Statistical inference of multi-state transition model for longitudinal data with measurement error and heterogeneity

Multi-state transition model is typically used to analyze longitudinal data in medicine and sociology. Moreover, variables in longitudinal studies usually are error-prone, and random effects are heterogeneous, which will result in biased estimates of the interest parameters. This article is intended to estimate the parameters of the multi-state transition model for longitudinal data with measurement error and heterogeneous random effects and further consider the covariate related to the covariance matrix of random effects is also error-prone when the covariate in the transition model is error-prone. We model the covariance matrix of random effects through the modified Cholesky decomposition and propose a pseudo-likelihood method based on the Monte Carlo expectation-maximization algorithm and the Bayesian method based on Markov Chain Monte Carlo to infer and calculate the whole estimates. Meanwhile, we obtain the asymptotic properties and evaluate the finite sample performance of the proposed method by simulation, which is well in terms of Bias, RMSE, and coverage rate of confidence intervals. In addition, we apply the proposed method to the MFUS data.