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Conclusion:

  1. Extremely high censoring rate probably won’t affect effect size estimate as long as there are moderate number of events.

  2. If we draw a contigency table (\(2\times 2\)). \(\delta = 0,1\) indicates whether the outcome is observed, and \(x=0,1\) indicates genotypes. As long as there are a couple observations in each cell, the effect size estimate is fine. Otherwise, coefficient tends to be infinite.

  3. What if the SNP is very rare and censoring rate is extremely high?

As long as the total sample size is large, even there is only 1 event, the fit is not bad.

library(survival)
# Function to simulate survival time under exponential model. That is,
# assuming survival time is exponentially distributed.
# lambda(t) = lambda*exp(b0 + Xb). S(t) = exp(-lambda*t),
# F(t) = 1- S(t) \sim Unif(0,1). Therefore, t = log(1-runif(0,1))/-exp(b0+Xb).
# For censored objects, we simulate the censoring time by rescale the actual survival time.
# @param b: vector of length (p+1) for true effect size, include intercept.
# @param X: variable matrix of size n by p.
# @param censor_lvl: a constant from [0,1], indicating the censoring level in the data.
# @return  dat: a dataframe that contains `y`, `x` and `status`.
# `status`: censoring status: 0 = censored, 1 = event observed. See Surv() in library(survival)
sim_surv_exp <- function(b, X, censor_lvl){
  n = nrow(X)
  p = ncol(X)
  dat = list()

  status <- ifelse(runif(n) > censor_lvl, 1, 0)
  lambda <- exp(cbind(rep(1,n), X) %*% b)
  surT <- log(1 - runif(n)) /(-lambda)
  # rescale censored subject to get observed time
  surT[status == 0] = surT[status == 0] * runif(sum(status == 0))

  y = cbind(surT, status)
  colnames(y) = c("time", "status")
  colnames(X) <- unlist(lapply(1:p, function(i) paste0("x", i)))
  dat[["X"]] = X
  dat[["y"]] = y
  return(dat)
}

1. Check discriminate power of coxph().

set.seed(1)
# simulate 2 variables 
n = 100
X = cbind(rbinom(n, size = 1, prob = 0.3), rbinom(n, size = 1, prob = 0.1))
# the first element of b is for intercept
b = c(1, 1, 0)
censor_lvl = 0.7
dat <- sim_surv_exp(b, X, censor_lvl)

Fit1: use all the data

# rownames are unique y[,2] values, delta. delta = 1 indicates event happened. 
# colnames are X values, genotype.
table(dat$y[,2], dat$X[,1])
   
     0  1
  0 53 26
  1 15  6
surT <- Surv(dat$y[,1], dat$y[,2])
fit1 <- coxph(surT ~ dat$X[,1])
summary(fit1)
Call:
coxph(formula = surT ~ dat$X[, 1])

  n= 100, number of events= 21 

            coef exp(coef) se(coef)     z Pr(>|z|)    
dat$X[, 1] 2.035     7.656    0.587 3.468 0.000525 ***
---
Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

           exp(coef) exp(-coef) lower .95 upper .95
dat$X[, 1]     7.656     0.1306     2.423     24.19

Concordance= 0.686  (se = 0.058 )
Likelihood ratio test= 10.26  on 1 df,   p=0.001
Wald test            = 12.02  on 1 df,   p=5e-04
Score (logrank) test = 15.51  on 1 df,   p=8e-05

Fit2:

Select sub-samples where individuals who have event have x = 1. And individuals with x = 0 are all censored.

# let's just select sub-samples where individuals who have event have x = 1. 
# And individuals with x = 0 are all censored. 
indx = which(dat$y[,2] == dat$X[,1])
y = dat$y[indx, ]
x = dat$X[indx, 1]
table(y[,2], x)
   x
     0  1
  0 53  0
  1  0  6
surT <- Surv(y[,1], y[,2])
fit2 <- coxph(surT ~ x)
Warning in coxph.fit(X, Y, istrat, offset, init, control, weights = weights, :
Loglik converged before variable 1 ; coefficient may be infinite.
summary(fit2)
Call:
coxph(formula = surT ~ x)

  n= 59, number of events= 6 

       coef exp(coef)  se(coef)     z Pr(>|z|)
x 2.410e+01 2.936e+10 2.077e+04 0.001    0.999

  exp(coef) exp(-coef) lower .95 upper .95
x 2.936e+10  3.406e-11         0       Inf

Concordance= 0.964  (se = 0.015 )
Likelihood ratio test= 29.39  on 1 df,   p=6e-08
Wald test            = 0  on 1 df,   p=1
Score (logrank) test = 60.57  on 1 df,   p=7e-15

Fit3 & Fit4:

In fit3, we add 2 samples to data in fit2. Doesn’t help in this case.

In fit4, we add 4 samples to data in fit2. It helped a lot.

indx2 = which(dat$y[,2] != dat$X[,1])[c(1,4)]
y2 = rbind(y, dat$y[indx2, ])
x2 = c(x, dat$X[,1][indx2])
table(y2[,2], x2)
   x2
     0  1
  0 53  1
  1  1  6
surT <- Surv(y2[,1], y2[,2])
fit3 <- coxph(surT ~ x2)
Warning in coxph.fit(X, Y, istrat, offset, init, control, weights = weights, :
Loglik converged before variable 1 ; coefficient may be infinite.
summary(fit3)
Call:
coxph(formula = surT ~ x2)

  n= 61, number of events= 7 

        coef exp(coef)  se(coef)     z Pr(>|z|)
x2 2.335e+01 1.379e+10 1.443e+04 0.002    0.999

   exp(coef) exp(-coef) lower .95 upper .95
x2 1.379e+10   7.25e-11         0       Inf

Concordance= 0.919  (se = 0.036 )
Likelihood ratio test= 28.75  on 1 df,   p=8e-08
Wald test            = 0  on 1 df,   p=1
Score (logrank) test = 56.01  on 1 df,   p=7e-14
indx2 = which(dat$y[,2] != dat$X[,1])[c(1:4)]
y2 = rbind(y, dat$y[indx2, ])
x2 = c(x, dat$X[,1][indx2])
table(y2[,2], x2)
   x2
     0  1
  0 53  3
  1  1  6
surT <- Surv(y2[,1], y2[,2])
fit4 <- coxph(surT ~ x2)
summary(fit4)
Call:
coxph(formula = surT ~ x2)

  n= 63, number of events= 7 

     coef exp(coef) se(coef)     z Pr(>|z|)    
x2  3.996    54.381    1.099 3.635 0.000278 ***
---
Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

   exp(coef) exp(-coef) lower .95 upper .95
x2     54.38    0.01839     6.304     469.1

Concordance= 0.904  (se = 0.04 )
Likelihood ratio test= 21.26  on 1 df,   p=4e-06
Wald test            = 13.21  on 1 df,   p=3e-04
Score (logrank) test = 38.8  on 1 df,   p=5e-10

2. Check coxph() under extremely high censoring.

set.seed(1)
# simulate 2 variables 
n = 1000
X = cbind(rbinom(n, size = 1, prob = 0.3), rbinom(n, size = 1, prob = 0.1))
# the first element of b is for intercept
b = c(1, 1, 0)
censor_lvl = 0.99
dat <- sim_surv_exp(b, X, censor_lvl)

Fit1: use all the data

In this case,

table(dat$y[,2], dat$X[,1])
   
      0   1
  0 690 301
  1   6   3
surT <- Surv(dat$y[,1], dat$y[,2])
fit1 <- coxph(surT ~ dat$X[,1])
summary(fit1)
Call:
coxph(formula = surT ~ dat$X[, 1])

  n= 1000, number of events= 9 

             coef exp(coef) se(coef)    z Pr(>|z|)  
dat$X[, 1] 1.4241    4.1541   0.7576 1.88   0.0601 .
---
Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

           exp(coef) exp(-coef) lower .95 upper .95
dat$X[, 1]     4.154     0.2407    0.9411     18.34

Concordance= 0.699  (se = 0.09 )
Likelihood ratio test= 3.03  on 1 df,   p=0.08
Wald test            = 3.53  on 1 df,   p=0.06
Score (logrank) test = 4.09  on 1 df,   p=0.04

3. What if the SNP is very rare and censoring rate is extremely high.

In this extreme case, the fit is not bad.

set.seed(1)
# simulate 2 variables 
n = 10000
X = cbind(rbinom(n, size = 2, prob = 5e-3), rbinom(n, size = 1, prob = 0.1))
# the first element of b is for intercept
b = c(1, 1, 0)
censor_lvl = 0.99
dat <- sim_surv_exp(b, X, censor_lvl)
table(dat$y[,2], dat$X[,1])
   
       0    1
  0 9810   95
  1   94    1
surT <- Surv(dat$y[,1], dat$y[,2])
fit1 <- coxph(surT ~ dat$X[,1])
summary(fit1)
Call:
coxph(formula = surT ~ dat$X[, 1])

  n= 10000, number of events= 95 

            coef exp(coef) se(coef)     z Pr(>|z|)
dat$X[, 1] 1.380     3.974    1.010 1.366    0.172

           exp(coef) exp(-coef) lower .95 upper .95
dat$X[, 1]     3.974     0.2516    0.5492     28.76

Concordance= 0.511  (se = 0.013 )
Likelihood ratio test= 1.25  on 1 df,   p=0.3
Wald test            = 1.87  on 1 df,   p=0.2
Score (logrank) test = 2.18  on 1 df,   p=0.1

sessionInfo()
R version 4.1.1 (2021-08-10)
Platform: x86_64-apple-darwin20.6.0 (64-bit)
Running under: macOS Monterey 12.0.1

Matrix products: default
BLAS:   /usr/local/Cellar/openblas/0.3.18/lib/libopenblasp-r0.3.18.dylib
LAPACK: /usr/local/Cellar/r/4.1.1_1/lib/R/lib/libRlapack.dylib

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

attached base packages:
[1] stats     graphics  grDevices utils     datasets  methods   base     

other attached packages:
[1] survival_3.2-11 workflowr_1.6.2

loaded via a namespace (and not attached):
 [1] Rcpp_1.0.8.3     pillar_1.6.4     compiler_4.1.1   bslib_0.4.1     
 [5] later_1.3.0      jquerylib_0.1.4  git2r_0.28.0     tools_4.1.1     
 [9] digest_0.6.28    lattice_0.20-44  jsonlite_1.7.2   evaluate_0.14   
[13] lifecycle_1.0.1  tibble_3.1.5     pkgconfig_2.0.3  rlang_1.0.6     
[17] Matrix_1.5-3     cli_3.1.0        rstudioapi_0.13  yaml_2.2.1      
[21] xfun_0.27        fastmap_1.1.0    stringr_1.4.0    knitr_1.36      
[25] fs_1.5.0         vctrs_0.3.8      sass_0.4.4       grid_4.1.1      
[29] rprojroot_2.0.2  glue_1.4.2       R6_2.5.1         fansi_0.5.0     
[33] rmarkdown_2.11   magrittr_2.0.1   whisker_0.4      splines_4.1.1   
[37] promises_1.2.0.1 ellipsis_0.3.2   htmltools_0.5.5  httpuv_1.6.3    
[41] utf8_1.2.2       stringi_1.7.5    cachem_1.0.6     crayon_1.4.1