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markovMSM: An R package for checking the Markov condition in multi-state survival data

markovMSM is an R package which considers tests of the Markov assumption that are applicable to general multi-state models. Three approaches using existing methodology are considered: a simple method based on including covariates depending on the history in Cox models for the transition intensities; methods based on measuring the discrepancy of the non-Markov estimators of the transition probabilities to the Markovian Aalen-Johansen estimators; and, finally, methods that were developed by considering summaries from families of log-rank statistics where patients are grouped by the state occupied of the process at a particular time point.

InstallationIf you want to use the release version of the markovMSM package, you can install the package from CRAN as follows: install.packages(pkgs=“markovMSM”);

Authors Gustavo Soutinho and Luís Meira-Machado lmachado@math.uminho.pt Maintainer: Gustavo Soutinho gustavosoutinho@sapo.pt

Funding This research was financed by Portuguese Funds through FCT - “Fundação para a Ciência e a Tecnologia”, within Projects projects UIDB/00013/2020, UIDP/00013/2020 and the research grant PD/BD/142887/2018.

References Aalen O, Johansen S (1978). “An Empirical transition matrix for non homogeneous Markov and chains based on censored observations.” Scandinavian Journal of Statistics, 5, 141–150.

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Andersen P, Keiding N (2002). “Multi-state models for event history analysis.” Statistical Methods in Medical Research, (11), 91–115.

Andersen PK, Borgan Ø, Gill RD, Keiding N (1993). Statistical Models Based on Counting Processes. Springer-Verlag, New York.

Borgan O (2005). Encyclopedia of biostatistics: Aalen-Johansen estimator. John Wiley & Sons.

Chiou S, Qian J, Mormino E, Betensky R (2018). “Permutation tests for general dependent truncation.” Computational Statistics & Data Analysis, 318, 308–324. doi:10.1016/j. csda.2018.07.012.

Datta S, Satten G (2001). “Validity of the Aalen-Johansen estimators of stage occupation probabilities and Nelson Aalen integrated transition hazards for non-Markov models.” Statistics & Probability Letters, 55, 403–411.

de Uña-Álvarez J, Meira-Machado L (2015). “Nonparametric estimation of transition probabilities in the non-Markov illness-death model: A comparative study.” Biometrics, 71(2), 364–375. ISSN 0006-341X.

Hougaard P (2000). Analysis of Multivariate Survival Data. Statistics for Biology and Health. Springer-Verlag, New York.

Kay R (1986). “A Markov model for analyzing cancer markers and disease states in survival studies.” Biometrics, (42), 457–481. Meira-Machado L, de Uña-Álvarez J, Cadarso-Suárez C (2006). “Nonparametric Estimation of Transition Probabilities in a Non-Markov Illness-Death Model.” Lifetime Data Analysis, 12, 325–344.

These binaries (installable software) and packages are in development.
They may not be fully stable and should be used with caution. We make no claims about them.