Abstract:Objective To explore the application of restricted mean survival time regression model to analysis of survival data. Methods Pseudo-value regression method was used to implement restricted mean survival time regression in real medical data, and then a comparison with common survival analysis models was conducted. Results The restricted mean survival time regression model without specific hypothesis was applicable to the survival data which did not meet the assumption of proportional hazards. Real case analysis displayed that the restricted mean survival time model was flexible. By setting different tau values, mean survival time could be estimated in different time periods. The results gave an intuitive explanation and provided practical conclusions in clinical practice. Conclusions In the case that the proportional risk hypothesis is not satisfied and the survival curves cross, the restricted mean survival time model can provide stable, effective estimation and straightforward interpretation, which illuminates effective applicability in the field of survival analysis and can be used as a supplement to analysis results of the Cox proportional risk model.
柳芳超, 姜晓颖, 姜慧, 张迪, 郑晓静, 弭凤玲. 限制平均生存时间回归模型在生存分析中的应用[J]. 实用预防医学, 2020, 27(11): 1391-1395.
LIU Fang-chao, JIANG Xiao-ying, JIANG Hui, ZHANG Di, ZHENG Xiao-jing, MI Feng-ling. Application of restricted mean survival time regression model to survival time analysis. , 2020, 27(11): 1391-1395.
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