Multi-State Survival Model

The 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.