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arXiv 2106.03372stat.ME

关于痴呆持续时间对死亡率影响的一致非参数检验

A consistent nonparametric test of the effect of dementia duration on mortality

L. Radloff, R. Weissbach, C. Reinke, G. Doblhammer

AI总结:

本文提出一种一致非参数检验方法,通过比较半马尔可夫与马尔可夫核估计量的收敛速率差异,构建渐近卡方分布的检验统计量,发现痴呆持续时间对死亡率有显著影响。

摘要:

如果从一个状态迁移到另一个状态的强度依赖于在第一个状态中的持续时间,则连续时间多状态历史是半马尔可夫的。这种持续时间可以形式化为协变量,进入转移计数的强度过程。我们推导了积分强度过程,证明了其可预测性以及残差的鞅性质。特别地,我们验证了相应滤子的通常条件。因此,根据Nielsen和Linton(1995),包含持续期依赖的转移强度的核估计量,与马尔可夫核估计量(即忽略依赖性时)相比,以较慢的速率逐点收敛。利用这种速率差异,我们遵循Gozalo(1993)的方法,证明了在随机点网格上两个核估计量的(适当缩放的)最大差异渐近服从卡方-1分布。作为数据示例,对于一个在九年期间观察到的130,000名德国女性的样本,我们模拟了痴呆发作后的死亡率,该死亡率可能依赖于疾病持续时间。与通常一样,两种假设下的模型都需要扩展以允许独立的右删失。我们发现痴呆持续时间有显著影响,且几乎与带宽无关。

英文摘要:

A continuous-time multi-state history is semi-Markovian, if an intensity to migrate from one state into another, depends on the duration in the first state. Such duration can be formalised as covariate, entering the intensity process of the transition counts. We derive the integrated intensity process, prove its predictability and the martingale property of the residual. In particular, we verify the usual conditions for the respective filtration. As a consequence, according to Nielsen and Linton (1995), a kernel estimator of the transition intensity, including the duration dependence, converges point-wise at a slow rate, compared to the Markovian kernel estimator, i.e when ignoring dependence. By using the rate discrepancy, we follow Gozalo (1993) and show that the (properly scaled) maximal difference of the two kernel estimators on a random grid of points is asymptotically chi-square-1-distributed. As a data example, for a sample of 130,000 German women observed over a period of nine years, we model the mortality after dementia onset, potentially dependent on the disease duration. As usual, the models under both hypotheses need to be enlarged to allow for independent right-censoring. We find a significant effect of dementia duration, nearly independent of the bandwidth.

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