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다중 상태 생존 모형×클러스터링된 생존 데이터에 대한 공유 취약성 모형×
분야생존분석생존분석
계열Survival analysisSurvival analysis
기원 연도19781979
창시자Andersen, P.K. & Keiding, N. (foundational framework); popularised by Putter, Fiocco & Geskus (2007)Vaupel, J.W., Manton, K.G. & Stallard, E.
유형Semi-parametric hazard modelRandom effects survival model
원전Putter, H., Fiocco, M. & Geskus, R.B. (2007). Tutorial in Biostatistics: Competing Risks and Multi-State Models. Statistics in Medicine, 26(11), 2389–2430. DOI ↗Vaupel, J.W., Manton, K.G. & Stallard, E. (1979). The Impact of Heterogeneity in Individual Frailty on the Dynamics of Mortality. Demography, 16(3), 439–454. DOI ↗
별칭illness-death model, multi-state transition model, Çok Durumlu Model (Multi-State / Illness-Death)shared frailty model, random effects survival model, Frailty Modeli (Paylaşılan Kırılganlık)
관련43
요약The multi-state model is a generalised survival framework, formalised in the work of Andersen and Keiding and brought to wide biostatistical practice by Putter, Fiocco and Geskus (2007), that models individuals moving through multiple distinct health states — for example, healthy, ill and dead — over time. A separate hazard function is estimated for each possible transition, and transition probabilities are recovered via the product-integral of the cumulative transition intensities.The shared frailty model, introduced by Vaupel, Manton, and Stallard in 1979, extends standard survival regression by incorporating a random effect — the 'frailty' — that captures unobserved heterogeneity among subjects or clusters. When survival outcomes are measured on individuals who share a common environment (patients in the same hospital, members of the same family, animals in the same litter), a frailty term accounts for the within-cluster dependence that ordinary Cox regression ignores.
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