Variable Selection for Illness‐Death Processes Under Dual Observation Schemes

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Main Authors: Xianwei Li, Liqun Diao, Richard J. Cook
Format: Artículo Open Access
Published: Wiley 2026
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author Xianwei Li
Liqun Diao
Richard J. Cook
author_facet Xianwei Li
Liqun Diao
Richard J. Cook
Xianwei Li
Liqun Diao
Richard J. Cook
collection Wiley Open Access
contents Variable Selection for Illness‐Death Processes Under Dual Observation Schemes Xianwei Li Liqun Diao Richard J. Cook Statistics in Medicine ABSTRACT The classical illness‐death process offers a useful framework for studying the progression of chronic disease while jointly modeling death. In many settings the time of disease progression is not observed directly, but progression status is recorded at intermittent assessment times. This creates a dual observation scheme where progression times are interval‐censored and death is subject to right censoring. We present a penalized observed data likelihood for variable selection in multiplicative intensity‐based models for the joint process, involving different penalty functions for different sets of regression coefficients. Optimization is carried out based on an innovative expectation‐maximization algorithm that can be implemented using existing software. Simulation studies demonstrate the finite sample performance of the method, and an application to a dementia study from the National Alzheimer's Coordinating Center (NACC) illustrates the insights that can be gained. 10.1002/sim.70608 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/sim.70608
format Artículo Open Access
id wiley_oa_10_1002_sim_70608
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2026
publisher Wiley
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spellingShingle Variable Selection for Illness‐Death Processes Under Dual Observation Schemes
Xianwei Li
Liqun Diao
Richard J. Cook
Statistics in Medicine
Variable Selection for Illness‐Death Processes Under Dual Observation Schemes Xianwei Li Liqun Diao Richard J. Cook Statistics in Medicine ABSTRACT The classical illness‐death process offers a useful framework for studying the progression of chronic disease while jointly modeling death. In many settings the time of disease progression is not observed directly, but progression status is recorded at intermittent assessment times. This creates a dual observation scheme where progression times are interval‐censored and death is subject to right censoring. We present a penalized observed data likelihood for variable selection in multiplicative intensity‐based models for the joint process, involving different penalty functions for different sets of regression coefficients. Optimization is carried out based on an innovative expectation‐maximization algorithm that can be implemented using existing software. Simulation studies demonstrate the finite sample performance of the method, and an application to a dementia study from the National Alzheimer's Coordinating Center (NACC) illustrates the insights that can be gained. 10.1002/sim.70608 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Variable Selection for Illness‐Death Processes Under Dual Observation Schemes
topic Statistics in Medicine
url https://onlinelibrary.wiley.com/doi/10.1002/sim.70608