In many areas of oncology, cancer drugs are now associated with long-term survivorship and mixture cure models (MCM) are increasingly being used for survival analysis. The objective of this article was to propose a methodology for conducting network meta-analysis (NMA) of MCM. This method was illustrated through a case study evaluating recurrence-free survival (RFS) with adjuvant therapy for stage III/IV resected melanoma. For the case study, the MCM NMA was conducted by: (1) fitting MCMs to each trial included within the network of evidence; and (2) incorporating the parameters of the MCMs into a multivariate NMA. Outputs included relative effect estimates for the MCM NMA as well as absolute estimates of survival (RFS), modeled within the Bayesian multivariate NMA, by incorporating absolute baseline effects of the reference treatment. The case study was intended for illustrative purposes of the MCM NMA methodology and is not meant for clinical interpretation. The case study demonstrated the feasibility of conducting an MCM NMA and highlighted key issues and considerations when conducting such analyses, including plausibility of cure, maturity of data, process for model selection, and the presentation and interpretation of results. MCM NMA provides a method of comparative survival that acknowledges the benefit newer treatments may confer on a subset of patients, resulting in long-term survival and reflection of this survival in extrapolation. In the future, this method may provide an additional metric to compare treatments that is of value to patients.

Characterizing and quantifying the trajectories of variables of interest through time in their field of study is of interest to a range of disciplines. The aim of this study was to investigate the growth speed in height of children and its determinants. A total of 3401 males and 3200 females from four low- and middle-income countries with measured height on five occasions from 2002 to 2016 were included in the study. Data were analyzed using a latent growth model. The results of the study reported that children in four low- and middle-income countries exhibited substantial growth inequalities. There was a significant gender difference in change of growth with males had a higher baseline, rate of change, and acceleration in height growth than females. Comparing the component of slopes across countries, the growth change inequalities were observed among children. These inequalities were statistically significant, with the highest rate of change observed in Peru and Vietnam.

Although the intensive production system of Lacaune dairy sheep is the only profitable method for producers outside of the French Roquefort area, little is known about this type of systems. This study evaluated yield records of 3677 Lacaune sheep under intensive management between 2005 and 2010 in order to describe the lactation curve of this breed and to investigate the suitability of different mathematical functions for modeling this curve. A total of 7873 complete lactations during a 40-week lactation period corresponding to 201 281 pieces of weekly yield data were used. First, five mathematical functions were evaluated on the basis of the residual mean square, determination coefficient, Durbin Watson and Runs Test values. The two better models were found to be Pollott Additive and fractional polynomial (FP). In the second part of the study, the milk yield, peak of milk yield, day of peak and persistency of the lactations were calculated with Pollot Additive and FP models and compared with the real data. The results indicate that both models gave an extremely accurate fit to Lacaune lactation curves in order to predict milk yields (P = 0.871), with the FP model being the best choice to provide a good fit to an extensive amount of real data and applicable on farm without specific statistical software. On the other hand, the interpretation of the parameters of the Pollott Additive function helps to understand the biology of the udder of the Lacaune sheep. The characteristics of the Lacaune lactation curve and milk yield are affected by lactation number and length. The lactation curves obtained in the present study allow the early identification of ewes with low milk yield potential, which will help to optimize farm profitability.