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Evaluation of a method for fitting a semi-Markov process model in the presence of left-censored spells using the Cardiovascular Health Study.

TitleEvaluation of a method for fitting a semi-Markov process model in the presence of left-censored spells using the Cardiovascular Health Study.
Publication TypeJournal Article
Year of Publication2008
AuthorsCai, L, Schenker, N, Lubitz, J, Diehr, P, Arnold, A, Fried, LP
JournalStat Med
Volume27
Issue26
Pagination5509-24
Date Published2008 Nov 20
ISSN0277-6715
KeywordsActivities of Daily Living, Aged, Aged, 80 and over, Cardiovascular Diseases, Cardiovascular System, Data Interpretation, Statistical, Disease Progression, Female, Humans, Longitudinal Studies, Male, Markov Chains, Models, Statistical, Stochastic Processes, Time Factors
Abstract<p>We used a longitudinal data set covering 13 years from the Cardiovascular Health Study to evaluate the properties of a recently developed approach to deal with left censoring that fits a semi-Markov process (SMP) model by using an analog to the stochastic EM algorithm--the SMP-EM approach. It appears that the SMP-EM approach gives estimates of duration-dependent probabilities of health changes similar to those obtained by using SMP models that have the advantage of actual duration data. SMP-EM estimates of duration-dependent transition probabilities also appear more accurate and less variable than multi-state life table estimates.</p>
DOI10.1002/sim.3382
Alternate JournalStat Med
PubMed ID18712777
PubMed Central IDPMC2878178
Grant ListU01 HL080295-04 / HL / NHLBI NIH HHS / United States
U01 HL080295 / HL / NHLBI NIH HHS / United States
U01 HL080295-01 / HL / NHLBI NIH HHS / United States
U01 HL080295-03 / HL / NHLBI NIH HHS / United States
U01 HL080295-02 / HL / NHLBI NIH HHS / United States