The purpose of popEpi is to facilitate computing certain epidemiological statistics where population data is used. Current main attractions:
the lexpand
function allows users to split their subject-level follow-up data into sub-intervals along age, follow-up time and calendar time, merge corresponding population hazard information to those intervals, and to aggregate the resulting data if needed.
data(sire)
sr <- sire[1,]
print(sr)
#> sex bi_date dg_date ex_date status dg_age
#> 1: 1 1952-05-27 1994-02-03 2012-12-31 0 41.68877
x <- lexpand(sr, birth = bi_date, entry = dg_date, exit = ex_date,
status = status %in% 1:2,
fot = 0:5, per = 1994:2000)
print(x)
#> lex.id fot per age lex.dur lex.Cst lex.Xst sex bi_date
#> 1: 1 0.000000 1994.09 41.68877 0.90958904 0 0 1 1952-05-27
#> 2: 1 0.909589 1995.00 42.59836 0.09041096 0 0 1 1952-05-27
#> 3: 1 1.000000 1995.09 42.68877 0.90958904 0 0 1 1952-05-27
#> 4: 1 1.909589 1996.00 43.59836 0.09041096 0 0 1 1952-05-27
#> 5: 1 2.000000 1996.09 43.68877 0.90958904 0 0 1 1952-05-27
#> 6: 1 2.909589 1997.00 44.59836 0.09041096 0 0 1 1952-05-27
#> 7: 1 3.000000 1997.09 44.68877 0.90958904 0 0 1 1952-05-27
#> 8: 1 3.909589 1998.00 45.59836 0.09041096 0 0 1 1952-05-27
#> 9: 1 4.000000 1998.09 45.68877 0.90958904 0 0 1 1952-05-27
#> 10: 1 4.909589 1999.00 46.59836 0.09041096 0 0 1 1952-05-27
#> dg_date ex_date status dg_age
#> 1: 1994-02-03 2012-12-31 0 41.68877
#> 2: 1994-02-03 2012-12-31 0 41.68877
#> 3: 1994-02-03 2012-12-31 0 41.68877
#> 4: 1994-02-03 2012-12-31 0 41.68877
#> 5: 1994-02-03 2012-12-31 0 41.68877
#> 6: 1994-02-03 2012-12-31 0 41.68877
#> 7: 1994-02-03 2012-12-31 0 41.68877
#> 8: 1994-02-03 2012-12-31 0 41.68877
#> 9: 1994-02-03 2012-12-31 0 41.68877
#> 10: 1994-02-03 2012-12-31 0 41.68877
data(popmort)
x <- lexpand(sr, birth = bi_date, entry = dg_date, exit = ex_date,
status = status %in% 1:2,
fot = 0:5, per = 1994:2000, pophaz = popmort)
print(x)
#> lex.id fot per age lex.dur lex.Cst lex.Xst sex bi_date
#> 1: 1 0.000000 1994.09 41.68877 0.90958904 0 0 1 1952-05-27
#> 2: 1 0.909589 1995.00 42.59836 0.09041096 0 0 1 1952-05-27
#> 3: 1 1.000000 1995.09 42.68877 0.90958904 0 0 1 1952-05-27
#> 4: 1 1.909589 1996.00 43.59836 0.09041096 0 0 1 1952-05-27
#> 5: 1 2.000000 1996.09 43.68877 0.90958904 0 0 1 1952-05-27
#> 6: 1 2.909589 1997.00 44.59836 0.09041096 0 0 1 1952-05-27
#> 7: 1 3.000000 1997.09 44.68877 0.90958904 0 0 1 1952-05-27
#> 8: 1 3.909589 1998.00 45.59836 0.09041096 0 0 1 1952-05-27
#> 9: 1 4.000000 1998.09 45.68877 0.90958904 0 0 1 1952-05-27
#> 10: 1 4.909589 1999.00 46.59836 0.09041096 0 0 1 1952-05-27
#> dg_date ex_date status dg_age pop.haz pp
#> 1: 1994-02-03 2012-12-31 0 41.68877 0.001170685 1.000651
#> 2: 1994-02-03 2012-12-31 0 41.68877 0.001441038 1.000651
#> 3: 1994-02-03 2012-12-31 0 41.68877 0.001200721 1.001856
#> 4: 1994-02-03 2012-12-31 0 41.68877 0.001300846 1.001856
#> 5: 1994-02-03 2012-12-31 0 41.68877 0.001400981 1.003207
#> 6: 1994-02-03 2012-12-31 0 41.68877 0.002142293 1.003207
#> 7: 1994-02-03 2012-12-31 0 41.68877 0.002202424 1.005067
#> 8: 1994-02-03 2012-12-31 0 41.68877 0.001771568 1.005067
#> 9: 1994-02-03 2012-12-31 0 41.68877 0.002222468 1.007277
#> 10: 1994-02-03 2012-12-31 0 41.68877 0.002282603 1.007277
a <- lexpand(sr, birth = bi_date, entry = dg_date, exit = ex_date,
status = status %in% 1:2,
fot = 0:5, per = 1994:2000, aggre = list(fot, per))
print(a)
#> fot per pyrs at.risk from0to0
#> 1: 0 1994 0.90958904 0 0
#> 2: 0 1995 0.09041096 1 0
#> 3: 1 1995 0.90958904 0 0
#> 4: 1 1996 0.09041096 1 0
#> 5: 2 1996 0.90958904 0 0
#> 6: 2 1997 0.09041096 1 0
#> 7: 3 1997 0.90958904 0 0
#> 8: 3 1998 0.09041096 1 0
#> 9: 4 1998 0.90958904 0 0
#> 10: 4 1999 0.09041096 1 1
One can make use of the sir
function to estimate indirectly standardised incidence or mortality ratios (SIRs/SMRs). The data can be aggregated by lexpand
or by other means. While sir
is simple and flexible in itself, one may also use sirspline
to fit spline functions for the effect of e.g. age as a continuous variable on SIRs.
data(popmort)
data(sire)
c <- lexpand( sire, status = status %in% 1:2, birth = bi_date, exit = ex_date, entry = dg_date,
breaks = list(per = 1950:2013, age = 1:100, fot = c(0,10,20,Inf)),
aggre = list(fot, agegroup = age, year = per, sex) )
#> dropped 16 rows where entry == exit
se <- sir( coh.data = c, coh.obs = 'from0to1', coh.pyrs = 'pyrs',
ref.data = popmort, ref.rate = 'haz',
adjust = c('agegroup', 'year', 'sex'), print = 'fot')
se
#> SIR (adjusted by agegroup, year, sex) with 95% confidence intervals (profile)
#> Test for homogeneity: p < 0.001
#>
#> Total sir: 3.08 (2.99-3.17)
#> Total observed: 4559
#> Total expected: 1482.13
#> Total person-years: 39906
#>
#>
#> fot observed expected pyrs sir sir.lo sir.hi p_value
#> 1: 0 4264 1214.54 34445.96 3.51 3.41 3.62 0.000
#> 2: 10 295 267.59 5459.96 1.10 0.98 1.23 0.094
The survtab
function computes observed, net/relative and cause-specific survivals as well as cumulative incidence functions for Lexis
data. Any of the supported survival time functions can be easily adjusted by any number of categorical variables if needed.
One can also use survtab_ag
for aggregated data. This means the data does not have to be on the subject-level to compute survival time function estimates.
library(Epi)
data(sibr)
sire$cancer <- "rectal"
sibr$cancer <- "breast"
sr <- rbind(sire, sibr)
sr$cancer <- factor(sr$cancer)
sr <- sr[sr$dg_date < sr$ex_date, ]
sr$status <- factor(sr$status, levels = 0:2,
labels = c("alive", "canD", "othD"))
x <- Lexis(entry = list(FUT = 0, AGE = dg_age, CAL = get.yrs(dg_date)),
exit = list(CAL = get.yrs(ex_date)),
data = sr,
exit.status = status)
#> NOTE: entry.status has been set to "alive" for all.
st <- survtab(FUT ~ cancer, data = x,
breaks = list(FUT = seq(0, 5, 1/12)),
surv.type = "cif.obs")
st
#>
#> Call:
#> survtab(formula = FUT ~ cancer, data = x, breaks = list(FUT = seq(0, 5, 1/12)), surv.type = "cif.obs")
#>
#> Type arguments:
#> surv.type: cif.obs --- surv.method: hazard
#>
#> Confidence interval arguments:
#> level: 95 % --- transformation: log-log
#>
#> Totals:
#> person-time:62120 --- events: 5375
#>
#> Stratified by: 'cancer'
#> cancer Tstop surv.obs.lo surv.obs surv.obs.hi SE.surv.obs CIF_canD CIF_othD
#> 1: breast 2.5 0.8804 0.8870 0.8933 0.003290 0.0687 0.0442
#> 2: breast 5.0 0.7899 0.7986 0.8070 0.004368 0.1162 0.0852
#> 3: rectal 2.5 0.6250 0.6359 0.6465 0.005480 0.2981 0.0660
#> 4: rectal 5.0 0.5032 0.5148 0.5263 0.005901 0.3727 0.1125