Multi-State Survival Models for Interval-Censored Data  book cover
1st Edition

Multi-State Survival Models for Interval-Censored Data

ISBN 9780367570569
Published June 30, 2020 by Chapman and Hall/CRC
256 Pages

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Book Description

Multi-State Survival Models for Interval-Censored Data introduces methods to describe stochastic processes that consist of transitions between states over time. It is targeted at researchers in medical statistics, epidemiology, demography, and social statistics. One of the applications in the book is a three-state process for dementia and survival in the older population. This process is described by an illness-death model with a dementia-free state, a dementia state, and a dead state. Statistical modelling of a multi-state process can investigate potential associations between the risk of moving to the next state and variables such as age, gender, or education. A model can also be used to predict the multi-state process.

The methods are for longitudinal data subject to interval censoring. Depending on the definition of a state, it is possible that the time of the transition into a state is not observed exactly. However, when longitudinal data are available the transition time may be known to lie in the time interval defined by two successive observations. Such an interval-censored observation scheme can be taken into account in the statistical inference.

Multi-state modelling is an elegant combination of statistical inference and the theory of stochastic processes. Multi-State Survival Models for Interval-Censored Data shows that the statistical modelling is versatile and allows for a wide range of applications.

Table of Contents


Multi-state survival models
Basic concepts
Overview of methods and literature
Data used in this book

Modelling Survival Data
Features of survival data and basic terminology
Hazard, density and survivor function
Parametric distributions for time to event data
Regression models for the hazard
Piecewise-constant hazard
Maximum likelihood estimation
Example: survival in the CAV study

Progressive Three-State Survival Model
Features of multi-state data and basic terminology
Parametric models
Regression models for the hazards
Piecewise-constant hazards
Maximum likelihood estimation
A simulation study

General Multi-State Survival Model
Discrete-time Markov process
Continuous-time Markov processes
Hazard regression models for transition intensities
Piecewise-constant hazards
Maximum likelihood estimation
Scoring algorithm
Model comparison
Model validation

Frailty Models
Mixed-effects models and frailty terms
Parametric frailty distributions
Marginal likelihood estimation
Monte-Carlo Expectation-Maximisation algorithm
Example: frailty in ELSA
Non-parametric frailty distribution
Example: frailty in ELSA (continued)

Bayesian Inference for Multi-State Survival Models
Gibbs sampler
Deviance Information Criterion (DIC)
Example: frailty in ELSA (continued)
Inference using the BUGS software

Redifual State-Specific Life Expectancy
Definitions and data considerations
Computation: integration
Example: a three-state survival process
Computation: micro-simulation
Example: life expectancies in CFAS

Further Topics
Discrete-time models for continuous-time processes
Using cross-sectional data
Missing state data
Modelling the first observed state
Misclassification of states
Smoothing splines and scoring
Semi-Markov models

Matrix P(t) When Matrix Q is Constant
Two-state models
Three-state models
Models with more than three states

Scoring for the Progressive Three-State Model

Some Code for the R and BUGS Software
General-purpose optimiser
Code for Chapter 2
Code for Chapter 3
Code for Chapter 4
Code for numerical integration
Code for Chapter 6





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Ardo van den Hout


"This book introduces Markov models for studying transitions between states over time, when the exact times of transitions are not always observed. Such data are common in medicine, epidemiology, demography, and social sciences research. The multi-state survival modeling framework can be useful for investigating potential associations between covariates and the risk of moving between states and for prediction of multi-state survival processes. The book is appropriate for researchers with a bachelor’s or master’s degree knowledge of mathematical statistics. No prior knowledge of survival analysis or stochastic processes is assumed. …
Multi-State Survival Models for Interval-Censored Data serves as a useful starting point for learning about multi-state survival models."
—Li C. Cheung, National Cancer Institute, in the Journal of the American Statistical Association, January 2018

"This book aims to provide an overview of the key issues in multistate models, conduct and analysis of models with interval censoring. Applications of the book concern on longitudinal data and most of them are subject to interval censoring. The book contains theoretical and applicable examples of different multistate models. … In summary, this book contains an excellent theoretical coverage of multistate models concepts and different methods with practical examples and codes, and deals with other topics relevant this kind of modelling in a comprehensive but summarised way."
— Morteza Hajihosseini, ISCB News, May 2017

"This is the first book that I know of devoted to multi-state models for intermittently-observed data. Even though this is a common situation in medical and social statistics, these methods have only previously been covered in scattered papers, software manuals and book chapters. The level is approximately suitable for a postgraduate statistics student or applied statistician. The structure is clear, gradually building up