addCov.Lexis {Epi}

Add covariates (typically clinical measurements) taken at known times to a Lexis object.

Description

When follow-up in a multistate model is represented in a Lexis object we may want to add information on covariates, for example clinical measurements, obtained at different times. This function cuts the follow-up time (see cutLexis) at the times of measurement and carries the measurements forward in time to the next measurement occasion.

Usage

## S3 method for class 'Lexis'
addCov(Lx,
                     clin,
                timescale = 1,
                    exnam,
                      tfc = "tfc", ...)

Arguments

Lx

A Lexis object with follow-up of a cohort.

clin

A data frame with covariates to add (typically clinical measurements). Must contain a variable lex.id identifying the persons represented in Lx, as well as a variable with the same name as one of the timeScales in Lx, identifying the time at which covariates are measured.

The times must be unique within each person; if not records with duplicate times are discarded, and a warning issued. This is done using duplicated, so not very well-defined, it is advisable that you do this by yourself.

timescale

Numerical or character. Number or name of a timescale in Lx. The clin data frame must have a variable of this name indicating the time at which the covariate measurements were taken.

exnam

Character. Name of the variable in clin with the examination names (such as wave1, wave2 etc.). Values may not be repeated within person and cannot be equal to any of levels(Lx). Will be carried over to the resulting Lexis object. If there is no such variable in clin it will be constructed; if the argument is omitted, a variable called exnam with values ex1, ex2 etc. will be constructed.

tfc

Character (time from last clinical visit). Name of the variable in the result which will contain the time since the most recent covariate date. It will be included among the timescales of the resulting Lexis object.

If the argument is omitted a variable called tfc will be constructed.

...

Arguments passed on. Ignored

Value

A Lexis object representing the same follow-up as Lx, with cuts added at the times of examination, and covariate measurements added for all records representing follow-up after the most recent time of measurement.

Also tfc is added as a time scale, it is however not a proper timescale since it is reset at every clinical examination. Therefor the value of the timeSince attribute is set to "X" in order to distinguish it from other proper time scales that either have an empty string or the name of a state.

Author(s)

Bendix Carstensen, [e-mail], http://bendixcarstensen.com

See Also

cutLexis, mcutLexis, splitLexis, Lexis

Examples

# A small bogus cohort
xcoh <- structure( list( id = c("A", "B", "C"),
                      birth = c("1952-07-14", "1954-04-01", "1987-06-10"),
                      entry = c("1965-08-04", "1972-09-08", "1991-12-23"),
                       exit = c("1997-06-27", "1995-05-23", "1998-07-24"),
                       fail = c(1, 0, 1) ),
                     .Names = c("id", "birth", "entry", "exit", "fail"),
                  row.names = c("1", "2", "3"),
                      class = "data.frame" )

# Convert the character dates into numerical variables (fractional years)
xcoh$bt <- cal.yr( xcoh$birth )
xcoh$en <- cal.yr( xcoh$entry )
xcoh$ex <- cal.yr( xcoh$exit  )

# Define as Lexis object with timescales calendar time and age
Lcoh <- Lexis( entry = list( per=en ),
                exit = list( per=ex, age=ex-bt ),
         exit.status = factor( fail, 0:1, c("Alive","Dead") ),
                data = xcoh )
str( Lcoh )
Lx <- Lcoh[,1:7]

# Data frame with clinical examination data, date of examination in per
clin <- data.frame(lex.id = c(1,1,3,2),
                      per = cal.yr(c("1977-4-7",
                                     "1971-7-1",
                                     "1996-2-15",
                                     "1990-7-3")),
                       bp = c(120,140,160,157),
                     chol = c(5,7,8,9),
                     xnam = c("X2","X1","X1","X2") )
Lx
clin
str(Lx)
str(clin)

# Different behavours when using exnam explicitly
addCov.Lexis( Lx, clin[,-5] )
addCov.Lexis( Lx, clin, exnam="xnam" )

# Works with time split BEFORE
Lb <- addCov.Lexis(splitLexis(Lx,
                              time.scale="age",
                              breaks=seq(0,80,5) ),
                   clin,
                   exnam="clX" )
Lb
# and also AFTER
La <- splitLexis(addCov.Lexis( Lx,
                             clin,
                            exnam = "xnam" ),
                 breaks=seq(0,80,5),
                 time.scale="age" )
La
La$tfc == Lb$tfc
La$age == Lb$age
str(La)
str(Lb)