A multi-state model for joint modelling of terminal and non-terminal events with application to Whitehall II

Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non‐fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events...

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Published inStatistics in medicine Vol. 26; no. 2; pp. 426 - 442
Main Authors Siannis, F., Farewell, V. T., Head, J.
Format Journal Article
LanguageEnglish
Published Chichester, UK John Wiley & Sons, Ltd 30.01.2007
Wiley Subscription Services, Inc
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ISSN0277-6715
1097-0258
DOI10.1002/sim.2342

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Abstract Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non‐fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events is subject to potentially informative censoring. A multi‐state model with an unobserved state is introduced for the joint modelling of F and NF events. Two model‐based assumptions ensure identifiability of the model and a parameter is introduced to allow sensitivity analyses concerning the assumption linked to informative censoring. Weibull transition rates, which include dependence on explanatory variables, are used in the analysis of Whitehall II data with a particular focus on the relationship between civil service grade and CHD events. Copyright © 2005 John Wiley & Sons, Ltd.
AbstractList Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non‐fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events is subject to potentially informative censoring. A multi‐state model with an unobserved state is introduced for the joint modelling of F and NF events. Two model‐based assumptions ensure identifiability of the model and a parameter is introduced to allow sensitivity analyses concerning the assumption linked to informative censoring. Weibull transition rates, which include dependence on explanatory variables, are used in the analysis of Whitehall II data with a particular focus on the relationship between civil service grade and CHD events. Copyright © 2005 John Wiley & Sons, Ltd.
Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non-fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events is subject to potentially informative censoring. A multi-state model with an unobserved state is introduced for the joint modelling of F and NF events. Two model-based assumptions ensure identifiability of the model and a parameter is introduced to allow sensitivity analyses concerning the assumption linked to informative censoring. Weibull transition rates, which include dependence on explanatory variables, are used in the analysis of Whitehall II data with a particular focus on the relationship between civil service grade and CHD events.Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non-fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events is subject to potentially informative censoring. A multi-state model with an unobserved state is introduced for the joint modelling of F and NF events. Two model-based assumptions ensure identifiability of the model and a parameter is introduced to allow sensitivity analyses concerning the assumption linked to informative censoring. Weibull transition rates, which include dependence on explanatory variables, are used in the analysis of Whitehall II data with a particular focus on the relationship between civil service grade and CHD events.
Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non-fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events is subject to potentially informative censoring. A multi-state model with an unobserved state is introduced for the joint modelling of F and NF events. Two model-based assumptions ensure identifiability of the model and a parameter is introduced to allow sensitivity analyses concerning the assumption linked to informative censoring. Weibull transition rates, which include dependence on explanatory variables, are used in the analysis of Whitehall II data with a particular focus on the relationship between civil service grade and CHD events. [PUBLICATION ABSTRACT]
Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F) and non-fatal (NF) CHD events are of interest and while essentially complete information is available on F events, the observation of NF events is subject to potentially informative censoring. A multi-state model with an unobserved state is introduced for the joint modelling of F and NF events. Two model-based assumptions ensure identifiability of the model and a parameter is introduced to allow sensitivity analyses concerning the assumption linked to informative censoring. Weibull transition rates, which include dependence on explanatory variables, are used in the analysis of Whitehall II data with a particular focus on the relationship between civil service grade and CHD events.
Author Siannis, F.
Head, J.
Farewell, V. T.
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Cites_doi 10.1093/biomet/65.1.141
10.1093/biomet/88.4.907
10.1023/A:1009636125294
10.1161/01.CIR.90.1.583
10.1046/j.1369-7412.2003.00423.x
10.1016/0140-6736(91)93068-K
10.1093/biomet/84.1.45
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Snippet Serious coronary heart disease (CHD) is a primary outcome in the Whitehall II study, a large epidemiological study of British civil servants. Both fatal (F)...
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SubjectTerms Adult
Age Factors
Cardiovascular disease
Coronary Disease - epidemiology
Coronary Disease - mortality
Employment
Female
Humans
Male
Markov Chains
Medical statistics
Middle Aged
Models, Biological
Models, Statistical
multi-state models
semi-competing risks
Sex Factors
Statistical analysis
United Kingdom - epidemiology
Weibull models
Title A multi-state model for joint modelling of terminal and non-terminal events with application to Whitehall II
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