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CPS657 Folorunso Serifat A. et al.

                              Right censored observations in a parametric
                                          mixture cure fraction
                                 Models: application to ovarian cancer
                                                                   2
                                                                                    2
                                                  1
                     Folorunso S. A. , Chukwu A.U , Oluwasola T.A.O  , Odukogbe A.A
                                   1
                               1 Department of Statistics, University of Ibadan, Nigeria
                  2  Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan,
                                                  Ibadan, Nigeria.

               Abstract
               The modeling and analysis of lifetime for terminal diseases such as cancer is a
               significant  aspect  of  statistical  work  in  a  wide  variety  of  scientific  and
               technological fields. This study focus on the parametric cure model that can
               handle survival data such as G-Family link function. Some structural properties
               of these models are studied and the method of maximum likelihood was used
               to  model  parameters  of  the  models.  The  significance  of  the  models  in
               diagnosis of ovarian cancer is uncovered and a simulation study was done for
               assessing the efficiency and capability of the model. Our results show that the
               parametric cure fraction model estimates is found to be quite robust.

               Keywords
               G- Family link function; ovarian cancer; parametric cure model; structural
               properties

               1.  Introduction
                   The evaluation of cure fractions in oncology research under the well known
               cure rate model has attracted considerable attention in the literature (Hsu et.
               al., 2016). The benefits of cure rate models over the traditional methods of
               survival analysis, including the well-known Cox regression model. However, in
               certain types of cancers such as breast cancer, leukemia, a significant fraction
               of patients may now be cured through therapy called cured proportion or
               immunes or long-term survivors, The population of interest is thus divided
               into  two  groups  viz.,  cured  and  non-cured  and  Cure  rate  models  provide
               satisfactory models in such cases (Elangovan and Jayakumar, 2016). A patient
               who  has  survived  for  five  years  after  a  cancer  diagnosis  is  not  necessarily
               medically cured  but  is  considered  statistically  cured  because  the  five−year
               relative survival analysis is considered a  good indication that the cancer is
               responding to treatment and that the treatment is successfully extending the
               life  of  the  cancer  patient.  The  survival  figures  so  obtained  are  utilized  in
               choosing treatment types and regimes, doses, in discriminating between the
               side effects profiles and cost effectiveness. Cure models are survival models
               basically developed to estimate the proportion of patients cured in a clinical


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