Repository logo

Infoscience

  • English
  • French
Log In
Logo EPFL, École polytechnique fédérale de Lausanne

Infoscience

  • English
  • French
Log In
  1. Home
  2. Academic and Research Output
  3. Journal articles
  4. Time-dependent mediators in survival analysis: Modeling direct and indirect effects with the additive hazards model
 
research article

Time-dependent mediators in survival analysis: Modeling direct and indirect effects with the additive hazards model

Aalen, Odd O.
•
Stensrud, Mats J.
•
Didelez, Vanessa
Show more
2020
Biometrical Journal

We discuss causal mediation analyses for survival data and propose a new approach based on the additive hazards model. The emphasis is on a dynamic point of view, that is, understanding how the direct and indirect effects develop over time. Hence, importantly, we allow for a time varying mediator. To define direct and indirect effects in such a longitudinal survival setting we take an interventional approach (Didelez, 2018) where treatment is separated into one aspect affecting the mediator and a different aspect affecting survival. In general, this leads to a version of the nonparametric g-formula (Robins, 1986). In the present paper, we demonstrate that combining the g-formula with the additive hazards model and a sequential linear model for the mediator process results in simple and interpretable expressions for direct and indirect effects in terms of relative survival as well as cumulative hazards. Our results generalize and formalize the method of dynamic path analysis (Fosen, Ferkingstad, Borgan, & Aalen, 2006; Strohmaier et al., 2015). An application to data from a clinical trial on blood pressure medication is given.

  • Details
  • Metrics
Type
research article
DOI
10.1002/bimj.201800263
Author(s)
Aalen, Odd O.
Stensrud, Mats J.
Didelez, Vanessa
Daniel, Rhian
Røysland, Kjetil
Strohmaier, Susanne
Date Issued

2020

Published in
Biometrical Journal
Volume

62

Issue

3

Start page

532

End page

549

Editorial or Peer reviewed

REVIEWED

Written at

OTHER

EPFL units
BIOSTAT  
Available on Infoscience
October 15, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/172510
Logo EPFL, École polytechnique fédérale de Lausanne
  • Contact
  • infoscience@epfl.ch

  • Follow us on Facebook
  • Follow us on Instagram
  • Follow us on LinkedIn
  • Follow us on X
  • Follow us on Youtube
AccessibilityLegal noticePrivacy policyCookie settingsEnd User AgreementGet helpFeedback

Infoscience is a service managed and provided by the Library and IT Services of EPFL. © EPFL, tous droits réservés