Evidence map›Paper›PMID 30424736›Full record

ArticleBMC medical research methodology2018

Multistate recursively imputed survival trees for time-to-event data analysis: an application to AIDS and mortality post-HIV infection data.

Leili Tapak, Michael R Kosorok, Majid Sadeghifar, Omid Hamidi

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Article in BMC medical research methodology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Leili TapakDepartment of Biostatistics, School of Public Health, Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, 65175-4171, Iran. l.tapak@umsha.ac.ir.ORCID 0000-0002-4378-3143
Michael R KosorokDepartment of Biostatistics, Department of Statistics and Operations Research, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Majid SadeghifarDepartment of Statistics, Bu-Ali Sina University, Hamadan, Iran.
Omid HamidiDepartment of Science, Hamedan University of Technology, Hamedan, 65156, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to introduce recursively imputed survival trees into multistate survival models (MSRIST) to analyze these types of data and to identify the prognostic factors influencing the disease progression in patients with intermediate events. The proposed method is fully nonparametric and can be used for estimating transition probabilities.

methodsA general algorithm was provided for analyzing multi-state data with a focus on the illness-death and progressive multi-state models. The model considered both beyond Markov and Non-Markov settings. We also proposed a multi-state random survival method (MSRSF) and compared their performance with the classical multi-state Cox model. We applied the proposed method to a dataset related to HIV/AIDS patients based on a retrospective cohort study extracted in Tehran from April 2004 to March 2014 consist of 2473 HIV-infected patients.

resultsThe results showed that MSRIST outperformed the classical multistate method using Cox Model and MSRSF in terms of integrated Brier score and concordance index over 500 repetitions. We also identified a set of important risk factors as well as their interactions on different states of HIV and AIDS progression.

conclusionsThere are different strategies for modelling the intermediate event. We adapted two newly developed data mining technique (RSF and RIST) for multistate models (MSRSF and MSRIST) to identify important risk factors in different stages of the diseases. The methods can capture any complex relationship between variables and can be used as a useful tool for identifying important risk factors in different states of this disease.

Indexed as

AlgorithmsModels, TheoreticalAcquired Immunodeficiency SyndromeAdolescentAdultAgedChildChild, PreschoolDisease ProgressionFemaleHIV InfectionsHumansInfantMaleMarkov ChainsMiddle AgedCohort studiesHighly active antiretroviral therapyHIV/AIDSRandom forestRecursively imputed survival treesSurvival analysis

Identifiers

PMID30424736
PMCPMC6234548

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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.