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生存分析:第二部分 - 应用临床数据分析。

Survival analysis: part II - applied clinical data analysis.

机构信息

Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Department of Anesthesiology and Pain Medicine, Guro Hospital, Korea University School of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2019 Oct;72(5):441-457. doi: 10.4097/kja.19183. Epub 2019 May 17.

Abstract

As a follow-up to a previous article, this review provides several in-depth concepts regarding a survival analysis. Also, several codes for specific survival analysis are listed to enhance the understanding of such an analysis and to provide an applicable survival analysis method. A proportional hazard assumption is an important concept in survival analysis. Validation of this assumption is crucial for survival analysis. For this purpose, a graphical analysis method and a goodnessof- fit test are introduced along with detailed codes and examples. In the case of a violated proportional hazard assumption, the extended models of a Cox regression are required. Simplified concepts of a stratified Cox proportional hazard model and time-dependent Cox regression are also described. The source code for an actual analysis using an available statistical package with a detailed interpretation of the results can enable the realization of survival analysis with personal data. To enhance the statistical power of survival analysis, an evaluation of the basic assumptions and the interaction between variables and time is important. In doing so, survival analysis can provide reliable scientific results with a high level of confidence.

摘要

作为前一篇文章的后续内容,本篇综述提供了几个关于生存分析的深入概念。此外,还列出了几个特定生存分析的代码,以增强对这种分析的理解,并提供一种适用的生存分析方法。比例风险假设是生存分析中的一个重要概念。验证该假设对于生存分析至关重要。为此,引入了图形分析方法和拟合优度检验,并提供了详细的代码和示例。在违反比例风险假设的情况下,需要使用 Cox 回归的扩展模型。还描述了分层 Cox 比例风险模型和时变 Cox 回归的简化概念。使用可用统计软件包进行实际分析的源代码,并对结果进行详细解释,可以实现使用个人数据的生存分析。为了提高生存分析的统计功效,评估基本假设以及变量和时间之间的交互作用非常重要。通过这样做,生存分析可以提供具有高度置信度的可靠科学结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1524/6781220/72d68630135a/kja-19183f1.jpg

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