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Competing Risk Models

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Health Services Evaluation

Part of the book series: Health Services Research ((HEALTHSR))

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Abstract

In the time-to-event analysis when more than one type of event can occur and not all are of interest, the situation of competing risks appears. In this chapter the competing risks will be defined, and the need for special statistical analysis techniques will be justified. The methodology for estimation and modeling in the presence of competing risks will be presented. The cumulative incidence function and the Fine and Gray model will be introduced as the main methods to analyze competing risks data. The cumulative incidence function will be contrasted to Kaplan-Meier method. For a deeper understanding of the modelling, the subdistribution hazard will be defined.

The importance of considering the competing risks in the process of designing a study will be emphasized, and the steps needed to be taken in the calculation will be presented. For a better understanding of the material and of the interpretation, examples will be given at each step.

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Author information

Authors and Affiliations

  1. University Health Network, Toronto, ON, Canada

    Melania Pintilie

Authors
  1. Melania Pintilie
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Corresponding author

Correspondence to Melania Pintilie .

Editor information

Editors and Affiliations

  1. Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada

    Adrian Levy

  2. ICON plc, Vancouver, BC, Canada

    Sarah Goring

  3. Department of Biostatistics, Brown University, Providence, RI, USA

    Constantine Gatsonis

  4. University of British Columbia, Vancouver, BC, Canada

    Boris Sobolev

  5. European Observatory on Health Systems and Policies, Department of Health Care Management, Berlin University of Technology, Berlin, Germany

    Ewout van Ginneken

  6. Department Health Care Management Faculty of Economics and Management, Technische Universität Berlin, Berlin, Germany

    Reinhard Busse

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Pintilie, M. (2019). Competing Risk Models. In: Levy, A., Goring, S., Gatsonis, C., Sobolev, B., van Ginneken, E., Busse, R. (eds) Health Services Evaluation. Health Services Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-8715-3_30

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  • DOI: https://doi.org/10.1007/978-1-4939-8715-3_30

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-8714-6

  • Online ISBN: 978-1-4939-8715-3

  • eBook Packages: MedicineReference Module Medicine

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