A study was designed to assess the time to first exit-site infection (in months) in patients with renal insufficiency. In this study, 43 patients utilized a surgically placed catheter and 76 patients utilized a percutaneous placement of their catheter. See Section 1.4 (K&M) for more details. Data from this study is presented in Table 1.2. (a)    Give a sensible formulation for the time-to-event problem in this study. Define the event of interest, time origin, and time scale. (b)    What is the percentage of censored observations among patients whose catheter was placed surgically? (c)   The investigators are interested in testing if there is a difference in the time to cutaneous exit-site infection between patients whose catheter was placed surgically and patients who had their catheters placed percutaneously. Do you think you can answer this question using a two-sample t-test? Provide justifications for your answer. answer a,b, & c

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  1. A study was designed to assess the time to first exit-site infection (in months) in patients with renal insufficiency. In this study, 43 patients utilized a surgically placed catheter and 76 patients utilized a percutaneous placement of their catheter. See Section 1.4 (K&M) for more details. Data from this study is presented in Table 1.2.

(a)    Give a sensible formulation for the time-to-event problem in this study. Define the event of interest, time origin, and time scale.

(b)    What is the percentage of censored observations among patients whose catheter was placed surgically?

(c)   The investigators are interested in testing if there is a difference in the time to cutaneous exit-site infection between patients whose catheter was placed surgically and patients who had their catheters placed percutaneously. Do you think you can answer this question using a two-sample t-test? Provide justifications for your answer.

answer a,b, & c

In a study (Nahman et al., 1992) designed to assess the time to first exit-
site infection (in months) in patients with renal insufficiency, 43 patients
utilized a surgically placed catheter (Group 1), and 76 patients utilized
a percutaneous placement of their catheter (Group 2). Cutaneous exit-
site infection was defined as a painful cutaneous exit site and positive
cultures, or peritonitis, defined as a presence of clinical symptoms,
elevated peritoneal dialytic fluid, elevated white blood cell count (100
white blood cells/µl with >50% neutrophils), and positive peritoneal
dialytic fluid cultures. The data appears in Table 1.2.
TABLE 1.2
Times to infection (in months) of kidney dialysis patients with different catheter-
ization procedures
Surgically Placed Catheter
Infection Times: 1.5, 3.5, 4.5, 4.5, 5.5, 8.5, 8.5, 9.5, 10.5, 11.5, 15.5, 16.5, 18.5, 23.5, 26.5
Censored Observations: 2.5, 2.5, 3.5, 3.5, 3.5, 4.5, 5.5, 6.5, 6.5, 7.5, 7.5, 7.5, 7.5, 8.5, 9.5,
10.5, 11.5, 12.5, 12.5, 13.5, 14.5, 14.5, 21.5, 21.5, 22.5, 22.5, 25.5, 27.5
Percutaneous Placed Catheter
Infection Times: 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 2.5, 2.5, 3.5, 6.5, 15.5
Censored Observations: 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 1.5, 1.5, 1.5, 1.5, 2.5,
2.5, 2.5, 2.5, 2.5, 3.5, 3.5, 3.5, 3.5, 3.5, 4.5, 4.5, 4.5, 5.5, 5.5, 5.5, 5.5, 5.5, 6.5, 7.5, 7.5,
7.5, 8.5, 8.5, 8.5, 9.5, 9.5, 10.5, 10.5, 10.5, 11.5, 11.5, 12.5, 12.5, 12.5, 12.5, 14.5, 14.5,
16.5, 16.5, 18.5, 19.5, 19.5, 19.5, 20.5, 22.5, 24.5, 25.5, 26.5, 26.5, 28.5
Transcribed Image Text:In a study (Nahman et al., 1992) designed to assess the time to first exit- site infection (in months) in patients with renal insufficiency, 43 patients utilized a surgically placed catheter (Group 1), and 76 patients utilized a percutaneous placement of their catheter (Group 2). Cutaneous exit- site infection was defined as a painful cutaneous exit site and positive cultures, or peritonitis, defined as a presence of clinical symptoms, elevated peritoneal dialytic fluid, elevated white blood cell count (100 white blood cells/µl with >50% neutrophils), and positive peritoneal dialytic fluid cultures. The data appears in Table 1.2. TABLE 1.2 Times to infection (in months) of kidney dialysis patients with different catheter- ization procedures Surgically Placed Catheter Infection Times: 1.5, 3.5, 4.5, 4.5, 5.5, 8.5, 8.5, 9.5, 10.5, 11.5, 15.5, 16.5, 18.5, 23.5, 26.5 Censored Observations: 2.5, 2.5, 3.5, 3.5, 3.5, 4.5, 5.5, 6.5, 6.5, 7.5, 7.5, 7.5, 7.5, 8.5, 9.5, 10.5, 11.5, 12.5, 12.5, 13.5, 14.5, 14.5, 21.5, 21.5, 22.5, 22.5, 25.5, 27.5 Percutaneous Placed Catheter Infection Times: 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 2.5, 2.5, 3.5, 6.5, 15.5 Censored Observations: 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 0.5, 1.5, 1.5, 1.5, 1.5, 2.5, 2.5, 2.5, 2.5, 2.5, 3.5, 3.5, 3.5, 3.5, 3.5, 4.5, 4.5, 4.5, 5.5, 5.5, 5.5, 5.5, 5.5, 6.5, 7.5, 7.5, 7.5, 8.5, 8.5, 8.5, 9.5, 9.5, 10.5, 10.5, 10.5, 11.5, 11.5, 12.5, 12.5, 12.5, 12.5, 14.5, 14.5, 16.5, 16.5, 18.5, 19.5, 19.5, 19.5, 20.5, 22.5, 24.5, 25.5, 26.5, 26.5, 28.5
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