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pmid:41570114
Joint Modeling of Longitudinal Biomarker and Survival Outcomes with the Presence of Competing Risk in the Nested Case-Control Studies with Application to the TEDDY Microbiome Dataset.
Yanan Zhao · Ting-Fang Lee · Boyan Zhou · Chan Wang · Ann Marie Schmidt · Mengling Liu · Huilin Li · Jiyuan Hu
Bioinformatics (Oxford, England) · 2026 doi:10.1093/bioinformatics/btag038
Paper
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Experiment
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Data
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Analysis
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Execution
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Complete file
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The nested case-control (NCC) design provides a cost-effective alternative to full cohort biomarker studies while preserving statistical efficiency. Despite advances in joint modeling for longitudinal and time-to-event outcomes, few approaches address the unique challenges posed by NCC sampling, non-normally distributed biomarkers, and competing survival outcomes.\nRESULTS: Motivated by the TEDDY study, we propose \"JM-NCC\", a joint modeling framework designed for NCC studies with competing events. It integrates a generalized linear mixed-effects model for potentially non-normally distributed biomarkers with a cause-specific hazard model for competing risks. Two estimation methods are developed. fJM-NCC leverages NCC sub-cohort longitudinal biomarker data and full cohort survival and clinical metadata, while wJM-NCC uses only NCC sub-cohort data. 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