ines are with covariates set to their means
## 
## Transition intensities with hazard ratios for each covariate
##                   Baseline                     years                 
## State 1 - State 1 -0.18187 (-0.20833,-0.15877)                       
## State 1 - State 2  0.14743 ( 0.12546, 0.17325) 1.0984 (1.0444,1.1552)
## State 1 - State 4  0.03444 ( 0.02384, 0.04975) 0.9044 (0.7945,1.0296)
## State 2 - State 1  0.28343 ( 0.20185, 0.39798) 0.8698 (0.7662,0.9875)
## State 2 - State 2 -0.63973 (-0.7