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Person-day data for the 137 leukemia patients who received bone marrow transplants under a radiation-free regimen at four medical centers, as used in the parametric g-formula illustration of Keil et al. (2014). Each subject contributes one row per day of follow-up (day 1 up to death, loss to follow-up, or day 1825), giving 108,714 rows. The dataset reproduces the person-day file created in Appendix 1 of that paper: 80 deaths and 39 losses to follow-up.

Usage

gvhd

Format

A data frame with 108,714 rows and 21 variables:

id

unique subject identifier (1-137)

age

baseline age in years

male

male indicator (1 = male, 0 = female)

cmv

baseline cytomegalovirus immune status (1 = positive, 0 = negative)

all

leukemia type (1 = acute lymphocytic, 0 = acute myeloid)

wait

waiting time from leukemia diagnosis to transplantation, in months (waiting days / 30.5)

day

days since bone marrow transplant (1-1825)

d

indicator of death at the end of day day (1 = yes, 0 = no)

gvhd

indicator of graft-versus-host disease having occurred by day day (1 = yes, 0 = no); the exposure

daysgvhd

cumulative number of days with GvHD

daysnogvhd

cumulative number of days without GvHD

gvhdm1

one-day lag of gvhd

relapse

indicator of leukemia relapse having occurred by day day (1 = yes, 0 = no)

relapsem1

one-day lag of relapse

daysrelapse

cumulative number of days since relapse

daysnorelapse

cumulative number of days relapse-free

platnorm

indicator of platelet recovery having occurred by day day (1 = platelets returned to normal levels, 0 = not yet)

platnormm1

one-day lag of platnorm

daysplatnorm

cumulative number of days with normal platelet levels

daysnoplatnorm

cumulative number of days without normal platelet levels

censlost

indicator of censoring due to loss to follow-up at day day (1 = yes, 0 = no)

Details

GvHD (gvhd) is the exposure, death (d) is the outcome, and relapse (relapse) and platelet recovery (platnorm) are time-varying confounders. The three time-varying states are absorbing (once 1, they remain 1); their daysX/daysnoX counters and one-day lags (Xm1) summarize the history entering each model.

A worked total-effect analysis on this dataset (counterfactual mortality risk had GvHD never occurred versus the natural course), mirroring the model specifications in Appendix 2 of Keil et al. (2014), is provided in references/paper_example.R in the package source repository.

References

Keil, A. P., Edwards, J. K., Richardson, D. B., Naimi, A. I., & Cole, S. R. (2014). The parametric g-formula for time-to-event data: intuition and a worked example. Epidemiology, 25(6), 889-897. doi:10.1097/EDE.0000000000000160