Discrete-time semi-Markov modeling of human papillomavirus persistence

Multi‐state modeling is often employed to describe the progression of a disease process. In epidemiological studies of certain diseases, the disease state is typically only observed at periodic clinical visits, producing incomplete longitudinal data. In this paper we consider fitting semi‐Markov mod...

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Veröffentlicht in:Statistics in medicine 2011-07, Vol.30 (17), p.2160-2170
Hauptverfasser: Mitchell, C. E., Hudgens, M. G., King, C. C., Cu-Uvin, S., Lo, Y., Rompalo, A., Sobel, J., Smith, J. S.
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container_end_page 2170
container_issue 17
container_start_page 2160
container_title Statistics in medicine
container_volume 30
creator Mitchell, C. E.
Hudgens, M. G.
King, C. C.
Cu-Uvin, S.
Lo, Y.
Rompalo, A.
Sobel, J.
Smith, J. S.
description Multi‐state modeling is often employed to describe the progression of a disease process. In epidemiological studies of certain diseases, the disease state is typically only observed at periodic clinical visits, producing incomplete longitudinal data. In this paper we consider fitting semi‐Markov models to estimate the persistence of human papillomavirus (HPV) type‐specific infection in studies where the status of HPV type(s) is assessed periodically. Simulation study results are presented indicating that the semi‐Markov estimator is more accurate than an estimator currently used in the HPV literature. The methods are illustrated using data from the HIV Epidemiology Research Study. Copyright © 2011 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/sim.4257
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subjects Computer Simulation
Epidemiology
Estimating techniques
Female
Human immunodeficiency virus
Human papillomavirus
Humans
Longitudinal Studies
Markov analysis
Markov Chains
Models, Immunological
panel data
Papillomaviridae - immunology
Papillomavirus Infections - epidemiology
Papillomavirus Infections - immunology
Papillomavirus Infections - virology
Simulation
stochastic process
title Discrete-time semi-Markov modeling of human papillomavirus persistence
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