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Peer-reviewedCC BY-NC-NDComputer Methods and Programs in Biomedicine

PSHREG: A SAS macro for proportional and nonproportional subdistribution hazards regression

Abstract

We present a new SAS macro %pshreg that can be used to fit a proportional subdistribution hazards model for survival data subject to competing risks. Our macro first modifies the input data set appropriately and then applies SAS's standard Cox regression procedure, PROC PHREG, using weights and counting-process style of specifying survival times to the modified data set. The modified data set can also be used to estimate cumulative incidence curves for the event of interest. The application of PROC PHREG has several advantages, e.g., it directly enables the user to apply the Firth correction, which has been proposed as a solution to the problem of undefined (infinite) maximum likelihood estimates in Cox regression, frequently encountered in small sample analyses. Deviation from proportional subdistribution hazards can be detected by both inspecting Schoenfeld-type residuals and testing correlation of these residuals with time, or by including interactions of covariates with functions of time. We illustrate application of these extended methods for competing risk regression using our macro, which is freely available at: http://cemsiis.meduniwien.ac.at/en/kb/science-research/software/statistical-software/pshreg, by means of analysis of a real chronic kidney disease study. We discuss differences in features and capabilities of %pshreg and the recent (January 2014) SAS PROC PHREG implementation of proportional subdistribution hazards modelling.

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BibTeX
@article{kohl2026pshreg,
  title = {{PSHREG: A SAS macro for proportional and nonproportional subdistribution hazards regression}},
  author = {Maria Kohl and Max Plischke and Karen Leffondré and Georg Heinze},
  journal = {Computer Methods and Programs in Biomedicine},
  year = {2026},
  month = oct,
  doi = {10.1016/j.cmpb.2014.11.009},
  url = {https://hal.science/hal-05776712v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - PSHREG: A SAS macro for proportional and nonproportional subdistribution hazards regression
AU  - Maria Kohl
AU  - Max Plischke
AU  - Karen Leffondré
AU  - Georg Heinze
PY  - 2026
DA  - 2026/10/03
JO  - Computer Methods and Programs in Biomedicine
DO  - 10.1016/j.cmpb.2014.11.009
UR  - https://hal.science/hal-05776712v1
AB  - We present a new SAS macro %pshreg that can be used to fit a proportional subdistribution hazards model for survival data subject to competing risks. Our macro first modifies the input data set appropriately and then applies SAS's standard Cox regression procedure, PROC PHREG, using weights and counting-process style of specifying survival times to the modified data set. The modified data set can also be used to estimate cumulative incidence curves for the event of interest. The application of PROC PHREG has several advantages, e.g., it directly enables the user to apply the Firth correction, which has been proposed as a solution to the problem of undefined (infinite) maximum likelihood estimates in Cox regression, frequently encountered in small sample analyses. Deviation from proportional subdistribution hazards can be detected by both inspecting Schoenfeld-type residuals and testing correlation of these residuals with time, or by including interactions of covariates with functions of time. We illustrate application of these extended methods for competing risk regression using our macro, which is freely available at: http://cemsiis.meduniwien.ac.at/en/kb/science-research/software/statistical-software/pshreg, by means of analysis of a real chronic kidney disease study. We discuss differences in features and capabilities of %pshreg and the recent (January 2014) SAS PROC PHREG implementation of proportional subdistribution hazards modelling.
SN  - 0169-2607
ER  -