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Biostatistics (2004), 5, 2, pp. 193-206
Biostatistics Vol. 5 No. 2 © Oxford University Press 2004; all rights reserved.

Maximum likelihood estimation for Cox's regression model under nested case-control sampling

Thomas H. Scheike{dagger}

Department of Biostatistics, University of Copenhagen, Blegdamsvej 3, DK-2200 KBH N, Denmark
ts{at}kubism.ku.dk

Anders Juul

Department of Growth and Reproduction, University Hospital of Copenhagen, Blegdamsvej 9, Denmark and Centre of Preventive Medicine, Glostrup County Hospital, Denmark

{dagger} To whom correspondence should be addressed.

Nested case-control sampling is designed to reduce the costs of large cohort studies. It is important to estimate the parameters of interest as efficiently as possible. We present a new maximum likelihood estimator (MLE) for nested case-control sampling in the context of Cox's proportional hazards model. The MLE is computed by the EM-algorithm, which is easy to implement in the proportional hazards setting. Standard errors are estimated by a numerical profile likelihood approach based on EM aided differentiation. The work was motivated by a nested case-control study that hypothesized that insulin-like growth factor I was associated with ischemic heart disease. The study was based on a population of 3784 Danes and 231 cases of ischemic heart disease where controls were matched on age and gender. We illustrate the use of the MLE for these data and show how the maximum likelihood framework can be used to obtain information additional to the relative risk estimates of covariates.

Keywords: Cox model; Efficiency; Nested case-control; Proportional hazards model; Survival data


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