Semi-Markov multistate model with interval-censored transition times

A Cox-based multistate model is proposed for analyzing a multicohort event history process with interval-censored transition times. The cohort is included as a stratum variable when modeling each transition hazard, while testing the compliance with the Markov property conditional on the prognostic c...

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Detalles Bibliográficos
Autores: Piulachs Lozada Benavente, Xavier|||0000-0003-2150-6273, Langohr, Klaus|||0000-0001-7075-9192, Gómez Melis, Guadalupe|||0000-0003-4252-4884
Tipo de recurso: capítulo de libro
Fecha de publicación:2024
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/415332
Acceso en línea:https://hdl.handle.net/2117/415332
https://dx.doi.org/10.1007/978-3-031-65723-8_39
Access Level:acceso abierto
Palabra clave:Markov processes
COVID-19 (Disease) -- Mathematical models
Semi-Markov multistate model
Interval-censored data
Multiple imputation
COVID-19
Markov, Processos de
COVID-19 (Malaltia) -- Models matemàtics
Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària
Descripción
Sumario:A Cox-based multistate model is proposed for analyzing a multicohort event history process with interval-censored transition times. The cohort is included as a stratum variable when modeling each transition hazard, while testing the compliance with the Markov property conditional on the prognostic covariates. Whenever the Markovian assumption does not hold for a given transition, the time of entry into the current state is incorporated in the modeling procedure, yielding a semi-Markov process. To deal with interval censoring, an easy-to-implement procedure is based on performing a multiple imputation of the unknown transition times within the specified intervals. The corresponding artificially completed datasets are separately fitted using the proposed multistate model, each providing inference on the target population quantity. Finally, the overall collected information is properly combined. The described methodology is applied to a three-wave dataset of COVID-19-hospitalized adults.