2019
DOI: 10.1002/sim.8155
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Score tests based on a finite mixture model of Markov processes under intermittent observation

Abstract: A mixture model is described, which accommodates different Markov processes governing disease progression in a finite set of latent classes. We give special attention to the setting in which individuals are examined intermittently and transition times are consequently interval censored. A score test is developed to identify genetic markers associated with class membership. Simulation studies are conducted to validate the algorithm, assess the finite sample properties of the estimators, and assess the frequency… Show more

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Cited by 6 publications
(6 citation statements)
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“…In the g-mixture, the regime probabilities depend only on an initial state, while the Markov processes have their own intensity matrices. We observe g-mixture continuously, whereas Jiang and Cook (2019) observe the mixture intermittently.…”
Section: Introductionmentioning
confidence: 76%
See 1 more Smart Citation
“…In the g-mixture, the regime probabilities depend only on an initial state, while the Markov processes have their own intensity matrices. We observe g-mixture continuously, whereas Jiang and Cook (2019) observe the mixture intermittently.…”
Section: Introductionmentioning
confidence: 76%
“…The g-mixture is different from the mixture of Markov processes recently considered by Jiang and Cook (2019). There, the regime probabilities depend on covariates through the multinomial logistic regression, while the Markov processes in the mixture are assumed to have the same intensity matrices.…”
Section: Introductionmentioning
confidence: 99%
“…Complex disease processes often feature heterogeneity beyond that explained through covariates. Jiang and Cook 32 describe finite mixture models of multistate processes under intermittent observation and develop score tests for effects of biomarkers on class membership. Here the use of score tests was motivated by the need to screen a large number of genetic markers for their association with the disease course combined with the difficulty in fitting such mixture models.…”
Section: Discussionmentioning
confidence: 99%
“…Once a list of candidate genetic markers are identified by this approach, it is natural to incorporate them into a predictive model for the disease course. In this case, one could model covariate effects on class membership as done in Jiang and Cook, 32 as well as on the intensity functions of the multistate process in the different classes. Such a rich predictive model could then be used to predict state occupancy at t0$$ {t}_0 $$—our proposed method for estimating the PDI can be readily adapted to deal with this setting.…”
Section: Discussionmentioning
confidence: 99%
“…Collection of large number of clinical and genomic data for individuals are initiated with the hope of finding clinically significant diagnostic and prognostic factors for diseases. In studies involving progression in joint damage in psoriatic arthritis, for example, interests may lie in detecting HLA alleles associated with different disease courses [1]. Along with the genomic data in clinical cohort studies, it is common to have time-to-event end points resulting in right-censored data [2].…”
Section: Introductionmentioning
confidence: 99%