On computing standard errors for marginal structural Cox models

Lifetime Data Anal. 2014 Jan;20(1):106-31. doi: 10.1007/s10985-013-9255-7. Epub 2013 Apr 18.

Abstract

In recent decades, marginal structural models have gained popularity for proper adjustment of time-dependent confounders in longitudinal studies through time-dependent weighting. When the marginal model is a Cox model, using current standard statistical software packages was thought to be problematic because they were not developed to compute standard errors in the presence of time-dependent weights. We address this practical modelling issue by extending the standard calculations for Cox models with case weights to time-dependent weights and show that the coxph procedure in R can readily compute asymptotic robust standard errors. Through a simulation study, we show that the robust standard errors are rather conservative, though corresponding confidence intervals have good coverage. A second contribution of this paper is to introduce a Cox score bootstrap procedure to compute the standard errors. We show that this method is efficient and tends to outperform the non-parametric bootstrap in small samples.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Computer Simulation
  • Confidence Intervals*
  • Humans
  • Likelihood Functions*
  • Longitudinal Studies / methods*
  • Proportional Hazards Models*