Bayesian Semiparametric Mixture Cure (Frailty) Models

Fuente: arXiv
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Autori principali: Kızılaslan, Fatih, Vitelli, Valeria
Natura: Preprint
Pubblicazione: 2025
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author Kızılaslan, Fatih
Vitelli, Valeria
author_facet Kızılaslan, Fatih
Vitelli, Valeria
contents In recent years, mixture cure models have gained increasing popularity in survival analysis as an alternative to the Cox proportional hazards model, particularly in settings where a subset of patients is considered cured. The proportional hazards mixture cure model is especially advantageous when the presence of a cured fraction can be reasonably assumed, providing a more accurate representation of long-term survival dynamics. In this study, we propose a novel hierarchical Bayesian framework for the semiparametric mixture cure model, which accommodates both the inclusion and exclusion of a frailty component, allowing for greater flexibility in capturing unobserved heterogeneity among patients. Samples from the posterior distribution are obtained using a Markov chain Monte Carlo method, leveraging a hierarchical structure inspired by Bayesian Lasso. Comprehensive simulation studies are conducted across diverse scenarios to evaluate the performance and robustness of the proposed models. Bayesian model comparison and assessment are performed using various criteria. Finally, the proposed approaches are applied to two well-known datasets in the cure model literature: the E1690 melanoma trial and a colon cancer clinical trial.
format Preprint
id arxiv_https___arxiv_org_abs_2512_08173
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Bayesian Semiparametric Mixture Cure (Frailty) Models
Kızılaslan, Fatih
Vitelli, Valeria
Methodology
Statistics Theory
Computation
Machine Learning
In recent years, mixture cure models have gained increasing popularity in survival analysis as an alternative to the Cox proportional hazards model, particularly in settings where a subset of patients is considered cured. The proportional hazards mixture cure model is especially advantageous when the presence of a cured fraction can be reasonably assumed, providing a more accurate representation of long-term survival dynamics. In this study, we propose a novel hierarchical Bayesian framework for the semiparametric mixture cure model, which accommodates both the inclusion and exclusion of a frailty component, allowing for greater flexibility in capturing unobserved heterogeneity among patients. Samples from the posterior distribution are obtained using a Markov chain Monte Carlo method, leveraging a hierarchical structure inspired by Bayesian Lasso. Comprehensive simulation studies are conducted across diverse scenarios to evaluate the performance and robustness of the proposed models. Bayesian model comparison and assessment are performed using various criteria. Finally, the proposed approaches are applied to two well-known datasets in the cure model literature: the E1690 melanoma trial and a colon cancer clinical trial.
title Bayesian Semiparametric Mixture Cure (Frailty) Models
topic Methodology
Statistics Theory
Computation
Machine Learning
url https://arxiv.org/abs/2512.08173