Biometrical Journal · 1999 · 95 citations · 0 references
Public HealthBiostatisticsOncologyCancer Survivorship CareClinical EpidemiologySurvival AnalysisCancer Survival AnalysisParametric Survival ModelsPrognostic AssessmentSurvival FunctionsSurvival ModelingSurvival OutcomesCritical PointsHigh PerformanceLog-linear Survival ModelsLog-logistic ModelMaximum Likelihood EstimatorMean Residual LifeResidual Life AssessmentResidual Life Estimation
In survival analysis when the mortality reaches a peak after some finite period and then slowly declines, it is appropriate to use a model which has a nonmonotonic failure rate. In this paper we study the log-logistic model whose failure rate exhibits the above behavior and its mean residual life behaves in the reverse fashion. The maximum likelihood estimation of the parameters is examined and it is proved analytically that unique maximum likelihood estimates exist for the parameters. A lung cancer data set is analyzed. Confidence intervals for the parameters as well as for the critical points of the failure rate and mean residual life functions are obtained for the high performance status (PS) and low PS subgroups, where the term performance status is a measure of general medical status.