---
title: "Analysis of multivariate survival data"
author: Klaus Holst & Thomas Scheike
date: "`r Sys.Date()`"
output:
  rmarkdown::html_vignette:
    fig_caption: yes
    fig_width: 7.15
    fig_height: 5.5 
vignette: >
  %\VignetteIndexEntry{Analysis of multivariate survival data} 
  %\VignetteEngine{knitr::rmarkdown}
  %\VignetteEncoding{UTF-8}
---

```{r, include = FALSE}
knitr::opts_chunk$set(
  collapse = TRUE,
  dpi=50,
  fig.width=7.15, fig.height=5.5,
  out.width="600px",
  fig.retina=1,
  comment = "#>"
)
library(mets)
```

Overview 
==========

When looking at multivariate survival data with the aim of learning about the 
dependence that is present, possibly after correcting for some covariates 
different approaches are available in the mets package  

   *  Binary models and adjust for censoring with inverse probabilty of  censoring weighting
      - biprobit  model

   *  Bivariate surival models of Clayton-Oakes type
      + With regression structure on dependence parameter 
      + With additive gamma distributed random effects
      + Special functionality for polygenic random effects modelling 
        such as ACE, ADE ,AE and so forth.

   *  Plackett OR model model 
      + With regression structure on OR dependence parameter 

   * Cluster stratified Cox 


Typically it can be hard or impossible to specify random effects models with special 
structure among the parameters of the random effects. This is possible for 
our specification of the random effects models.

To be concrete about the model structure assume that we have paired survival 
data $(T_1, \delta_1, T_2, \delta_2,  X_1, X_2)$ where the censored 
survival responses are $(T_1, \delta_1, T_2, \delta_2)$ and the 
covariates are  $(X_1, X_2)$.

The basic models assumes that each subject has a marginal on Cox-form
$$ 
\lambda_{s(k,i)}(t) \exp( X_{ki}^T \beta)
$$ 
where $s(k,i)$ is a strata variable. 


The constructed likelihood is a composite likehood based on 

  * all pairs within each cluster (when the pairs argument is not used) 

  * the specified pairs when the pairs argument is used. 


In addition to the clusters specified for the construction of the composite likelihood these 
can be added further summed using the se.clusters argument that sums the influence functions over 
the se.clusters. When se.clusters are not specified it is the same as the cluster argument. 

When the clusters of the dependence parametaters are the same as those of the marginal model and the
phreg function is used then the standard errors are corrected for the uncertainty from the marginal models, otherwise
the returned standard errors are computed as if the marginals are known. 




Gamma distributed frailties 
==========================

The focus of this vignette is describe how to work on bivariate survival data using the
addtive gamma-random effects models. We present two different ways of specifying 
different dependence structures. 

* Univariate models with a single random effect for each cluster and with 
  a regression design on the variance. 

* Multivariate models with multiple random effects for each cluster. 

The univariate models are 
then given a given cluster random effects $Z_k$ with
parameter $\theta$ the joint survival function is given by the Clayton copula 
and on the form
$$ 
  \psi(\theta, \psi^{-1}(\theta,S_1(t,X_{k1}) ) + \psi^{-1}(\theta, S_1(t,X_{k1}) ) 
$$
where $\psi$ is the Laplace transform of a gamma distributed random
variable with mean 1 and variance $\theta$.

We then model the variance within clusters by a cluster specific 
regression design  such that 
$$ 
  \theta = h(z_j^T \alpha)
$$
where $z$ is the regression design (specified by theta.des  in the software), 
and $h$ is link function, that is either $exp$ or the identity. 

This model  can be fitted using a pairwise likelihood or the pseudo-likelihood
using either

 * twostage

 * twostageMLE

 To make the twostage approach possible we need a model with specific structure for the
 marginals.  Therefore given the 
random effect of the clusters the survival distributions within a cluster 
are independent and on the form 
$$ 
 P(T_j > t| X_j,Z) = exp( -Z \cdot \Psi^{-1}(\nu^{-1},S(t|X_j)) )  
$$
with $\Psi$ the laplace of the gamma distribution with mean 1 and variance $1/\nu$.


Additive Gamma frailties 
========================

For the multivariate models we are given a multivarite random effect each cluster
$Z=(Z_1,...,Z_d)$ with d random effects. 
The total random effect for each subject $j$ in  a cluster is then specified using a 
regression design on these random effects, with a regression vector
$V_j$ such that the total random effect is 
  $V_j^T (Z_1,...,Z_d)$.  The elements of $V_J$ are 1/0. 
The 
random effects $(Z_1,...,Z_d)$ has associated parameters $(\lambda_1,...,\lambda_d)$ 
and  $Z_j$ is Gamma distributed with 

  * mean $\lambda_j/V_1^T \lambda$

  * variance $\lambda_j/(V_1^T \lambda)^2$
	       
The key assumption to make the two-stage fitting possible is that
\begin{align*}
   \nu =V_j^T \lambda
\end{align*}
is constant within clusters.  The consequence of this is that 
the total random effect for each subject within a cluster, 
$V_j^T (Z_1,...,Z_d)$, is gamma distributed with variance $1/\nu$. 

The DEFAULT parametrization (var.par=1) uses the variances of the random effecs 
\begin{align*}
 \theta_j  = \lambda_j/\nu^2
\end{align*}
 For alternative parametrizations one can specify that the parameters are  $\theta_j=\lambda_j$ with the argument var.par=0.

 Finally the parameters $(\theta_1,...,\theta_d)$ are related to the parameters 
 of the model by a regression construction $M$ (d x k), that links the $d$
 $\theta$  parameters with the $k$ underlying $\alpha$ parameters 
\begin{align*}
 \theta & = M  \alpha. 
\end{align*}
 The default is a diagonal matrix for $M$. 
 This can be used to make structural assumptions about the variances of the random-effects 
 as is needed for the ACE model for example. In the software $ M $ is called theta.des


Assume that the marginal survival distribution for subject $i$ within cluster $k$ is given
by $S_{X_{k,i}}(t)$ given covariates $X_{k,i}$. 

Now given the random effects of the cluster $Z_k$ and the covariates$X_{k,i}$ $i=1,\dots,n_k$ 
we assume that subjects within the cluster are independent with survival distributions 
\begin{align*}
  \exp(-  ( V_{k,i} Z_k)  \Psi^{-1} (\nu,S_{X_{k,i}}(t)) ).
\end{align*}

A consequence of this is that the hazards given the covariates $X_{k,i}$ and the random effects $Z_k$
are given by
\begin{align}
  \lambda_{k,i}(t;X_{k,i},Z_{k,i}) = ( V_{k,i} V_k) D_3 \Psi^{-1} (\nu,S_{X_{k,i}}(t))  D_t S_{X_{k,i}}(t) 
  \label{eq-cond-haz}
\end{align}
where $D_t$ and $D_3$ denotes the partial derivatives with respect to $t$ and the third argument, respectively. 

Further, we can express the multivariate survival distribution as 
\begin{align}
  S(t_1,\dots,t_m) & =  \exp( -\sum_{i=1}^m (V_i Z) \Psi^{-1}(\eta_l,\nu_l,S_{X_{k,i}}(t_i)) )  \nonumber \\
  & =  \prod_{l=1}^p  \Psi(\eta_l,\eta , \sum_{i=1}^m Q_{k,i} \Psi^{-1}(\eta,\eta,S_{X_{k,i}}(t_i))).
  \label{eq-multivariate-surv}
\end{align}
In the case of considering just pairs, we write this function as $C(S_{k,i}(t),S_{k,j}(t))$.

In addition to survival times from this model, we assume that we independent right censoring present 
$U_{k,i}$ such that the given $V_k$ and the covariates$X_{k,i}$ $i=1,\dots,n_k$ $(U_{k,1},\dots,U_{k,n_k})$
of $(T_{k,1},\dots,T_{k,n_k})$, and the conditional censoring distribution do not depend on $V_k$.

One consequence of the model strucure is that the Kendall's can be computed for 
two-subjects $(i,j)$ across two clusters ``1'' and ``2'' as
\begin{align}
E( \frac{( V_{1i} Z_1-  V_{1j}Z_2)( V_{2i}Z_1 -  V_{2j}Z_2 )}{( V_{1i}Z_1 + V_{2i}Z_2 ) ( V_{1j}Z_1 + V_{2j}Z_2 )} ) 
\end{align}
under the assumption that that we compare pairs with equivalent marginals, 
$S_{X_{1,i}}(t)= S_{X_{2,i}}(t)$ and $S_{X_{1,j}}(t)= S_{X_{2,j}}(t)$, 
and that $S_{X_{1,i}}(\infty)= S_{X_{1,j}}(\infty)=0$. 
Here we also use that $\eta$ is the same across clusters.
The Kendall's tau would be the same for \eqref{frailty-model} due to the same additive structure for the 
frailty terms, and the random effects thus have the same interpretation in terms of Kendall's tau.  


Univariate gamma (clayton-oakes) model twostage models 
=======================================================

We start by fitting simple Clayton-Oakes models for the data, that is
with an overall random effect that is Gamma distrubuted with variance
$\theta$. We can fit the model by a pseudo-MLE (twostageMLE)
and a pairwise composite likelihood approach (twostage). 

The pseudo-liklihood and the composite pairwise likelhood should give 
the same for this model since we have paired data. 
In addition the log-parametrization is illustrated with the 
var.link=1 option. 
In addition it is specified that we want a "clayton.oakes" model. 
We note that the standard errors differs because the twostage does not
include the variance due to the baseline parameters for this type of
modelling, so here it is better to use the twostageMLE. 


```{r}
 library(mets)
 data(diabetes)
 set.seed(100)
 
 # Marginal Cox model  with treat as covariate
 margph <- phreg(Surv(time,status)~treat+cluster(id),data=diabetes)
 # Clayton-Oakes, MLE 
 fitco1<-twostageMLE(margph,data=diabetes,theta=1.0)
 summary(fitco1)
 
 # Clayton-Oakes
 fitco2 <- survival.twostage(margph,data=diabetes,theta=0.0,
                  clusters=diabetes$id,var.link=1,model="clayton.oakes")
 summary(fitco2)
 fitco3 <- survival.twostage(margph,data=diabetes,theta=1.0,
                  clusters=diabetes$id,var.link=0,model="clayton.oakes")
 summary(fitco3)
```

Note, the standard errors are slightly different when comparing 
fitco1 with fitco3 since the survival.twostage uses numerical 
derivatives for the hessian and the derivative in the 
direction of the marginal model. 

The marginal models can be either structured Cox model or as here 
with a baseline for each strata. This gives quite similar results to those
before. 

```{r}
  # without covariates but marginal model stratified 
  marg <- phreg(Surv(time,status)~+strata(treat)+cluster(id),data=diabetes)
 fitco<-twostageMLE(marg,data=diabetes,theta=1.0)
 summary(fitco)

  fitcoa <- survival.twostage(marg,data=diabetes,theta=1.0,clusters=diabetes$id,
		   model="clayton.oakes",var.link=0)
  summary(fitcoa)
```

Piecewise constant Clayton-Oakes model 
=========================================

Let the cross-hazard ratio (CHR) be defined as 
\begin{align}
  \eta(t_1,t_2) =  \frac{ \lambda_1(t_1| T_2=t_2)}{ \lambda_1(t_1| T_2 \ge t_2)}
  =  \frac{ \lambda_2(t_2| T_1=t_1)}{ \lambda_2(t_2| T_1 \ge t_1)}
\end{align}
where $\lambda_1$ and $\lambda_2$ are the conditional hazard functions
of $T_1$ and $T_2$ given covariates.  For the Clayton-Oakes model this
ratio is $\eta(t_1,t_2) = 1+\theta$, and as a consequence we see that
if the co-twin is dead at any time we would increase our risk
assessment on the hazard scale with the constant $\eta(t_1,t_2)$. The
Clayton-Oakes model also has the nice property that Kendall's tau is
linked directly to the dependence parameter $\theta$ and is $1/(1+2/\theta)$.

A very useful extension of the model the constant 
cross-hazard ratio (CHR) model is the 
piecewise constant cross-hazard ratio (CHR) for bivariate survival
data \cite{nan2006piecewise}, and this model was extended to competing
risks in \cite{shih2010modeling}. 

In the survival setting we let the CHR 
\begin{align}
  \eta(t_1,t_2) & = \sum \eta_{i,j} I(t_1 \in I_i, t_2 \in I_j)
\end{align}

The model lets the CHR by constant in different part of the plane. This can be thought of also 
as having a separate
Clayton-Oakes model for each of the regions specified in the plane here by
the cut-points $c(0,0.5,2)$ thus defining 9 regions. 

This provides a constructive goodness of fit test for the whether the Clayton-Oakes model
is valid. Indeed if valid the parameter should be the same in all regions. 

First we generate some data from the Clayton-Oakes model with variance $0.5$ and 2000 pairs.
And fit the related model. 

```{r}
 d <- simClaytonOakes(200,2,0.5,0,3)
  margph <- phreg(Surv(time,status)~x+cluster(cluster),data=d)
 # Clayton-Oakes, MLE 
 fitco1<-twostageMLE(margph,data=d)
 summary(fitco1)
```

 Now we cut the region at the cut-points 
$c(0,0.5,2)$ thus defining 9 regions and fit a separate model for each region.  
We see that the parameter is indeed rather constant over the 9 regions. A formal 
test can be constructed. 

```{r}
 udp <- piecewise.twostage(c(0,0.5,2),data=d,id="cluster",timevar="time",status="status",model="clayton.oakes",silent=0)
 summary(udp)
```

Multivariate gamma twostage models 
===================================

To illustrate how the multivariate models can be used, we first set 
up some twin data with ACE structure. That is two shared random effects,
one being the genes $\sigma_g^2$ and one the environmental effect
$\sigma_e^2$. Monozygotic twins share all genes whereas the dizygotic 
twins only share half the genes. This can be expressed via 5 random effect for
each twin pair (for example). We start by setting this up. 


 The pardes matrix tells how the the parameters of the 5 random effects are 
 related, and the matrix her first has one random effect with parameter
 $\theta_1$ (here the $\sigma_g^2$ ), then the next 3 random effects have
 parameters $0.5 \theta_1$ (here $0.5 \sigma_g^2$ ), and the last 
random effect that is given by its own parameter $\theta_2$ (here $\sigma_e^2$ ).

```{r}
 data <- simClaytonOakes.twin.ace(200,2,1,0,3)

 out <- twin.polygen.design(data,id="cluster",zyg="DZ",zygname="zyg",type="ace")
 pardes <- out$pardes
 pardes 
```

 The last part of the model structure is to decide how the random effects
 are shared for the different pairs (MZ and DZ), this is specfied by
 the random effects design ($V_1$ and $V_2$) for each pair. 
 This is here specified by an overall designmatrix for each subject 
 (since they enter all pairs with the same random effects design).

 For an MZ pair the two share the full gene random effect and the full
 environmental random effect. In contrast the DZ pairs share the 
 2nd random effect with half the gene-variance and have both a non-shared
 gene-random effect with half the variance, and finally a fully shared 
 environmental random effect. 

```{r}
 des.rv <- out$des.rv
 # MZ
 head(des.rv,2)
 # DZ 
 tail(des.rv,2)
```

 Now we call the twostage function. We see that we essentially recover the true values, and
 note that the output also compares the sizes of the genetic and environmental random effect. 
 This number is sometimes called the heritability.  In addition the total variance for each
 subject is also computed and is here around $3$, as we indeed constructed.

```{r}
### data <- simClaytonOakes.twin.ace(2000,2,1,0,3)
### out <- twin.polygen.design(data,id="cluster",zyg="DZ",zygname="zyg",type="ace")
 aa <- phreg(Surv(time,status)~x+cluster(cluster),data=data)
 ts <- twostage(aa,data=data,clusters=data$cluster,
      theta=c(2,1),var.link=0,random.design=out$des.rv,theta.des=out$pardes)
 summary(ts)
```

 - A nice feature of the procdure is that it scales linearly in the number of observations
    - 1 mill pairs had a running time of around 100 seconds. 

```{r}
run <- 0
if (run==1) {
 data <- simClaytonOakes.twin.ace(1000000,2,1,0,3)

 out <- twin.polygen.design(data,id="cluster",zyg="DZ",zygname="zyg",type="ace")
 pardes <- out$pardes
 aa <- phreg(Surv(time,status)~x+cluster(cluster),data=data)
 system.time(
 ts <- twostage(aa,data=data,clusters=data$cluster,
      theta=c(2,1),var.link=0,random.design=out$des.rv,theta.des=out$pardes)
 )
 summary(ts)
}
```

The estimates can be transformed into Kendall's tau estimates for MZ and DZ twins. The Kendall's tau
in the above output reflects how  a gamma distributed random effect in the normal Clayton-Oakes model
is related to the Kendall's tau. In this setting the Kendall's of MZ and DZ, however, should reflect 
both random effects. 

We do this based on simulations. The Kendall's tau of the MZ is around 0.60, and for 
DZ around 0.33. Both are quite high and this is due to a large shared environmental 
effect and large genetic effect. 

```{r}
kendall.ClaytonOakes.twin.ace(ts$theta[1],ts$theta[2],K=10000) 
```

Family data 
=============

For family data, things are quite similar since we use only the pairwise structure. 
We show  how the designs are specified. 

First we simulate data from an ACE model.  2000 families with two-parents that share
only the environment, and two-children that share genes with their parents. 

```{r}
library(mets)
set.seed(1000)
data <- simClaytonOakes.family.ace(200,2,1,0,3)
head(data)
data$number <- c(1,2,3,4)
data$child <- 1*(data$number==3)
```

To set up the random effects some functions can be used. We here set up the ACE model
that has 9 random effects with one shared environmental effect (the last random effect) and
4 genetic random effects for each parent, with variance $\sigma_g^2/4$. 

The random effect is again set-up with an overall designmatrix because it is again the same for
each subject for all comparisons across family members.  We below demonstrate how the model can 
be specified in various other ways. 

Each child share 2 genetic random effects with each parent, and also share 2 genetic random effects
with his/her sibling.

```{r}
out <- ace.family.design(data,member="type",id="cluster")
out$pardes
head(out$des.rv,4)
```

Then we fit the model 

```{r}
pa <- phreg(Surv(time,status)~+1+cluster(cluster),data=data)

# make ace random effects design
ts <- twostage(pa,data=data,clusters=data$cluster,var.par=1,var.link=0,theta=c(2,1),
        random.design=out$des.rv,theta.des=out$pardes)
summary(ts)
```

The model can also be fitted by specifying the pairs that 
one wants for the pairwise likelhood. This is done by
specifying the pairs argument.  We start by considering all pairs as we also did before. 

All pairs can be written up by calling the familycluster.index
function. 

There are xx pairs to consider, and the first 6 pairs for the first family 
is written out here. 

```{r}
# now specify fitting via specific pairs 
# first all pairs 
mm <- familycluster.index(data$cluster)
head(mm$familypairindex,n=12)
pairs <- matrix(mm$familypairindex,ncol=2,byrow=TRUE)
head(pairs,n=6)
```

Then fitting the model using only specified pairs

```{r}
ts <- twostage(pa,data=data,clusters=data$cluster, theta=c(2,1),var.link=0,step=1.0,
        random.design=out$des.rv, theta.des=out$pardes,pairs=pairs)
summary(ts)
```

Now we only use a random sample of the pairs by sampling these.  The pairs
picked still refers to the data given in the data argument, and clusters (families)
are also specified as before. 

```{r}
ssid <- sort(sample(1:nrow(pairs),200))
tsd <- twostage(pa,data=data,clusters=data$cluster,
    theta=c(2,1)/10,var.link=0,random.design=out$des.rv,
   theta.des=out$pardes,pairs=pairs[ssid,])
summary(tsd)
```

Sometimes one only has the data from the pairs in addition to for example 
a cohort estimate of the marginal surival models. We now demonstrate how this 
is dealt with. Everything is essentially as before but need to organize the 
design differently compared to before we specified the design  
for everybody in the cohort.  In addition we do not here bring in the
uncertainty from the baseline in the estimates, even though this is
formally possible, but when the data of the marginal model and twostage data
are not the same, we have to specify that we do not want the
decomposition for the uncertainty due to the baseline (baseline.iid=0). 

```{r}
ids <- sort(unique(c(pairs[ssid,])))

pairsids <- c(pairs[ssid,])
pair.new <- matrix(fast.approx(ids,c(pairs[ssid,])),ncol=2)
head(pair.new)

# this requires that pair.new refers to id's in dataid (survival, status and so forth)
# random.design and theta.des are constructed to be the array 3 dims via individual specfication from ace.family.design
dataid <- dsort(data[ids,],"cluster")
outid <- ace.family.design(dataid,member="type",id="cluster")
outid$pardes
head(outid$des.rv)
```

Now fitting the model using only the pair data. 

```{r}
tsdid <- twostage(pa,data=dataid,clusters=dataid$cluster,theta=c(2,1)/10,var.link=0,baseline.iid=0,
          random.design=outid$des.rv,theta.des=outid$pardes,pairs=pair.new)
summary(tsdid)

paid <- phreg(Surv(time,status)~+1+cluster(cluster),data=dataid)
tsdidb <- twostage(paid,data=dataid,clusters=dataid$cluster,theta=c(2,1)/10,
  var.link=0,random.design=outid$des.rv,theta.des=outid$pardes,pairs=pair.new)
summary(tsdidb)
coef(tsdid)
```

Estimates changed because we used either the marginal from the full-data, in which case 
the standard errors did not reflect the uncertainty from the baseline, or the marginal estimated 
from only the sub-sample in which case the marginals were slightly different.  


Pairwise specification of random effects and variances 
--------------------------------------------------------

Now we illustrate how one can also directly specify the random.design and
theta.design for each pair, rather than taking an overall specification that
can be used for the whole family via the rows of the des.rv for the
relevant pairs.  This can be much simpler in some situations. 

```{r}
pair.types <-  matrix(dataid[c(t(pair.new)),"type"],byrow=T,ncol=2)
head(pair.new)
head(pair.types)

theta.des  <- rbind( c(rbind(c(1,0),c(1,0),c(0,1),c(0,0))),
		c(rbind(c(0.5,0),c(0.5,0),c(0.5,0),c(0,1))))
random.des <- rbind( 
        c(1,0,1,0),c(0,1,1,0),
        c(1,1,0,1),c(1,0,1,1))
mf <- 1*(pair.types[,1]=="mother" & pair.types[,2]=="father")
##          pair, rv related to pairs,  theta.des related to pair 
pairs.new <- cbind(pair.new,(mf==1)*1+(mf==0)*3,(mf==1)*2+(mf==0)*4,(mf==1)*1+(mf==0)*2,(mf==1)*3+(mf==0)*4)
```

pairs.new is matix with 

 * columns 1:2 giving the indeces of the  data points

 * columns 3:4 giving the indeces of the random.design for the different pairs

 * columns 5 giving the indeces of the theta.des written as rows 

 * columns 6 giving the number of random variables for this pair


Looking at the first three rows. We see that the composite likehood is based on data-points (1,2),
(3,4) and (5,6), these are  (mother, father), (mother, child), and (father, child), respectively. 


```{r}
head(pairs.new[1:3,])
head(dataid)
```

The random effects for these are specified from random effects with design read from the random.design, using
the rows (1,2), (3,4) and (3,4), respecively, and with random effects that have variances given by 
theta.des rows, 1,2, and 2 respectively in the three cases. 
For the first pair (1,2), the random vectors and their variances are given by, 
(mother, father) pair, 

```{r}
random.des[1,]
random.des[2,]
matrix(theta.des[1,],4,2)
```
thus sharing only the third random effect with variance $\sigma_e^2$ and
having two non-shared random effects with variances $\sigma_g^2$, and finally
a last 4th random effect with variance $0$ that thus could have been omitted. 


The length of all rows of theta.des
are the maximum number of random effects $\times$ the number of parameters. 
These two numbers are given in the call. In this case 4 $\times$ 2. 
So theta.des has rows of length $8$, possibly including some 0's for rows
not relevant due to fewer random effects, as is the case here for pairs 
that do not share genetic effects.


Now considering the parent and their child, they are 
thus sharing the first random effect with variance $0.5 \sigma_g^2$ then there are 
two non-shared random effects with variances $0.5 \sigma_g^2$, and finally a shared 
environment with variance $\sigma_e^2$. 

```{r}
head(dataid)
matrix(theta.des[2,],4,2)
random.des[3,]
random.des[4,]
```

And fitting again the same model as before 

```{r}
tsdid2 <- twostage(pa,data=dataid,clusters=dataid$cluster,
       theta=c(2,1)/10,var.link=0,step=1.0,random.design=random.des,
       baseline.iid=0, theta.des=theta.des,pairs=pairs.new,dim.theta=2)
summary(tsdid2)
tsd$theta
tsdid2$theta
tsdid$theta
```

Finally the same model structure can be setup based on a Kinship coefficient. 

```{r}
kinship  <- rep(0.5,nrow(pair.types))
kinship[pair.types[,1]=="mother" & pair.types[,2]=="father"] <- 0
head(kinship,n=10)

out <- make.pairwise.design(pair.new,kinship,type="ace") 
```

Same output as before 

```{r}
tsdid3 <- twostage(pa,data=dataid,clusters=dataid$cluster,
   theta=c(2,1)/10,var.link=0,step=1.0,random.design=out$random.design,
   baseline.iid=0,theta.des=out$theta.des,pairs=out$new.pairs,dim.theta=2)
summary(tsdid3)
tsdid2$theta
tsdid$theta
```

Now fitting the AE model without the "C" component for shared environment: 

```{r}
outae <- make.pairwise.design(pair.new,kinship,type="ae") 
tsdid4 <- twostage(pa,data=dataid,clusters=dataid$cluster,
   theta=c(2,1)/10,var.link=0,random.design=outae$random.design,
   baseline.iid=0,theta.des=outae$theta.des,pairs=outae$new.pairs,dim.theta=1)
summary(tsdid4)
```


Pairwise dependence modelling 
------------------------------

We now illustate how to estimate all pairwise associations between different
family-members using the twostage function. They key is specify the pairs for
the composite likelihood directly  and then the associated design-matrix
directly.  This needs to be done looking at both subjects in the pairs, and the
design therefore follows the pairs and is a matrix where its row is given as
the third column in the pairs argument. 

First we get the pairs to be considered


```{r}
library(mets)
set.seed(1000)
data <- simClaytonOakes.family.ace(200,2,1,0,3)
head(data)
data$number <- c(1,2,3,4)
data$child <- 1*(data$number==3)

mm <- familycluster.index(data$cluster)
head(mm$familypairindex,n=20)
pairs <- mm$pairs
dim(pairs)
head(pairs,12)
```

Now we construct the design matrix related to the pairs 

```{r}
 dtypes <- interaction( data[pairs[,1],"type"], data[pairs[,2],"type"])
 dtypes <- droplevels(dtypes)
 table(dtypes)
 dm <- model.matrix(~-1+factor(dtypes))
 head(dm)
```

Then we fit the model: 

```{r}
pa <- phreg(Surv(time,status)~cluster(cluster),data)

tsp <- twostage(pa,data=data,theta.des=dm,pairs=cbind(pairs,1:nrow(dm)),se.clusters=data$clust)
summary(tsp)
```

We note that mother-father have the smallest correlation since they only share the environmental random effect, whereas
other pairs have a similar correlation (in fact the same due to the way the data was simulated) consisting of 
half the genetic effect and the environmental effect that was also shared. 


Univariate plackett model twostage models 
============================================

The copula known as the Plackett distribution, see \cite{plackett1965,anderson1992time,ghosh2006sjs}, is on the form
\begin{align}
  C(u,v; \theta) =
  \begin{cases}
    \frac{ S - (S^2 - 4 u v \theta (\theta-a))}{2 (\theta -1)} & \mbox{ if } \theta \ne 1 \\
    u v & \mbox{ if } \theta = 1
  \end{cases}
\end{align}
with $S=1+(\theta-1) (u + v)$.  With marginals $S_i$ we now define the
bivariate survival function as $C(u_1,u_2)=H(S_1(t_1),S_2(t_2))$ with
$u_i=S_i(t_i)$.

The dependence parameter $\theta$ has the nice interpretation that the
it is equivalent to the odds-ratio of all $2 \times 2$ tables for
surviving past any cut of the plane $(t_1,t_2)$, that is
$$
\theta = \frac{ P(T_1 > t_1 | T_2 >t_2) P(T_1 \leq t_1 | T_2>t_2) }{P(T_1 > t_1 | T_2 \leq t_2) P(T_1 \leq t_1 | T_2 \leq t_2 ) }.
$$

One additional nice feature of the odds-ratio measure it that it is
directly linked to the Spearman correlation, $\rho$, that can be
computed as
\begin{align}
  \frac{\theta+1}{\theta -1} - \frac{2 \theta}{(\theta-1)^2} \log(\theta)
\end{align}
when $\theta \ne 1$, if $\theta=1$ then $\rho=0$.


This model has a more free parameter than the Clayton-Oakes model. 

```{r}
 library(mets)
 data(diabetes)
 
 # Marginal Cox model  with treat as covariate
 margph <- phreg(Surv(time,status)~treat+cluster(id),data=diabetes)
 # Clayton-Oakes, MLE 
 fitco1<-twostageMLE(margph,data=diabetes,theta=1.0)
 summary(fitco1)
 
 # Plackett model
 mph <- phreg(Surv(time,status)~treat+cluster(id),data=diabetes)
 fitp <- survival.twostage(mph,data=diabetes,theta=3.0,
                clusters=diabetes$id,var.link=1,model="plackett")
 summary(fitp)
 
 # without covariates but with stratafied 
 marg <- phreg(Surv(time,status)~+strata(treat)+cluster(id),data=diabetes)
 fitpa <- survival.twostage(marg,data=diabetes,theta=1.0,
                 clusters=diabetes$id)
 summary(fitpa)
 
 fitcoa <- survival.twostage(marg,data=diabetes,theta=1.0,clusters=diabetes$id,
                  model="clayton.oakes")
 summary(fitcoa)
```
 
 With a regression design 

```{r}
 mm <- model.matrix(~-1+factor(adult),diabetes)
 fitp <- survival.twostage(mph,data=diabetes,theta=3.0,Nit=40,
                clusters=diabetes$id,var.link=1,model="plackett",
		theta.des=mm)
 summary(fitp)
```
 
```{r}
 # Piecewise constant cross hazards ratio modelling

 d <- subset(simClaytonOakes(2000,2,0.5,0,stoptime=2,left=0),!truncated)
 udp <- piecewise.twostage(c(0,0.5,2),data=d,id="cluster",timevar="time",
                           status="status",model="plackett",silent=0)
 summary(udp)
```


SessionInfo
============

```{r}
sessionInfo()
```
