Biomedical Engineering Reference
In-Depth Information
1.4
Nonparametric Comparison of Survival Functions
Comparison of different survival functions is always one of the primary ob-
jectives in comparative survival studies such as clinical studies on drug devel-
opment. For the problem, one of the commonly used procedures is to employ
some regression models that include treatment indicators as some covraiates
and then to develop some test procedures such as score tests. On the other
hand or in general, one probably prefers some nonparametric or distribution-
free test procedures.
A number of nonparametric test procedures have been developed for the
comparison of survival functions based on interval-censored data (Sun (2006)).
Most of them are generalizations of the test procedures for right-censored
data. For example, the test procedures for right-censored data that have been
generalized to interval-censored data include the weighted logrank test, the
weighted Kaplain{Meier test, and the weighted Kolmoggorov test. Another
one is the imputation method and in this, one imputes the exact failure time
conditional on the observed interval and generates right-censored data. The
test procedures developed for right-censored data can then be applied to the
imputed right-censored data.
Although there exist many nonparametric test procedures, there does not
seem to exist a comprehensive guideline for the selection of an appropriate
procedure for a given data set or problem. For example, with respect to the
weighted logrank tests, the recommendation for the selection of a weight func-
tion is usually based on the shapes of the underlying hazard functions such
as early, middle, or late differences. In reality, however, it is often the case
that the shape information is unknown and a common procedure is to use the
sensitivity approach by trying different weight functions. It is obvious that
this may or may not give decisive conclusions.
Another issue related to the existing nonparametric test procedures is that
 
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