LIKELIHOOD-BASED INFERENTIAL METHODS FOR SOME FLEXIBLE CURE RATE MODELS

Abstract

<p>Recently, the Conway-Maxwell Poisson (COM-Poisson) cure rate model has been proposed which includes as special cases some of the well-known cure rate models discussed in the literature. Data obtained from cancer clinical trials are often right censored and the expectation maximization (EM) algorithm can be efficiently used for the determination of the maximum likelihood estimates (MLEs) of the model parameters based on right censored data.</p> <p>By assuming the lifetime distribution to be exponential, lognormal, Weibull, and gamma, the necessary steps of the EM algorithm are developed for the COM-Poisson cure rate model and some of its special cases. The inferential method is examined by means of an extensive simulation study. Model discrimination within the COM-Poisson family is carried out by likelihood ratio test as well as by information-based criteria. Finally, the proposed method is illustrated with a cutaneous melanoma data on cancer recurrence. As the lifetime distributions considered are not nested, it is not possible to carry out a formal statistical test to determine which among these provides an adequate fit to the data. For this reason, the wider class of generalized gamma distributions is considered which contains all of the above mentioned lifetime distributions as special cases. The steps of the EM algorithm are then developed for this general class of distributions and a simulation study is carried out to evaluate the performance of the proposed estimation method. Model discrimination within the generalized gamma family is carried out by likelihood ratio test and information-based criteria. Finally, for the considered cutaneous melanoma data, the two-way flexibility of the COM-Poisson family and the generalized gamma family is utilized to carry out a two-way model discrimination to select a parsimonious competing cause distribution along with a suitable choice of a lifetime distribution that provides the best fit to the data.</p>