Kaplan-Meier Theory

Property A: For a random variable x, the variance of g(x) can be approximated by

image024

Proof: The proof uses the Delta method; namely, from the Taylor series for any constant a, we have

image025x

Thusimage026x

Now, let a = the mean of x. Then

image027x

Thusimage028x

since var(y+c) = var(y), var(c) = 0, and var(cy) = c2 ⋅ var(y) for any y and constant c (by Property 3 of Expectation).

Property 1 (Greenwood): The standard error of S(t) for any time t,  tk ≤ t < tk+1 is approximately

image014x

Proof: First we note that

image015x

where pj = 1 − dj/nj is the probability that a subject survives to just before tj. Taking the natural logs

image016xThusimage017x

We now assume that the number of subjects that survive in the interval [tj, tj+1) has a binomial distribution B(nj, πj) where pj is an estimate for πj. Since the observed number of subjects that survive in the interval is nj − dj, it follows (based on the variance of a binomial random variable) that

image018x

Thusimage019x

Based on Property A

image020x

Thus

image064x

But using Property A again, we also have

image021x

and soimage022x

which means that
image023x

Taking the square root of both sides of the equation completes the proof.

Property 2: The approximate 1−α confidence interval for S(t) for t,  tk ≤ t < tk+1, is given by the formula

Survival analysis confidence interval

where zα/2 = NORM.S.INV(1−α/2).

Proof: We could use a confidence interval of S(t) ± zα/2 ⋅ s.e., but it has the defect that it can result in values outside the range of S(t), namely 0 to 1. Thus it is better to use a transformation that transforms S(t) to the range (-∞,∞) and then take the inverse transformation. We use the transformation ln(−lnx) to accomplish this. This transformation is defined for x = S(t), except when S(t) = 0 or 1.

By Property A

image063x

From this and the proof of Property 1, it follows that

image033x

image034x

Thus the standard error of ln(-ln S(t))  is

image035x

The result now follows by taking the inverse transformations.

Property B: image015v

Proof: By definition

image013v

Thusimage014vLinks

↑ Kaplan-Meier

2 thoughts on “Kaplan-Meier Theory”

  1. Hi

    Thanks for a most useful website.

    Regarding Property A, shouldn’t Var(g(X))≈[g'(X)]^2*Var(X) be Var(g(X))≈[g'(E(X)]^2*Var(X) since Var(cY)=c^2*Var(Y)? If this is not the case, please explain.

    Reply

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