625 research outputs found

    Penalised maximum likelihood estimation in multi-state models for interval-censored data

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    Continuous-time multi-state Markov models can be used to describe transitions over time across health states. Given longitudinal interval-censored data on transitions between states, statistical inference on changing health is possible by specifying models for transition hazards. Parametric time-dependent hazards can be restrictive, and nonparametric hazard specifications using splines are presented as an alternative. The smoothing of the splines is controlled by using penalised maximum likelihood estimation. With multiple time-dependent hazards in a multi-state model, there are multiple penalty parameters and selecting the optimal amount of smoothing is a challenge. A grid search to estimate the penalty parameters is computational intensive especially when combined with methods to deal with interval-censored transition times. A new and efficient method is proposed to estimate multi-state models with splines where the estimation of the penalty parameters is automatic. A simulation study is undertaken to validate the method and to illustrate the effect of interval censoring. The feasibility of the method is illustrated with two applications

    Joint models for discrete longitudinal outcomes in ageing research

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    Given the aging population in the UK, statistical modelling of cognitive function in the older population is of interest. Joint models are formulated for survival and cognitive function in the older population. Because tests of cognitive function often result in discrete outcomes, binomial and beta–binomial mixed effects regression models are applied to analyse longitudinal measurements. Dropout due to death is accounted for by parametric survival models, where the choice of a Gompertz baseline hazard and the specification of the random-effects structure are of specific interest. The measurement model and the survival model are combined in a shared parameter joint model. Estimation is by marginal likelihood. The methods are used to analyse data from the Cambridge City over-75s cohort study and the English Longitudinal Study of Agein

    Accounting for self-protective responses in randomized response data from a social security survey using the zero-inflated Poisson model

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    In 2004 the Dutch Department of Social Affairs conducted a survey to assess the extent of noncompliance with social security regulations. The survey was conducted among 870 recipients of social security benefits and included a series of sensitive questions about regulatory noncompliance. Due to the sensitive nature of the questions the randomized response design was used. Although randomized response protects the privacy of the respondent, it is unlikely that all respondents followed the design. In this paper we introduce a model that allows for respondents displaying self-protective response behavior by consistently giving the nonincriminating response, irrespective of the outcome of the randomizing device. The dependent variable denoting the total number of incriminating responses is assumed to be generated by the application of randomized response to a latent Poisson variable denoting the true number of rule violations. Since self-protective responses result in an excess of observed zeros in relation to the Poisson randomized response distribution, these are modeled as observed zero-inflation. The model includes predictors of the Poisson parameters, as well as predictors of the probability of self-protective response behavior.Comment: Published in at http://dx.doi.org/10.1214/07-AOAS135 the Annals of Applied Statistics (http://www.imstat.org/aoas/) by the Institute of Mathematical Statistics (http://www.imstat.org
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