JSM 2004 - Toronto

Abstract #300681

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Activity Number: 424
Type: Contributed
Date/Time: Thursday, August 12, 2004 : 10:30 AM to 12:20 PM
Sponsor: Biometrics Section
Abstract - #300681
Title: A Queuing Model for Chronic Recurrent Conditions
Author(s): Catherine Crespi*+ and William G. Cumberland and Sally Blower
Companies: University of California, Los Angeles and University of California, Los Angeles and University of California, Los Angeles
Address: School of Public Health, Los Angeles, CA, 90095-1772,
Keywords: stochastic model ; queueing process ; hidden Markov model ; virus ; Bayesian inference ; Markov chain Monte Carlo
Abstract:

In many chronic physiological conditions, subjects alternate between an active and inactive state, and sojourns into the active state may involve multiple lesions, infections, or other recurrences with different times of onset and resolution. We present a biologically interpretable model of such chronic, recurrent conditions based on a queueing process. The model has a birth-death process describing recurrences and a semi-Markov process describing the alternation between active and inactive states. We accommodate individual heterogeneity and covariates using a random effects model, and simulate the posterior distribution of unknowns using a Markov chain Monte Carlo algorithm. Application to herpes simplex virus shows how the method can characterize the biology of the condition and estimate treatment efficacy.


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Revised March 2004