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@ARTICLE{Weibach:256592,
author = {Weißbach, Rafael and Dörre, Achim and Wied, Dominik and
Doblhammer-Reiter, Gabriele and Fink, Anne},
title = {{L}eft-truncated health insurance claims data: theoretical
review and empirical application},
journal = {Advances in statistical analysis},
volume = {108},
issn = {1863-8171},
address = {Heidelberg},
publisher = {Springer},
reportid = {DZNE-2023-00350},
pages = {31-68},
year = {2024},
note = {CC BY},
abstract = {From the inventory of the health insurer AOK in 2004, we
draw a sample of a quarter million people and follow each
person’s health claims continuously until 2013.Our aim is
to estimate the effect of a stroke on the dementia onset
probability for Germans born in the first half of the 20th
century. People deceased before 2004 arerandomly
left-truncated, and especially their number is unknown.
Filtrations, modelling the missing data, enable
circumventing the unknown number of truncatedpersons by
using a conditional likelihood. Dementia onset after 2013 is
a fixed right-censoring event. For each observed health
history, Jacod’s formula yields itsconditional likelihood
contribution. Asymptotic normality of the estimated
intensities is derived, related to a sample size definition
including the number of truncatedpeople. The standard error
results from the asymptotic normality and is easily
computable, despite the unknown sample size. The claims data
reveal that after a stroke,with time measured in years, the
intensity of dementia onset increases from 0.02 to 0.07.
Using the independence of the two estimated intensities, a
$95\%$ confidenceinterval for their difference is [0.053,
0.057]. The effect halves when we extend the analysis to an
age-inhomogeneous model, but does not change further when
weadditionally adjust for multi-morbidity.},
subtyp = {Review Article},
cin = {AG Doblhammer},
ddc = {510},
cid = {I:(DE-2719)1012002},
pnm = {354 - Disease Prevention and Healthy Aging (POF4-354)},
pid = {G:(DE-HGF)POF4-354},
typ = {PUB:(DE-HGF)16},
doi = {10.1007/s10182-023-00471-1},
url = {https://pub.dzne.de/record/256592},
}