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USING MULTIPLE DECREMENT MODELS TO ESTIMATE RISK AND MORBIDITY FROM SPECIFIC AIDS ILLNESSES

✍ Scribed by DONALD R. HOOVER; YUN PENG; ALFRED J. SAAH; ROGER R. DETELS; ROGER S. DAY; JOHN P. PHAIR


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
943 KB
Volume
15
Category
Article
ISSN
0277-6715

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✦ Synopsis


A simple non-parametric approach is developed to simultaneously estimate net incidence and morbidity time from specific AIDS illnesses in populations at high risk for death from these illnesses and other causes. The diseasedeath process has four-stages that can be recast as two sandwiching three-state multiple decrement processes. Non-parametric estimation of net incidence and morbidity time with error bounds are achieved from these sandwiching models through modification of methods from Aalen and Greenwood, and bootstrapping. An application to immunosuppressed HIV-1 infected homosexual men reveals that cytomegalovirus disease, Kaposi's sarcoma and Pneumocystis pneumonia are likely to occur and cause significant morbidity time.