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Testing Markovianity in the three-state progressive model via future-past association
Mar Rodríguez-Girondo1, Jacobo de Uña-Álvarez
1SiDOR Research Group, University of Vigo, Campus Lagoas-Marcosende, Vigo, Spain. margirondo@uvigo.es
This study introduces a new method to test if a three-state progressive model is Markovian. The approach measures future-past associations over time, revealing non-Markovian behavior and improving survival analysis.
Area of Science:
- Statistics
- Biostatistics
- Survival Analysis
Background:
- The three-state progressive model is crucial for survival analysis, modeling intermediate events influencing prognosis.
- The Aalen-Johansen estimator is standard for transition probabilities but can be biased if the process is not Markovian.
Purpose of the Study:
- To develop a novel method for testing Markovianity in the three-state progressive model.
- To address the limitations of the Aalen-Johansen estimator in non-Markovian scenarios.
Main Methods:
- A new approach based on measuring future-past association over time.
- Introduction of a significance test for zero future-past association at each time point.
- Development of a significance trace to visualize the association trends.
Main Results:
- The proposed method effectively detects non-Markovian behavior in three-state progressive models.
- Simulations demonstrate the test's finite sample performance.
- Real data analysis illustrates the practical application of the new method.
Conclusions:
- The new future-past association test provides a valuable tool for assessing Markovianity in complex survival models.
- This method enhances the reliability of survival analysis by identifying potential biases in standard estimators.
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