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In survival analysis, the hazard ratio (HR) is the ratio of the hazard rates corresponding to the conditions characterised by two distinct levels of a treatment variable of interest. For example, in a clinical study of a drug, the treated population may die at twice the rate of the control population.
For example, taking a drug may halve one's hazard rate for a stroke occurring, or, changing the material from which a manufactured component is constructed, may double its hazard rate for failure. Other types of survival models such as accelerated failure time models do not exhibit proportional hazards.
This example of a survival tree analysis uses the R package "rpart". [8] The example is based on 146 stage C prostate cancer patients in the data set stagec in rpart. Rpart and the stagec example are described in Atkinson and Therneau (1997), [ 9 ] which is also distributed as a vignette of the rpart package.
In full generality, the accelerated failure time model can be specified as [2] (|) = ()where denotes the joint effect of covariates, typically = ([+ +]). (Specifying the regression coefficients with a negative sign implies that high values of the covariates increase the survival time, but this is merely a sign convention; without a negative sign, they increase the hazard.)
This approach performs well for certain measures and can approximate arbitrary hazard functions relatively well, while not imposing stringent computational requirements. [5] When the covariates are omitted from the analysis, the maximum likelihood boils down to the Kaplan-Meier estimator of the survivor function. [6]
The Nelson–Aalen estimator is a non-parametric estimator of the cumulative hazard rate function in case of censored data or incomplete data. [1] It is used in survival theory, reliability engineering and life insurance to estimate the cumulative number of expected events. An "event" can be the failure of a non-repairable component, the death ...
If the hazard ratio is , there are total subjects, is the probability a subject in either group will eventually have an event (so that is the expected number of events at the time of the analysis), and the proportion of subjects randomized to each group is 50%, then the logrank statistic is approximately normal with mean () and variance 1. [4]
A concept closely-related but different [2] to instantaneous failure rate () is the hazard rate (or hazard function), (). In the many-system case, this is defined as the proportional failure rate of the systems still functioning at time t {\displaystyle t} (as opposed to f ( t ) {\displaystyle f(t)} , which is the expressed as a proportion of ...
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