A non-parametric survival estimate after elimination of a cause of failure

In competing risks analysis, the primary interest of researchers is the estimation of the net survival probability (NSP) if a cause of failure could be eliminated from a population. The Kaplan-Meier product-limit estimator under the assumption that the eliminated risk is non-informative to the other...

Full description

Bibliographic Details
Main Authors: Fang, Yen Yen, Suraiya Kassim
Format: Article
Language:English
Published: Universiti Kebangsaan Malaysia 2013
Online Access:http://journalarticle.ukm.my/6163/
http://journalarticle.ukm.my/6163/1/17_Fang_Yen_Yen.pdf
_version_ 1848811063543332864
author Fang, Yen Yen
Suraiya Kassim,
author_facet Fang, Yen Yen
Suraiya Kassim,
author_sort Fang, Yen Yen
building UKM Institutional Repository
collection Online Access
description In competing risks analysis, the primary interest of researchers is the estimation of the net survival probability (NSP) if a cause of failure could be eliminated from a population. The Kaplan-Meier product-limit estimator under the assumption that the eliminated risk is non-informative to the other remaining risks, has been widely used in the estimation of the NSP. The assumption implies that the hazard of the remaining risks before and after the elimination are equal and it could be biased. This paper addressed this possible bias by proposing a non-parametric multistate approach that accounts for an informative eliminated risk in the estimation procedure, whereby the hazard probabilities of the remaining risks before and after the elimination of a risk are not assumed to be equal. When a non-informative eliminated risk was assumed, it was shown that the proposed multistate estimator reduces to the Kaplan-Meier estimator. For illustration purposes, the proposed procedure was implemented on a published dataset and the change in hazard after elimination of a cause is investigated. Comparing the results to those obtained from using the Kaplan-Meier method, it was found that in the presence of (both constant and non-constant) informative eliminated risk, the proposed multistate approach was more sensitive and flexible.
first_indexed 2025-11-14T23:40:27Z
format Article
id oai:generic.eprints.org:6163
institution Universiti Kebangasaan Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T23:40:27Z
publishDate 2013
publisher Universiti Kebangsaan Malaysia
recordtype eprints
repository_type Digital Repository
spelling oai:generic.eprints.org:61632016-12-14T06:40:31Z http://journalarticle.ukm.my/6163/ A non-parametric survival estimate after elimination of a cause of failure Fang, Yen Yen Suraiya Kassim, In competing risks analysis, the primary interest of researchers is the estimation of the net survival probability (NSP) if a cause of failure could be eliminated from a population. The Kaplan-Meier product-limit estimator under the assumption that the eliminated risk is non-informative to the other remaining risks, has been widely used in the estimation of the NSP. The assumption implies that the hazard of the remaining risks before and after the elimination are equal and it could be biased. This paper addressed this possible bias by proposing a non-parametric multistate approach that accounts for an informative eliminated risk in the estimation procedure, whereby the hazard probabilities of the remaining risks before and after the elimination of a risk are not assumed to be equal. When a non-informative eliminated risk was assumed, it was shown that the proposed multistate estimator reduces to the Kaplan-Meier estimator. For illustration purposes, the proposed procedure was implemented on a published dataset and the change in hazard after elimination of a cause is investigated. Comparing the results to those obtained from using the Kaplan-Meier method, it was found that in the presence of (both constant and non-constant) informative eliminated risk, the proposed multistate approach was more sensitive and flexible. Universiti Kebangsaan Malaysia 2013-05 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6163/1/17_Fang_Yen_Yen.pdf Fang, Yen Yen and Suraiya Kassim, (2013) A non-parametric survival estimate after elimination of a cause of failure. Sains Malaysiana, 42 (5). 673 -683. ISSN 0126-6039 http://www.ukm.my/jsm/
spellingShingle Fang, Yen Yen
Suraiya Kassim,
A non-parametric survival estimate after elimination of a cause of failure
title A non-parametric survival estimate after elimination of a cause of failure
title_full A non-parametric survival estimate after elimination of a cause of failure
title_fullStr A non-parametric survival estimate after elimination of a cause of failure
title_full_unstemmed A non-parametric survival estimate after elimination of a cause of failure
title_short A non-parametric survival estimate after elimination of a cause of failure
title_sort non-parametric survival estimate after elimination of a cause of failure
url http://journalarticle.ukm.my/6163/
http://journalarticle.ukm.my/6163/
http://journalarticle.ukm.my/6163/1/17_Fang_Yen_Yen.pdf