Evidence map›Paper›PMID 27604810›Full record

ArticleBMC medical research methodology2016

Joint modelling of time-to-event and multivariate longitudinal outcomes: recent developments and issues.

Graeme L Hickey, Pete Philipson, Andrea Jorgensen, Ruwanthi Kolamunnage-Dona

Abstract read
In one paragraph

Article in BMC medical research methodology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  7. Review
  8. DyVAESurv: A VAE-Enhanced Model for Dynamic Survival Analysis.Biometrical journal. Biometrische Zeitschrift · 2026
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  20. Dynamic risk stratification in burn sepsis: methodological considerations and path forward.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Graeme L HickeyDepartment of Biostatistics, University of Liverpool, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL, UK. graeme.hickey@liverpool.ac.uk.
Pete PhilipsonDepartment of Mathematics, Physics and Electrical Engineering, Northumbria University, Ellison Place, Newcastle upon Tyne, NE1 8ST, UK.
Andrea JorgensenDepartment of Biostatistics, University of Liverpool, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL, UK.
Ruwanthi Kolamunnage-DonaDepartment of Biostatistics, University of Liverpool, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL, UK.

Funding

Medical Research Council MR/M013227/1
6 · The paper itself

Abstract

backgroundAvailable methods for the joint modelling of longitudinal and time-to-event outcomes have typically only allowed for a single longitudinal outcome and a solitary event time. In practice, clinical studies are likely to record multiple longitudinal outcomes. Incorporating all sources of data will improve the predictive capability of any model and lead to more informative inferences for the purpose of medical decision-making.

methodsWe reviewed current methodologies of joint modelling for time-to-event data and multivariate longitudinal data including the distributional and modelling assumptions, the association structures, estimation approaches, software tools for implementation and clinical applications of the methodologies.

resultsWe found that a large number of different models have recently been proposed. Most considered jointly modelling linear mixed models with proportional hazard models, with correlation between multiple longitudinal outcomes accounted for through multivariate normally distributed random effects. So-called current value and random effects parameterisations are commonly used to link the models. Despite developments, software is still lacking, which has translated into limited uptake by medical researchers.

conclusionAlthough, in an era of personalized medicine, the value of multivariate joint modelling has been established, researchers are currently limited in their ability to fit these models routinely. We make a series of recommendations for future research needs.

Indexed as

AlgorithmsModels, TheoreticalMultivariate AnalysisBayes TheoremClinical Decision-MakingHumansLongitudinal StudiesOutcome Assessment, Health CareReproducibility of ResultsTime FactorsJoint modelsLongitudinal dataMultivariate dataSoftwareTime-to-event data

Identifiers

PMID27604810
PMCPMC5015261

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.