D53: landmark on baseline covariates (month-5 version as landmark_m5), NCO-1 depends on PVI-free severity, physician-cluster bootstrap script

Co-Authored-By: Claude Opus 5.5 <[email protected]>
This commit is contained in:
2026-10-28 07:20:32 -04:00
co-authored by Claude Opus 5.5
parent fbc417662c
commit 5304c89316
10 changed files with 86 additions and 18 deletions
+8 -3
View File
@@ -127,12 +127,14 @@ simulate_course <- function(pop, par, pol = policy("natural"), seed = 1L, record
lp_rr0 <- rr$intercept + rr$skill * pat$skill + rr$style * pat$style
lp_nco1 <- nc$nco1$intercept + nc$nco1$frailty * pat$frailty + nc$nco1$smoking * pat$smoking_true +
nc$nco1$age10 * a10
nco1_z <- if (is.null(nc$nco1$z)) 0 else nc$nco1$z
lp_nco2 <- nc$nco2$intercept + nc$nco2$style * pat$style + nc$nco2$venous * pat$venous
lp_nce <- nc$nce$intercept + nc$nce$style * pat$style + nc$nce$frailty * pat$frailty
kappa_post <- ef$kappa * exp(-ef$skill_kappa * pat$skill)
# state
Z <- pat$z0
Zn <- pat$z0 # severity on the natural course without any PVI (relief or kappa): drives NCO-1 (D53)
alive <- rep(TRUE, N); treated <- rep(FALSE, N); clti_true <- rep(FALSE, N)
clti_code <- rep(FALSE, N); male <- rep(FALSE, N)
t_pvi <- t_clti_true <- t_clti_code <- t_amp <- t_bypass <- t_rr <- t_male <- t_death <-
@@ -147,8 +149,11 @@ simulate_course <- function(pop, par, pol = policy("natural"), seed = 1L, record
for (t in 0:(M - 1)) {
U <- matrix(runif(N * ns), N, ns, dimnames = list(NULL, STREAMS))
a <- alive
if (t > 0) Z[a] <- Z[a] + pat$rate[a] + kappa_post[a] * treated[a] +
par$severity$eps_sd * qnorm(U[a, "eps"])
if (t > 0) {
eps <- par$severity$eps_sd * qnorm(U[a, "eps"])
Z[a] <- Z[a] + pat$rate[a] + kappa_post[a] * treated[a] + eps
Zn[a] <- Zn[a] + pat$rate[a] + eps
}
if (record) {
zmat[a, t + 1] <- Z[a]
cmat[a, t + 1] <- qpois(U[a, "proxy"], exp(par$measurement$proxy_intercept + par$measurement$proxy_z * Z[a]))
@@ -183,7 +188,7 @@ simulate_course <- function(pop, par, pol = policy("natural"), seed = 1L, record
}
# negative controls (never depend on PVI)
x <- a & is.na(t_nco1) & U[, "nco1"] < plogis(lp_nco1); t_nco1[x] <- t
x <- a & is.na(t_nco1) & U[, "nco1"] < plogis(lp_nco1 + nco1_z * Zn); t_nco1[x] <- t
x <- a & is.na(t_nco2) & U[, "nco2"] < plogis(lp_nco2); t_nco2[x] <- t
if (t < W) { x <- a & is.na(t_nce) & U[, "nce"] < plogis(lp_nce); t_nce[x] <- t }