2013
DOI: 10.1002/sim.5808
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State‐space size considerations for disease‐progression models

Abstract: Markov models of disease progression are widely used to model transitions in patients' health state over time. Usually, patients' health status may be classified according to a set of ordered health states. Modelers lump together similar health states into a finite and usually small, number of health states that form the basis of a Markov chain disease-progression model. This increases the number of observations used to estimate each parameter in the transition probability matrix. However, lumping together obs… Show more

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Cited by 11 publications
(45 citation statements)
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“…It is important to note that for a process that is truly Markov on I states, a reduced-state model will not satisfy the Markov property (Regnier & Shechter, 2013). The sojourn time will be non-exponential for the merged states and bias can be expected through the misspecification.…”
Section: Summary and Discussionmentioning
confidence: 99%
“…It is important to note that for a process that is truly Markov on I states, a reduced-state model will not satisfy the Markov property (Regnier & Shechter, 2013). The sojourn time will be non-exponential for the merged states and bias can be expected through the misspecification.…”
Section: Summary and Discussionmentioning
confidence: 99%
“…The aggregation of states in a Markov process is a powerful technique used in a variety of fields including computational biology, such as protein network interaction analysis (Petrov et al , 2012), reaction modeling (Ullah et al , 2012), single molecule photobleaching (Messina et al , 2006), or disease-progression models (Regnier and Shechter, 2013). Its application to phylogenetic models has not been systematically studied, although it has been implemented in some software (Lartillot and Philippe, 2004, e.g.…”
Section: Discussionmentioning
confidence: 99%
“…The aggregation of states in a Markov pro-cess is a powerful technique used in a variety of fields including computational biology, such as protein network interaction analysis (Petrov et al, 2012), reaction modeling (Ullah et al, 2012), single molecule photobleaching (Messina et al, 2006), or disease-progression models (Regnier and Shechter, 2013). Its application to phylogenetic models has not been systematically studied, although it has been implemented in some software (Lartillot and Philippe, 2004, e.g.…”
Section: Discussionmentioning
confidence: 99%