Physician performance is critical to caring for patients admitted to the intensive care unit (ICU), who are in life-threatening situations and require high level medical care and interventions. Evaluating physicians is crucial for ensuring a high standard of medical care and fostering continuous performance improvement. The non-randomized nature of ICU data often results in imbalance in patient covariates across physician groups, making direct comparisons of the patients’ survival probabilities for each physician misleading. In this article, we utilize the propensity weighting method to address confounding, achieve covariates balance, and assess physician effects. Due to possible model misspecification, we compare the performance of the propensity weighting methods using both parametric models and super learning methods. When the generalized propensity or the quality function is not correctly specified within the parametric propensity weighting framework, super learning-based propensity weighting methods yield more efficient estimators. We demonstrate that utilizing propensity weighting offers an effective way to assess physician performance, a topic of considerable interest to hospital administrators.
Abstract: A new extension of the generalized gamma distribution with six parameter called the Kummer beta generalized gamma distribution is introduced and studied. It contains at least 28 special models such as the beta generalized gamma, beta Weibull, beta exponential, generalized gamma, Weibull and gamma distributions and thus could be a better model for analyzing positive skewed data. The new density function can be expressed as a linear combination of generalized gamma densities. Various mathematical properties of the new distribution including explicit expressions for the ordinary and incomplete moments, generating function, mean deviations, entropy, density function of the order statistics and their moments are derived. The elements of the observed information matrix are provided. We discuss the method of maximum likelihood and a Bayesian approach to fit the model parameters. The superiority of the new model is illustrated by means of three real data sets.
We introduce the four-parameter Kumaraswamy Gompertz distribution. We obtain the moments, generating and quantilefunctions, Shannon and Rényi entropies, mean deviations and Bonferroni and Lorenz curves. We provide a mixture representation for the density function of the order statistics. We discuss the estimation of the model parameters by maximum likelihood. We provide an application a real data set that illustrates the usefulness of the new model.
Abstract: The generalized gamma model has been used in several applied areas such as engineering, economics and survival analysis. We provide an extension of this model called the transmuted generalized gamma distribution, which includes as special cases some lifetime distributions. The proposed density function can be represented as a mixture of generalized gamma densities. Some mathematical properties of the new model such as the moments, generating function, mean deviations and Bonferroni and Lorenz curves are provided. We estimate the model parameters using maximum likelihood. We prove that the proposed distribution can be a competitive model in lifetime applications by means of a real data set.
Abstract: In this paper, we propose a flexible cure rate survival model by as suming that the number of competing causes of the event of interest follows the negative binomial distribution and the time to event follows a generalized gamma distribution. We define the negative binomial-generalized gamma distribution, which can be used to model survival data. The new model in cludes as special cases some of the well-known cure rate models discussed in the literature. We consider a frequentist analysis and nonparametric boot strap for parameter estimation of a negative binomial-generalized gamma regression model with cure rate. Then, we derive the appropriate matri ces for assessing local influence on the parameter estimates under different perturbation schemes and present some ways to perform global influence analysis. Finally, we analyze a real data set from the medical area.