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Statistics review 12 Survival analysis 英文参考文献
Available online /content/8/5/389
Review
Statistics review 12: Survival analysis
Viv Bewick1, Liz Cheek1 and Jonathan Ball2
1Senior Lecturer, School of Computing, Mathematical and Information Sciences, University of Brighton, Brighton, UK
2Senior Registrar in ICU, Liverpool Hospital, Sydney, Australia
Correspondence: Viv Bewick, v.bewick@brighton.ac.uk
Published online: 6 September 2004
Critical Care 2004, 8:389-394 (DOI 10.1186/cc2955)
This article is online at /content/8/5/389
? 2004 BioMed Central Ltd
Abstract
This review introduces methods of analyzing data arising from studies where the response variable is
the length of time taken to reach a certain end-point, often death. The Kaplan–Meier methods, log
rank test and Cox’s proportional hazards model are described.
Keywords Cox’s proportional-hazards model, cumulative hazard function H(t), hazard ratio, Kaplan–Meier method,
log rank test, survival function S(t)
Introduction
The graph of S(t) against t is called the survival curve. The
Kaplan–Meier method can be used to estimate this curve
from the observed survival times without the assumption of an
underlying probability distribution. The method is based on
the basic idea that the probability of surviving k or more
periods from entering the study is a product of the k
observed survival rates for each period (i.e. the cumulative
proportion surviving), given by the following:
Survival times are data that measure follow-up time from a
defined starting point to the occurrence of a given event, for
example the time from the beginning to the end of a remission
period or the time from the diagnosis of a disease to death.
Standard statistical techniques cannot usually be applied
because the underlying distribution is rarely Normal and the
data are often ‘censored’. A survival time is described as
censored when there is a follow-up time but the even
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