gcemod
Fits generalized competing event (GCE) models and estimates covariate effects on omega-plus, the ratio of the hazard for an event of interest to the hazard for a competing event, on both the cause-specific (Cox) and subdistribution (Fine-Gray) hazard scales. Confidence intervals and p-values are obtained from the Lunn-McNeil (1995) stacked (augmented) data approach. The package builds GCE risk scores from the model linear predictor, identifies risk-score cutpoints that maximize the separation in omega-plus between groups, and produces cumulative incidence ("alligator") plots by risk group and calibration plots of predicted versus observed omega-plus. It also compares covariate effects across the primary, competing, and total (composite) events, and estimates covariate effects on the ratio of cumulative incidence functions (a cumulative-incidence-scale GCE model). Methods follow Carmona et al. (2014) <doi:10.1016/j.ijrobp.2014.03.047>, Mell et al. (2024) <doi:10.1016/j.eururo.2023.01.020>, and Lunn and McNeil (1995) <doi:10.2307/2532940>.
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