Confidence bands for the difference of two survival functions under the additive risk model

Estimating a Treatment Effect in Residual Time Quantiles under the Additive Hazards Model

For randomized clinical trials where the endpoint of interest is a time-to-event subject to censoring, estimating the treatment effect has mostly focused on the hazard ratio from the Cox proportional hazards model. Since the model's proportional hazards assumption is not always satisfied, a useful alternative, the so-called additive hazards model, may instead be used to estimate a treatment effect on the difference of hazard functions. Still, the hazards difference may be difficult to grasp intuitively, particularly in a clinical setting of, e.g., patient counseling, or resource planning. In this paper, we study the quantiles of a covariate's conditional survival function in the additive hazards model. Specifically, we estimate the residual time quantiles, i.e., the quantiles of survival times remaining at a given time t, conditional on the survival times greater than t, for a specific covariate in the additive hazards model. We use the estimates to translates the hazards difference into the difference in residual time quantiles, which allows a more direct clinical interpretation. We determine the asymptotic properties, assess the performance via Monte-Carlo simulations, and demonstrate the use of residual time quantiles in two real randomized clinical trials.

Semiparametric simultaneous confidence bands for the difference of survival functions

In the analysis of censored survival data, simultaneous confidence bands are useful devices to help determine the efficacy of a treatment over a control. Semiparametric confidence bands are developed for the difference of two survival curves using empirical likelihood and compared with the nonparametric counterpart. Simulation studies are presented to show that the proposed semiparametric approach is superior, with the new confidence bands giving empirical coverage closer to the nominal level. Further comparisons reveal that the semiparametric confidence bands are tighter and, hence, more informative. For censoring rates between 10 and 40 %, the semiparametric confidence bands provide a relative reduction in enclosed area amounting to between 2 and 10 % over their nonparametric bands, with increased reduction attained for higher censoring rates. The methods are illustrated using an University of Massachusetts AIDS data set.

Simultaneous confidence bands for Cox regression from semiparametric random censorship

Cox regression is combined with semiparametric random censorship models to construct simultaneous confidence bands (SCBs) for subject-specific survival curves. Simulation results are presented to compare the performance of the proposed SCBs with the SCBs that are based only on standard Cox. The new SCBs provide correct empirical coverage and are more informative. The proposed SCBs are illustrated with two real examples. An extension to handle missing censoring indicators is also outlined.