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Nonparametric Survival Curve Estimation

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Applied Survival Analysis Using R

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Abstract

We have seen that there are a wide variety of hazard function shapes to choose from if one models survival data using a parametric model. But which parametric model should one use for a particular application? When modeling human or animal survival, it is hard to know what parametric family to choose, and often none of the available families has sufficient flexibility to model the actual shape of the distribution. Thus, in medical and health applications, nonparametric methods, which have the flexibility to account for the vagaries of the survival of living things, have considerable advantages. In this chapter we will discuss non-parametric estimators of the survival function. The most widely used of these is the product-limit estimator, also known as the Kaplan-Meier estimator . This estimator, first proposed by Kaplan and Meier [35], is the product over the failure times of the conditional probabilities of surviving to the next failure time. Formally, it is given by

$$\displaystyle{\hat{S}(t) =\prod \limits _{t_{i}\leq t}(1 -\hat{q}_{i}) =\prod \limits _{t_{i}\leq t}\left (1 - \frac{d_{i}} {n_{i}}\right )}$$

where n i is the number of subjects at risk at time t i , and d i is the number of individuals who fail at that time. The example data in Table 1.1 may be used to illustrate the construction of the Kaplan-Meier estimate, as shown in Table 3.1.

Table 3.1 Kaplan-Meier estimate

The original version of this chapter was revised. An erratum to this chapter can be found at DOI 10.1007/978-3-319-31245-3_13

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-31245-3_13

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Notes

  1. 1.

    The delta method allows one to approximate the variance of a continuous transformation g(⋅ ) of a random variable. Specifically, if a random variable X has mean μ and variance \(\sigma ^{2}\), then g(X) will have approximate mean g(μ) and approximate variance \(\sigma ^{2} \cdot \left [g^{'}(\mu )\right ]^{2}\) for a sufficiently large sample size. Refer to any textbook of mathematical statistics for a more precise formulation of this principle. In the context of the Kaplan Meier survival curve estimate, see Klein and Moeschberger [36] for further details.

  2. 2.

    Other names associated with this estimator are Aalen, Fleming, and Harrington.

  3. 3.

    The data set “ChanningHouse” is included in the “asaur” package. It contains the cases in “channing” in the “boot” package, but with five cases removed for which the recorded entry time was later than the exit time.

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Moore, D.F. (2016). Nonparametric Survival Curve Estimation. In: Applied Survival Analysis Using R. Use R!. Springer, Cham. https://doi.org/10.1007/978-3-319-31245-3_3

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