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This is the preliminary program for the 2007 Joint Statistical Meetings in Salt Lake City, Utah.

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Activity Number: 154
Type: Contributed
Date/Time: Monday, July 30, 2007 : 10:30 AM to 12:20 PM
Sponsor: Biometrics Section
Abstract - #309350
Title: Effect of Ignoring Baseline on Transitions from Intact Cognition to Dementia
Author(s): Richard J. Kryscio*+ and Lei Yu and David Snowdon and Suzanne Tyas
Companies: University of Kentucky and University of Kentucky and University of Waterloo
Address: , Lexington, KY, 40505,
Keywords: dementia ; mild cognitive impairment ; Markov chain ; baseline ; random effect ; polytomous logistic
Abstract:

We investigate bias introduced by ignoring baseline on transitions from intact cognition to dementia with mild cognitive impairment and global impairments as intervening states. Transitions among states are modeled by a Markov chain (MC) with transition probabilities depending on a single covariate. Two cases are examined by simulation (i) a true MC is left truncated and (ii) cognitive decline is assumed to be a linear model or a double change point model with random slopes. Results are illustrated with an application from the Nun Study, a longitudinal cohort of 678 participants 75+ years of age at baseline.


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Revised September, 2007