Evidence map›Paper›PMID 25319319›Full record

ArticleBiometrics2015

A joint model for multistate disease processes and random informative observation times, with applications to electronic medical records data.

Jane M Lange, Rebecca A Hubbard, Lurdes Y T Inoue, Vladimir N Minin

Abstract read
In one paragraph

Article in Biometrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. A Comparison of Methods for Modeling Multistate Cancer Progression Using Screening Data with Censoring after Intervention.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Informative presence bias in analyses of electronic health records-derived data: a cautionary note.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  11. Treatment response after palliative radiotherapy for bleeding gastric cancer: a multicenter prospective observational study (JROSG 17-3).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2022
    Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Doctor AI: Predicting Clinical Events via Recurrent Neural Networks.JMLR workshop and conference proceedings · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jane M LangeDepartment of Bioststatistics, University of Washington, Seattle, Washington, U.S.A.
Rebecca A HubbardDepartment of Bioststatistics, University of Washington, Seattle, Washington, U.S.A.
Lurdes Y T InoueDepartment of Bioststatistics, University of Washington, Seattle, Washington, U.S.A.
Vladimir N MininDepartments of Statistics and Biology, University of Washington, Seattle, Washington, U.S.A.

Funding

IMPROVING THE QUALITY OF MAMMOGRAPHIC INTERPRETATIONU01CA063731 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI BUIST, DIANA SM · 1994 to 2011
$6.7M
BAYESIAN MODELING AND DATA INTEGRATION IN INFECTIOUS DISEASE PHYLODYNAMICSR01AI107034 · NIAID · UNIVERSITY OF WASHINGTON · PI MININ, VOLODYMYR · 2013 to 2017
$1.7M
Modeling Breast Cancer Recurrence Using New Statistical Methods for Semi-Markov PR01CA160239 · NCI · UNIVERSITY OF WASHINGTON · PI INOUE, LURDES Y.T. · 2011 to 2013
$937k
NCI NIH HHS R01 CA160239NCI NIH HHS R01-CA160239NCI NIH HHS U01 CA063731NCI NIH HHS U01-CA063731NIAID NIH HHS R01 AI107034NIAID NIH HHS R01-AI107034
6 · The paper itself

Abstract

Multistate models are used to characterize individuals' natural histories through diseases with discrete states. Observational data resources based on electronic medical records pose new opportunities for studying such diseases. However, these data consist of observations of the process at discrete sampling times, which may either be pre-scheduled and non-informative, or symptom-driven and informative about an individual's underlying disease status. We have developed a novel joint observation and disease transition model for this setting. The disease process is modeled according to a latent continuous-time Markov chain; and the observation process, according to a Markov-modulated Poisson process with observation rates that depend on the individual's underlying disease status. The disease process is observed at a combination of informative and non-informative sampling times, with possible misclassification error. We demonstrate that the model is computationally tractable and devise an expectation-maximization algorithm for parameter estimation. Using simulated data, we show how estimates from our joint observation and disease transition model lead to less biased and more precise estimates of the disease rate parameters. We apply the model to a study of secondary breast cancer events, utilizing mammography and biopsy records from a sample of women with a history of primary breast cancer.

Indexed as

Data Interpretation, StatisticalModels, StatisticalBreast NeoplasmsComputer SimulationElectronic Health RecordsEpidemiologic MethodsFemaleHumansNeoplasm Recurrence, LocalPopulation SurveillanceReproducibility of ResultsSensitivity and SpecificityDisease processElectronic medical recordsInformative observationsMarkov-modulated Poisson processMultistate modelPanel data

Identifiers

PMID25319319
PMCPMC4415156

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.