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CPS2044 Mohd Asrul Affendi A. et al.
               3.  Result and Discussion
                   The  estimates  of  the  proposed  method  obtained  were  compared  with
               estimates using Cox proportional hazard implemented in SPLUS via coxph,
               Weibull  fixed  covariate  regression  via  survreg,  and  Weibull  time-varying
               covariate regression via flexsurvreg. The results based on performance metrics
               are  presented  in  the  table  1  The  proposed  method  is  PWTVC  (Proposed
               Weibull time-varying covariate).

               Table 1: Simulation results for average bias (bias(θ ̂)), average standard error (SE(θ ̂))
               and average mean square error (MSE(θ ̂)) based on 1000 replications for sample size
               n=100 and censoring rate 20%.
                                     Fixed covariate model   Time varying covariate model
                Metrics      Parameter   Coxph FC  Survreg FC  Coxph TVC  Flexsurvreg  PWTVC

                                   0.2634     0.2751      0.2634      0.2519    0.1878
                    ̂
                ()           0.9863     0.1616      0.9863      0.2976    0.1160
                          ,      0.7219     0.2256      0.7219      0.2757    0.1561
                                   -0.8891    -0.9374     -0.8891     -0.9237   -1.3363
                     ̂
                ()       2.0374     0.1657      2.0374      1.5003    0.0237
                          ,      0.5741     -0.3858     0.5741      0.2883    -0.6563
                                   0.8599     0.9544      0.8599      0.9166    1.8209
                     ̂
                ()         5.1237     0.0536      5.1237      2.3395    0.0140
                          ,      0.8507     0.1998      0.8507      0.1591    0.4551
                   Table 1 shows the results for moderate sample size 100 and low censoring
               rate 20%.  For all the performance metrics used, the results of the proposed
               method are better than the competing methods except in the estimation of
               the fixed covariate effect β. Specifically, the proposed method is more stable
               in terms of low average standard error, consistent in terms of low average bias
               as well as efficient in terms of low mean square error. However, the interesting
               results are more attributable to the time varying effect parameter γ which is
               our main focus.

               4.  Conclusion
                   In this paper, we have presented a simulation strategy for generating HIV-
               TB survival time with time-varying covariate for Weibull distribution. We also
               developed the corresponding likelihood-based estimator for estimating the
               parameters of parametric Weibull time-varying covariate model. The results
               from the simulation studies affirm the adequacy of the simulation strategy as
               well as the estimation method regarding consistency and efficiency. We also
               stressed the use of parametric distribution when the underlying distribution is
               known in advance.



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