A versatile test for equality of two survival functions based on weighted differences of Kaplan-Meier curves.

Hajime Uno, Lu Tian, Brian Claggett, L J Wei
Author Information
  1. Hajime Uno: Department of Biostatistics and Computational Biology and Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, U.S.A.
  2. Lu Tian: Department of Health Research and Policy, Stanford University School of Medicine, Stanford, 94305, CA, U.S.A.
  3. Brian Claggett: Brigham and Women's Hospital, Division of Cardiovascular Medicine, Harvard Medical School, Boston, 02115, MA, U.S.A.
  4. L J Wei: Department of Biostatistics, Harvard University, Boston, 02115, MA, U.S.A.

Abstract

With censored event time observations, the logrank test is the most popular tool for testing the equality of two underlying survival distributions. Although this test is asymptotically distribution free, it may not be powerful when the proportional hazards assumption is violated. Various other novel testing procedures have been proposed, which generally are derived by assuming a class of specific alternative hypotheses with respect to the hazard functions. The test considered by Pepe and Fleming (1989) is based on a linear combination of weighted differences of the two Kaplan-Meier curves over time and is a natural tool to assess the difference of two survival functions directly. In this article, we take a similar approach but choose weights that are proportional to the observed standardized difference of the estimated survival curves at each time point. The new proposal automatically makes weighting adjustments empirically. The new test statistic is aimed at a one-sided general alternative hypothesis and is distributed with a short right tail under the null hypothesis but with a heavy tail under the alternative. The results from extensive numerical studies demonstrate that the new procedure performs well under various general alternatives with a caution of a minor inflation of the type I error rate when the sample size is small or the number of observed events is small. The survival data from a recent cancer comparative study are utilized for illustrating the implementation of the process.

Keywords

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Grants

  1. R01-GM079330/NIGMS NIH HHS
  2. R01-HL089778/NHLBI NIH HHS
  3. UM1AI068634/NIAID NIH HHS
  4. R01 HL089778/NHLBI NIH HHS
  5. R01-AI024643/NIAID NIH HHS
  6. UM1 AI068634/NIAID NIH HHS
  7. R01 AI024643/NIAID NIH HHS
  8. R01 GM079330/NIGMS NIH HHS
  9. UM1 AI068616/NIAID NIH HHS
  10. UM1AI068616/NIAID NIH HHS
  11. U10 CA180820/NCI NIH HHS

MeSH Term

Computer Simulation
Humans
Kaplan-Meier Estimate
Models, Statistical
Observational Studies as Topic
Proportional Hazards Models
Sample Size
Time Factors

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