mstate: An R Package for the Analysis of Competing Risks and Multi-State Models

Multi-state models are a very useful tool to answer a wide range of questions in survival analysis that cannot, or only in a more complicated way, be answered by classical models. They are suitable for both biomedical and other applications in which time-to-event variables are analyzed. However, the...

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Main Authors: Liesbeth C. de Wreede, MArta Fiocco, Hein Putter
Format: Article
Language:English
Published: Foundation for Open Access Statistics 2011-01-01
Series:Journal of Statistical Software
Subjects:
Online Access:http://www.jstatsoft.org/v38/i07/paper
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author Liesbeth C. de Wreede
MArta Fiocco
Hein Putter
author_facet Liesbeth C. de Wreede
MArta Fiocco
Hein Putter
author_sort Liesbeth C. de Wreede
collection DOAJ
description Multi-state models are a very useful tool to answer a wide range of questions in survival analysis that cannot, or only in a more complicated way, be answered by classical models. They are suitable for both biomedical and other applications in which time-to-event variables are analyzed. However, they are still not frequently applied. So far, an important reason for this has been the lack of available software. To overcome this problem, we have developed the mstate package in R for the analysis of multi-state models. The package covers all steps of the analysis of multi-state models, from model building and data preparation to estimation and graphical representation of the results. It can be applied to non- and semi-parametric (Cox) models. The package is also suitable for competing risks models, as they are a special category of multi-state models.This article offers guidelines for the actual use of the software by means of an elaborate multi-state analysis of data describing post-transplant events of patients with blood cancer. The data have been provided by the EBMT (the European Group for Blood and Marrow Transplantation). Special attention will be paid to the modeling of different covariate effects (the same for all transitions or transition-specific) and different baseline hazard assumptions (different for all transitions or equal for some).
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spelling doaj.art-745e520696154f68ae1a2fe8e54a8d632022-12-21T19:41:34ZengFoundation for Open Access StatisticsJournal of Statistical Software1548-76602011-01-013807mstate: An R Package for the Analysis of Competing Risks and Multi-State ModelsLiesbeth C. de WreedeMArta FioccoHein PutterMulti-state models are a very useful tool to answer a wide range of questions in survival analysis that cannot, or only in a more complicated way, be answered by classical models. They are suitable for both biomedical and other applications in which time-to-event variables are analyzed. However, they are still not frequently applied. So far, an important reason for this has been the lack of available software. To overcome this problem, we have developed the mstate package in R for the analysis of multi-state models. The package covers all steps of the analysis of multi-state models, from model building and data preparation to estimation and graphical representation of the results. It can be applied to non- and semi-parametric (Cox) models. The package is also suitable for competing risks models, as they are a special category of multi-state models.This article offers guidelines for the actual use of the software by means of an elaborate multi-state analysis of data describing post-transplant events of patients with blood cancer. The data have been provided by the EBMT (the European Group for Blood and Marrow Transplantation). Special attention will be paid to the modeling of different covariate effects (the same for all transitions or transition-specific) and different baseline hazard assumptions (different for all transitions or equal for some).http://www.jstatsoft.org/v38/i07/papercompeting risksestimationmulti-state modelspredictionRsurvival analysis
spellingShingle Liesbeth C. de Wreede
MArta Fiocco
Hein Putter
mstate: An R Package for the Analysis of Competing Risks and Multi-State Models
Journal of Statistical Software
competing risks
estimation
multi-state models
prediction
R
survival analysis
title mstate: An R Package for the Analysis of Competing Risks and Multi-State Models
title_full mstate: An R Package for the Analysis of Competing Risks and Multi-State Models
title_fullStr mstate: An R Package for the Analysis of Competing Risks and Multi-State Models
title_full_unstemmed mstate: An R Package for the Analysis of Competing Risks and Multi-State Models
title_short mstate: An R Package for the Analysis of Competing Risks and Multi-State Models
title_sort mstate an r package for the analysis of competing risks and multi state models
topic competing risks
estimation
multi-state models
prediction
R
survival analysis
url http://www.jstatsoft.org/v38/i07/paper
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