Pearson-type goodness-of-fit test for multi-state models fitted to panel-observed data.
pearson.msm(x, transitions=NULL, timegroups=3, intervalgroups=3,
covgroups=3, groups=NULL, boot=FALSE, B=500,
next.obstime=NULL, N=100, indep.cens=TRUE,
maxtimes=NULL, pval=TRUE)A list whose first two elements are contingency tables of observed
transitions \(O\) and expected transitions \(E\), respectively,
for each combination of groups. The third element is a table of the
deviances \((O - E)^2 / E\) multiplied by the sign of \(O - E\).
If the expected number of transitions is zero then the deviance is zero.
Entries in the third matrix will be bigger in magnitude for groups for
which the model fits poorly.
"test"the fourth element of the list, is a data frame with one row containing
the Pearson-type goodness-of-fit test statistic stat. The test statistic is the sum of the deviances.
For panel-observed data without exact death times,
misclassification or censored observations, p is the
p-value for the test statistic calculated using the improved
approximation of Titman (2009).
For these models, for comparison with older versions of the package,
test also presents p.lower and p.upper, which are
theoretical lower and upper limits for the p-value of the test
statistic, based on chi-squared distributions with df.lower and
df.upper degrees of freedom, respectively. df.upper is
the number of independent cells in the contingency table, and
df.lower is df.upper minus the number of estimated
parameters in the model.
"intervalq"(not printed by default) contains the definition of the grouping of the intervals between observations. These groups are defined by quantiles within the groups corresponding to the time since the start of the process.
"sim"If there are exact death times, this contains simulations of the contingency tables and test statistics for each imputation of the next scheduled sampling time. These are averaged over to produce the presented tables and test statistic. This element is not printed by default.
With exact death times, the null variance of the test statistic (formed
by taking mean of simulated test statistics) is less than twice the
mean (Titman, 2008), and the null distribution is not chi-squared.
In this case, p.upper is an upper limit for the true asymptotic
p-value, but p.lower is not a lower limit, and is not presented.
"boot"If the bootstrap has been used, the element will contain the bootstrap replicates of the test statistics (not printed by default).
"lambda"If the Titman (2009) p-value has been calculated, this contains the weights defining the null distribution of the test statistic as a weighted sum of chi-squared(1) random variables (not printed by default).
A fitted multi-state model, as returned by msm.
This should be an integer vector indicating which interval transitions should be grouped together in the contingency table. Its length should be the number of allowed interval transitions, excluding transitions from absorbing states to absorbing states.
The allowed interval transitions are the set of pairs of states \((a,b)\) for which it is possible to observe \(a\) at one time and \(b\) at any later time. For example, in a "well-disease-death" model with allowed instantaneous 1-2, 2-3 transitions, there are 5 allowed interval transitions. In numerical order, these are 1-1, 1-2, 1-3, 2-2 and 2-3, excluding absorbing-absorbing transitions.
Then, to group transitions 1-1,1-2 together, and transitions 2-2,2-3 together, specify
transitions = c(1,1,2,3,3).
Only transitions from the same state may be grouped. By default, each interval transition forms a separate group.
Number of groups based on quantiles of the time since the start of the process.
Number of groups based on quantiles of the time interval between observations, within time groups
Number of groups based on quantiles of \(\sum_r q_{irr}\), where \(q_{irr}\) are the diagonal entries of the transition intensity matrix for the ith transition. These are a function of the covariate effects and the covariate values at the ith transition: \(q_{irr}\) is minus the sum of the off-diagonal entries \(q_{rs}^{(0)} exp (\beta_{rs}^T z_i)\) on the rth row.
Thus covgroups summarises the impact of covariates at each
observation, by calculating the overall rate of progression through
states at that observation.
For time-inhomogeneous models specified using the pci
argument to msm, if the only covariate is the time
period, covgroups is set to 1, since timegroups
ensures that transitions are grouped by time.
A vector of arbitrary groups in which to categorise each transition. This can be an integer vector or a factor. This can be used to diagnose specific areas of poor fit. For example, the contingency table might be grouped by arbitrary combinations of covariates to detect types of individual for whom the model fits poorly.
The length of groups should be x$data$n, the number of
observations used in the model fit, which is the number of observations
in the original dataset with any missing values excluded. The value
of groups at observation \(i\) is used to categorise the
transition which ends at observation i. Values of
groups at the first observation for each subject are
ignored.
Estimate an "exact" p-value using a parametric bootstrap.
All objects used in the original call to msm which
produced x, such as the qmatrix, should be in the
working environment, or else an
“object not found” error will be given. This enables the
original model to be refitted to the replicate datasets.
Note that groups cannot be used with bootstrapping, as the
simulated observations will not be in the same categories as the
original observations.
Number of bootstrap replicates.
This is a vector of length x$data$n (the
number of observations used in the model fit) giving the time to the
next scheduled observation following each time point.
This is only used when times to death are known exactly.
For individuals who died (entered an absorbing state) before the
next scheduled observation, and the time of death is known exactly,
next.obstime would be greater than the observed death time.
If the individual did not die, and a scheduled observation did
follow that time point, next.obstime should just be the same
as the time to that observation.
next.obstime is used to determine a grouping of the time
interval between observations, which should be based on scheduled
observations. If exact times to death were used in the grouping, then shorter
intervals would contain excess deaths, and the goodness-of-fit
statistic would be biased.
If next.obstime is unknown, it is multiply-imputed using a
product-limit estimate based on the intervals to observations other
than deaths. The resulting tables of transitions are averaged over
these imputations. This may be slow.
Number of imputations for the estimation of the distribution of the next scheduled observation time, when there are exact death times.
If TRUE, then times to censoring are included
in the estimation of the distribution to the next scheduled
observation time. If FALSE, times to censoring are assumed to
be systematically different from other observation times.
A vector of length x$data$n, or a common
scalar, giving an upper bound for the next scheduled observation
time. Used in the multiple imputation when times to death are known exactly.
If a value greater than maxtimes is simulated, then the next
scheduled observation is taken as censored. This should be
supplied, if known. If not supplied, this is taken to be the
maximum interval occurring in the data, plus one time unit.
For observations which are not exact death times, this should be
the time since the previous observation.
Calculate a p-value using the improved approximation of
Titman (2009). This is
optional since it is not needed during bootstrapping, and it is
computationally non-trivial. Only available currently for non-hidden Markov models for
panel data without exact death times. Also not available for
models with censoring, including time-homogeneous models fitted with
the pci option to msm.
Andrew Titman a.titman@lancaster.ac.uk, Chris Jackson chris.jackson@mrc-bsu.cam.ac.uk
This method (Aguirre-Hernandez and Farewell, 2002) is intended for
data which represent observations of the process at arbitrary times
("snapshots", or "panel-observed" data). For data which represent the
exact transition times of the process, prevalence.msm
can be used to assess fit, though without a formal test.
When times of death are known exactly, states are misclassified, or an individual's final observation is a censored state, the modification by Titman and Sharples (2008) is used. The only form of censoring supported is a state at the end of an individual's series which represents an unknown transient state (i.e. the individual is only known to be alive at this time). Other types of censoring are omitted from the data before performing the test.
See the references for further details of the methods. The method used for censored states is a modification of the method in the appendix to Titman and Sharples (2008), described at http://www.mrc-bsu.cam.ac.uk/wp-content/uploads/robustcensoring.pdf (Titman, 2007).
Groupings of the time since initiation, the time interval and the impact of covariates are based on equally-spaced quantiles. The number of groups should be chosen that there are not many cells with small expected numbers of transitions, since the deviance statistic will be unstable for sparse contingency tables. Ideally, the expected numbers of transitions in each cell of the table should be no less than about 5. Conversely, the power of the test is reduced if there are too few groups. Therefore, some sensitivity analysis of the test results to the grouping is advisable.
Saved model objects fitted with previous versions of R (versions less
than 1.2) will need to be refitted under the current R for use with
pearson.msm.
Aguirre-Hernandez, R. and Farewell, V. (2002) A Pearson-type goodness-of-fit test for stationary and time-continuous Markov regression models. Statistics in Medicine 21:1899-1911.
Titman, A. and Sharples, L. (2008) A general goodness-of-fit test for Markov and hidden Markov models. Statistics in Medicine 27(12):2177-2195
Titman, A. (2009) Computation of the asymptotic null distribution of goodness-of-fit tests for multi-state models. Lifetime Data Analysis 15(4):519-533.
Titman, A. (2008) Model diagnostics in multi-state models of biological systems. PhD thesis, University of Cambridge.
msm, prevalence.msm, scoreresid.msm,
psor.q <- rbind(c(0,0.1,0,0),c(0,0,0.1,0),c(0,0,0,0.1),c(0,0,0,0))
psor.msm <- msm(state ~ months, subject=ptnum, data=psor,
qmatrix = psor.q, covariates = ~ollwsdrt+hieffusn,
constraint = list(hieffusn=c(1,1,1),ollwsdrt=c(1,1,2)))
pearson.msm(psor.msm, timegroups=2, intervalgroups=2, covgroups=2)
# More 1-2, 1-3 and 1-4 observations than expected in shorter time
# intervals - the model fits poorly.
# A random effects model might accommodate such fast progressors.
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