean) median 0.95LCL 0.95UCL
## 1 100.00000 2.564797 0.11366994 1.836467 1.644765 2.045808
## 2 38.00000 8.709690 0.35514766 7.587627 6.278691 10.288538
## 3 100.00000 2.740925 0.18703870 1.815795 1.697526 2.292484
## 4 32.93885 10.166029 0.54999149 11.900015 7.815275 14.873786
## 5 100.00000 2.455272 0.09848888 1.851987 1.670540 2.009650
## 6 59.33333 4.303551 0.33672602 2.746131 2.261125 3.320857
# Not shown due to long output
# result$descriptive$survfit_ipd_before
# result$descriptive$survfit_ipd_after
# result$descriptive$survfit_pseudo
In the inferential section, we have the fitted models stored
(i.e. survfit
and coxph
) and the results from
the coxph
models (i.e. hazard ratios and CI). Note that the
p-values summarized are from coxph
model Wald test and not
from a log-rank test. Here is the overall summary.
## case HR LCL UCL pval
## 1 AC 0.2216588 0.1867151 0.2631423 2.136650e-66
## 2 adjusted_AC 0.1761521 0.1288651 0.2407912 1.319486e-27
## 3 BC 0.5718004 0.4811989 0.6794607 2.143660e-10
## 4 AB 0.3876507 0.3039348 0.4944253 2.270430e-14
## 5 adjusted_AB 0.3080657 0.2155705 0.4402481 1.020976e-10
Here are models and results before adjustment.
## Call: survfit(formula = Surv(TIME, EVENT) ~ ARM, data = ipd, conf.type = km_conf_type)
##
## n events median 0.95LCL 0.95UCL
## ARM=C 500 500 55.9 50.1 62.3
## ARM=A 500 190 230.9 191.1 313.2
## Call:
## coxph(formula = Surv(TIME, EVENT) ~ ARM, data = ipd)
##
## coef exp(coef) se(coef) z p
## ARMA -1.50662 0.22166 0.08753 -17.21 <2e-16
##
## Likelihood ratio test=341.2 on 1 df, p=< 2.2e-16
## n= 1000, number of events= 690
## $est
## [1] 0.2216588
##
## $se
## [1] 0.08752989
##
## $ci_l
## [1] 0.1867151
##
## $ci_u
## [1] 0.2631423
##
## $pval
## [1] 2.13665e-66
## result pvalue
## "0.39[0.30; 0.49]" "<0.001"
Here are models and results after adjustment.
## Call: survfit(formula = Surv(TIME, EVENT) ~ ARM, data = ipd, weights = ipd$weights,
## conf.type = km_conf_type)
##
## records n events median 0.95LCL 0.95UCL
## ARM=C 500 199 199.4 55.3 51.7 69.8
## ARM=A 500 199 65.7 362.2 237.9 452.7
## Call:
## coxph(formula = Surv(TIME, EVENT) ~ ARM, data = ipd, weights = weights,
## robust = TRUE)
##
## coef exp(coef) se(coef) robust se z p
## ARMA -1.7364 0.1762 0.1475 0.1595 -10.89 <2e-16
##
## Likelihood ratio test=166.6 on 1 df, p=< 2.2e-16
## n= 1000, number of events= 690
## $est
## [1] 0.1761521
##
## $se
## [1] 0.1594836
##
## $ci_l
## [1] 0.1288651
##
## $ci_u
## [1] 0.2407912
##
## $pval
## [1] 1.319486e-27
## result pvalue
## "0.31[0.22; 0.44]" "<0.001"
If bootstrap standard errors are preferred, we need to specify the
number of bootstrap iteration (n_boot_iteration
) in
estimate_weights
function and proceed fitting
maic_anchored
function. Now, the outputs include
bootstrapped CI. Different types of bootstrap CI can be found by using
parameter boot_ci_type
.
weighted_data2 <- estimate_weights(
data = centered_ipd_twt,
centered_colnames = centered_colnames,
n_boot_iteration = 100,
set_seed_boot = 1234
)
result_boot <- maic_anchored(
weights_object = weighted_data2,
ipd = adtte_twt,
pseudo_ipd = pseudo_ipd_twt,
trt_ipd = "A",
trt_agd = "B",
trt_common = "C",
normalize_weight = FALSE,
endpoint_name = "Overall Survival",
endpoint_type = "tte",
eff_measure = "HR",
boot_ci_type = "perc",
time_scale = "month",
km_conf_type = "log-log"
)
result_boot$inferential$fit$boot_res_AB
## $est
## [1] 0.3080657
##
## $se
## [1] NA
##
## $ci_l
## [1] 0.2104255
##
## $ci_u
## [1] 0.4510123
##
## $pval
## [1] NA